Depression, Compulsive Sexual Behavior, and Sexual Risk-Taking Among Urban Young Gay and Bisexual Men: The P18 Cohort Study
Open accessAbstract
Young gay, bisexual, and other men who have sex with men (YMSM) are at increased likelihood of experiencing depression and engaging in condomless sexual behaviors. The goal of the current investigation was to examine the relationship between negative mood and compulsive sexual behavior (CSB) and to assess for their individual and combined influence on sexual risk-taking behavior among a diverse sample of YMSM in New York City (the P18 Cohort Study). We first analyzed sociodemographic, depressive symptoms, CSB, and sexual risk-taking from the cross-sectional data of 509, 18- or 19-year-old YMSM recruited using non-probability sampling. We found a significant positive correlation between CSB and depression and between CSB and frequency of condomless anal sex acts reported over the last 30 days. Multivariate results found that the presence of both depression and CSB contributed to elevated sexual risk-taking among these urban YMSM. Clinical implications include the importance of assessing for CSB when depression is present and vice versa in order to improve HIV prevention. Informed by minority stress theory and syndemic theory, our results suggest that interventions focused on the health of YMSM recognize that mental health and social context all interact to increase physical health vulnerability vis-a-vis sexual behaviors, depression, and CSB. Thus, HIV prevention and intervention programs need to incorporate mental health components and services that address these needs.
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Psychological distress, sexual risk, and service avoidance are responses driven by external and internal identity-based minority stressors.
“Psychological distress, sexual risk, and service avoidance are responses driven by external and internal identity-based minority stressors (Pachankis et al., 2014, 2018, 2015a, 2015b; Storholm et al., 2016), yet psychosocial-based interventions for HIV/STI prevention in this group have been limited.”
From Mindfulness for Reducing Minority Stress and Promoting Health Among Sexual Minority Men: Uncovering Intervention Principles and Techniques (2022) · cites this paper as Storholm et al., 2016
The Introduction describes external prejudice and internalized homophobia as minority stressors linked to mental health problems and sexual risk-taking. The Discussion says stigma and discrimination likely contributed to depressive symptoms among some young men in the cohort and suggests sexual behavior may regulate mood. Our copy does not link minority stressors to service avoidance, and its account of these relationships is more cautious than 'driven by.' (LLM, conf=0.87)
Experimental — accuracy not yet measuredIn studies of men who have sex with men, self-reported compulsive sexual behaviour has been found to be correlated with depression, anxiety, and minority stress, and to be associated with higher rates of sexual risk-taking behaviours.
“In studies of men who have sex with men, self-reported compulsive sexual behaviour has been found to be correlated with depression 251 , anxiety 252 , and minority stress (i.e., the stress associated with stigma-related social disadvantage that compounds general life stress) 253 , as well as to be associated with higher rates of sexual risk-taking behaviours 254,255 .”
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Cites
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,644 · see citing works
Meyer, I. H. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.5.674 · Cited by 14,736 · see citing works
(1991) · Cited by 7,187 · see citing works
Lippa, N. C., & Sanderson, S. C. (2013) · Human Heredity · doi:10.1159/000353712 · Cited by 6,093 · see citing works
Minority Stress and Mental Health in Gay Men
Meyer, I. H. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137286 · Cited by 4,264 · see citing works
Stigma as a fundamental cause of population health inequalities
Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013) · American Journal of Public Health · doi:10.2105/ajph.2012.301069 · Cited by 2,674 · see citing works
Targeted Sampling: Options for the Study of Hidden Populations
Watters, J. K., & Biernacki, P. (1989) · Social Problems · doi:10.2307/800824 · Cited by 1,500 · see citing works
Stall, R., Mills, T. C., Williamson, J., Hart, T., Greenwood, G., Paul, J., Pollack, L., Binson, D., Osmond, D., & Catania, J. A. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.6.939 · Cited by 940 · see citing works
Sexual Sensation Seeking and Sexual Compulsivity Scales: Validity, and Predicting HIV Risk Behavior
Kalichman, S. C., & Rompa, D. (1995) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6503_16 · Cited by 814 · see citing works
D’Augelli, A. R., Hershberger, S. L., & Pilkington, N. W. (1998) · American Journal of Orthopsychiatry · doi:10.1037/h0080345 · Cited by 642 · see citing works
FREE INQUIRY IN CREATIVE SOCIOLOGY
Mata, A. G. (2010) · Free inquiry in creative sociology · Cited by 620 · see citing works
Sullivan, P. S., Salazar, L. F., Buchbinder, S., & Sanchez, T. (2009) · AIDS · doi:10.1097/qad.0b013e32832baa34 · Cited by 559 · see citing works
AIDS and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology
Singer, M. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90205-4 · Cited by 518 · see citing works
(1996) · Free inquiry in creative sociology · Cited by 516 · see citing works
Mustanski, B., Garofalo, R., Herrick, A., & Donenberg, G. (2007) · Annals of Behavioral Medicine · doi:10.1007/bf02879919 · Cited by 487 · see citing works
Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model
Bancroft, J., & Vukadinovic, Z. (2004) · The Journal of Sex Research · doi:10.1080/00224490409552230 · Cited by 482 · see citing works
Sexuality on the Internet: From sexual exploration to pathological expression.
