221723 Using Community-Based Participatory Research to assess HIV risk and sexual compulsivity among rural MSM

Monday, November 8, 2010 : 11:30 AM - 11:45 AM

Phillip Schnarrs, MA , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Joshua G. Rosenberger, MPH , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Emily Brinegar, MSW , Positive Link, Bloomington Hospital, Bloomington, IN
Jill Stowers, MSW , Positive Link, Bloomington Hospital, Bloomington, IN
Brian Dodge, PhD , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Michael Reece, PhD, MPH , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Background: It has been reported that rural men who have sex with men (MSM) are less likely than urban MSM to report their sexual behavior and to practice safer sex given their geographic isolation from supportive gay communities in which most HIV/AIDS interventions are found. Community-based participatory research (CBPR) has been shown to be effective in reaching populations historically neglected by mainstream methodologies. Method: Using CBPR, researchers and rural HIV service providers collected data using an Internet-based survey from 270 MSM. Measures included sociodemographics, health status, sexual behaviors, sexual compulsivity, and those related to sexual partner seeking. Results: Of the 270 participants, the majority identified as gay/homosexual, white, single, and currently sexually active. The mean sexual compulsivity score among men was 1.65 [SD = 0.66]. Nearly all participants (85.7%) had visited gay-related Internet sites, 42.2% had sex with someone met online and of those individuals 51.7% scored above the mean on the Sexual Compulsivity Scale (SCS). Further, participants with higher SCS scores were more likely to not use condoms during receptive (p = 0.035) or insertive anal sex (p = 0.044). Conclusions: MSM in this sample differed from other urban samples in both the nature of the venues in which they have sought sexual partners and also scored higher on the sexual compulsivity measure compared to those reported from recent urban samples. Internet-based interventions may be effective in reaching rural MSM and the sexual compulsivity measure may be a helpful tool to include in interventions that reach these populations.

Learning Areas:
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Describe the importance of Community-Based Participatory Research in researching communities historically overlooked by traditional methodologies. Demonstrate the need for using Community-Based Participatory Research in rural settings and in examining sexual behaviors. Describe the sexual behaviors, venue chooses for finding sexual partners, and sexual risk taking of a non-urban sample of men who have sex with men

Keywords: Community-Based Partnership, Sexual Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am part of the partnership with the community HIV outreach, analyzed all the data in the study, and developed two papers from the data focusing on the CBPR approach to research with this community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.