Cooper, A., Scherer, C. R., Boies, S. C., & Gordon, B. L. (1999) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.30.2.154 · Cited by 433 · see citing works
Associations of Depression, Self-Esteem, and Substance Use with Sexual Risk among Adolescents
Shrier, L. A., Harris, S. K., Sternberg, M., & Beardslee, W. R. (2001) · Preventive Medicine · doi:10.1006/pmed.2001.0869 · Cited by 386 · see citing works
A critique of research on sexual-minority youths
Savin‐Williams, R. C. (2001) · Journal of Adolescence · doi:10.1006/jado.2000.0369 · Cited by 364 · see citing works
Parsons, J. T., Grov, C., & Golub, S. A. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300284 · Cited by 335 · see citing works
Hatzenbuehler, M. L., O’Cleirigh, C. M., Grasso, C., Mayer, K. H., Safren, S. A., & Bradford, J. (2011) · American Journal of Public Health · doi:10.2105/ajph.2011.300382 · Cited by 295 · see citing works
Unequal opportunity: health disparities affecting gay and bisexual men in the United States
(2008) · Choice Reviews Online · doi:10.5860/choice.46-1521 · Cited by 269 · see citing works
Interacting Epidemics and Gay Men's Health: A Theory of Syndemic Production among Urban Gay Men
Stall, R., Friedman, M., & Catania, J. A. (2007) · Unequal Opportunity · doi:10.1093/acprof:oso/9780195301533.003.0009 · Cited by 266 · see citing works
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2006) · AIDS Education and Prevention · doi:10.1521/aeap.2006.18.5.444 · Cited by 259 · see citing works
Psychometric Characteristics of the Beck Depression Inventory-II With College Students
Steer, R. A., & Clark, D. A. (1997) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.1997.12068933 · Cited by 256 · see citing works
Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review.
Crepaz, N., & Marks, G. N. (2001) · Health Psychology · doi:10.1037//0278-6133.20.4.291 · Cited by 255 · see citing works
Compulsive Sexual Behavior Inventory: A Preliminary Study of Reliability and Validity
Coleman, M. M. (2001) · Journal of Sex & Marital Therapy · doi:10.1080/009262301317081070 · Cited by 218 · see citing works
Newcomb, M. E., & Mustanski, B. S. (2009) · Archives of Sexual Behavior · doi:10.1007/s10508-009-9573-8 · Cited by 215 · see citing works
Fluoxetine treatment of nonparaphilic sexual addictions and paraphilias in men.
Kafka, M. P., & PRENTKY, R. A. (1992) · PubMed · Cited by 209 · see citing works
Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review.
Crepaz, N., & Marks, G. N. (2001) · Health Psychology · doi:10.1037/0278-6133.20.4.291 · Cited by 207 · see citing works
Sexual compulsivity and substance use in hiv-seropositive men who have sex with men
Benotsch, E. G., Kalichman, S. C., & Kelly, J. A. (1999) · Addictive Behaviors · doi:10.1016/s0306-4603(99)00056-8 · Cited by 203 · see citing works
Sexual identity development among ethnic sexual-minority male youths.
Dubé, E. M., & Savin‐Williams, R. C. (1999) · Developmental Psychology · doi:10.1037//0012-1649.35.6.1389 · Cited by 196 · see citing works
(2007) · doi:10.1093/acprof:oso/9780195301533.001.0001 · Cited by 189 · see citing works
Perdue, T., Hagan, H., Thiede, H., & Valleroy, L. (2003) · AIDS Education and Prevention · doi:10.1521/aeap.15.1.81.23842 · Cited by 181 · see citing works
Determinants of Sexual Risk-Taking Among Young HIV-Negative Gay and Bisexual Men
Strathdee, S. A., Hogg, R. S., Martindale, S. L., Cornelisse, P., Craib, K. J. P., Montaner, J. S. G., O’Shaughnessy, M. V., & Schechter, M. T. (1998) · Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology · doi:10.1097/00042560-199809010-00010 · Cited by 180 · see citing works
Structural Interventions for HIV Prevention in the United States
Adimora, A. A., & Auerbach, J. D. (2010) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181fbcb38 · Cited by 172 · see citing works
Wong, W., Chaw, J. K., Kent, C. K., & Klausner, J. D. (2005) · Sexually Transmitted Diseases · doi:10.1097/01.olq.0000168280.34424.58 · Cited by 170 · see citing works
The Relation Between Mood and Sexuality in Gay Men
Bancroft, J., Janssen, E., Strong, D., & Vukadinovic, Z. (2003) · Archives of Sexual Behavior · doi:10.1023/a:1023461500810 · Cited by 167 · see citing works
Sexual identity development among ethnic sexual-minority male youths.
Dubé, E. M., & Savin‐Williams, R. C. (1999) · Developmental Psychology · doi:10.1037/0012-1649.35.6.1389 · Cited by 159 · see citing works
The Compulsive Sexual Behavior Inventory: Psychometric Properties
Miner, M. H., Coleman, E., Ross, M. W., & Rosser, B. R. S. (2006) · Archives of Sexual Behavior · doi:10.1007/s10508-006-9127-2 · Cited by 157 · see citing works
Halkitis, P. N., Wolitski, R. J., & Millett, G. A. (2013) · American Psychologist · doi:10.1037/a0032746 · Cited by 150 · see citing works
Self-citationSalomon, E. A., Mimiaga, M. J., Husnik, M. J., Welles, S. L., Manseau, M. W., Montenegro, A. B., Safren, S. A., Koblin, B. A., Chesney, M. A., & Mayer, K. H. (2009) · AIDS and Behavior · doi:10.1007/s10461-008-9439-4 · Cited by 144 · see citing works
Measurement model exploring a syndemic in emerging adult gay and bisexual men
Halkitis, P. N., Moeller, R. W., Siconolfi, D. E., Storholm, E. D., Solomon, T. M., & Bub, K. L. (2013) · AIDS and Behavior · doi:10.1007/s10461-012-0273-3 · Cited by 135 · see citing works
Self-citationFrost, D. M., Parsons, J. T., & Nanín, J. E. (2007) · Journal of Health Psychology · doi:10.1177/1359105307078170 · Cited by 123 · see citing works
Gay men and ambivalence about ‘gay community’: from gay community attachment to personal communities
Holt, M. (2011) · Culture Health & Sexuality · doi:10.1080/13691058.2011.581390 · Cited by 105 · see citing works
Explanations for the Origins of Sexual Compulsivity Among Gay and Bisexual Men
Parsons, J. T., Kelly, B. C., Bimbi, D. S., DiMaria, L., Wainberg, M. L., & Morgenstern, J. (2008) · Archives of Sexual Behavior · doi:10.1007/s10508-007-9218-8 · Cited by 102 · see citing works
Kosunen, E., Kaltiala‐Heino, R., Rimpelä, M., & Laippala, P. J. (2003) · Child Care Health and Development · doi:10.1046/j.1365-2214.2003.00357.x · Cited by 90 · see citing works
Reframing HIV prevention for gay men in the United States.
Halkitis, P. N. (2010) · American Psychologist · doi:10.1037/0003-066x.65.8.752 · Cited by 86 · see citing works
Self-citationSexual Compulsivity in a Sample of HIV-Positive Methamphetamine-using Gay and Bisexual Men
Semple, S. J., Zians, J., Grant, I., & Patterson, T. L. (2006) · AIDS and Behavior · doi:10.1007/s10461-006-9127-1 · Cited by 82 · see citing works
Predictors of Cigarette Smoking among Inner-City Minority Youth
Botvin, G. J., Epstein, J. A., Schinke, S. P., et al. (1994) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-199404000-00001 · Cited by 68 · see citing works
Body Dissatisfaction and Eating Disorders in a Sample of Gay and Bisexual Men
Siconolfi, D. E., Halkitis, P. N., Allomong, T. W., & Burton, C. L. (2009) · International Journal of Men s Health · doi:10.3149/jmh.0803.254 · Cited by 56 · see citing works
Self-citationSexual Compulsivity and HIV Serostatus Disclosure Among Men Who Have Sex with Men
REECE, M. (2003) · Sexual Addiction & Compulsivity · doi:10.1080/10720160309048 · Cited by 50 · see citing works
Kapadia, F., Siconolfi, D. E., Barton, S., et al. (2013) · AIDS and Behavior · doi:10.1007/s10461-013-0468-2 · Cited by 43 · see citing works
Self-citation(2004) · PubMed · Cited by 41 · see citing works
Wilson, P. A., Stadler, G., Boone, M. R., & Bolger, N. P. (2014) · Health Psychology · doi:10.1037/a0035405 · Cited by 33 · see citing works
Beidas, R. S., Birkett, M. A., Newcomb, M. E., & Mustanski, B. S. (2012) · AIDS Patient Care and STDs · doi:10.1089/apc.2011.0418 · Cited by 30 · see citing works
Proposing a Tentative Cut Point for the Compulsive Sexual Behavior Inventory
Storholm, E. D., Fisher, D. G., Napper, L. E., Reynolds, G. L., & Halkitis, P. N. (2011) · Archives of Sexual Behavior · doi:10.1007/s10508-010-9712-2 · Cited by 17 · see citing works
Self-citationA Psychometric Analysis of the Compulsive Sexual Behavior Inventory
Storholm, E., Fisher, D., Napper, L. E., Reynolds, G. L., & Halkitis, P. (2011) · Sexual Addiction & Compulsivity · doi:10.1080/10720162.2011.584057 · Cited by 7 · see citing works
Self-citationDykes, C., Mukherjee, A., Bosch, R. J., et al. (2010) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181d5a800 · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- New York City Department of Health and Mental Hygiene 2007 New HIV diagnoses rising in New York City among men who have sex with men DOH Press Release No. 079–07 New York, NY
Cited by
Sorted by citations
Reed, G. M., First, M. B., Billieux, J., Cloitre, M., Briken, P., Achab, S., Brewin, C. R., King, D. L., Kraus, S. W., & Bryant, R. A. (2022) · World Psychiatry · doi:10.1002/wps.20960 · Cited by 182 · see citing works
Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China
Sun, S., Pachankis, J. E., Li, X., & Operario, D. (2020) · Current HIV/AIDS Reports · doi:10.1007/s11904-019-00479-w · Cited by 169 · see citing works
Griffin, M., Krause, K. D., Kapadia, F., & Halkitis, P. N. (2018) · LGBT Health · doi:10.1089/lgbt.2017.0015 · Cited by 29 · see citing works
Self-citationSun, S., Guy, A. A., Zelaya, D. G., & Operario, D. (2022) · Mindfulness · doi:10.1007/s12671-022-01973-w · Cited by 25 · see citing works
Gleason, N., Finotelli, I., Miner, M. H., Herbenick, D., & Coleman, E. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.07.003 · Cited by 18 · see citing works
Garner, A. R., Shorey, R. C., Anderson, S., & Stuart, G. L. (2020) · Sexual Addiction & Compulsivity · doi:10.1080/10720162.2020.1751363 · Cited by 10 · see citing works
- Authors
- Storholm, E. D., Satre, D. D., Kapadia, F., & Halkitis, P. N.
- Affiliations
- Kaiser Permanente (US)
- New York University (US)
- Corresponding author
- Halkitis, Perry N.
- Venue
- Archives of Sexual Behavior
- Published
- 2015-08-27
- Volume
- 45
- Issue
- 6
- Pages
- 1431-1441
- ISSN
- 0004-0002 (ISSN-L)
- 1573-2800
- PMC
- PMC4769690
- OpenAlex
- W2197333604
- Cited by
- 43
- References
- 60
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 4 · 2016: 2
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of Sexual Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R01DA025537, T32DA007250)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- depression, compulsive sexual behavior, sexual risk behavior, young men who have sex with men, gay and bisexual men, condomless anal sex, HIV prevention, minority stress, syndemic theory, mental health
- MeSH terms
- Adolescent, Adult, Bisexuality, Cross-Sectional Studies, Depression, Humans, Male, New York City, Homosexuality, Male, Unsafe Sex, Young Adult
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