Use of the actor-partner interdependence model to better understand the sexual health of gay male couples
Methods: Gay men were surveyed at large events in New York City and Los Angeles; 172 matched gay male couples (N = 344) completed surveys including the Sexual Compulsivity Scale, the Adult Attachment Scale, and the Dyadic Sexual Communication Scale.
Results: APIM results suggested that participants reporting higher levels of sexual compulsivity (SC) also reported diminished sexual communication quality and an increased number of casual male sex partners with whom they had unprotected anal intercourse (UAI). In addition, men whose partners reported higher levels of SC reported more UAI casual sex partners. In separate analyses, securely attached men reported higher levels of sexual communication and fewer UAI casual sex partners. Avoidant attachment was strongly associated with UAI casual sex partners, and men whose partners were avoidant attached reported lower sexual communication.
Conclusions: These results demonstrate the relevance of both SC and attachment to the sexual health of partnered gay men and illustrate the ability of the APIM to identify both within-person (actor effects) and between-partner (partner effects) associations.
Learning Areas:Diversity and culture
Public health or related research
Social and behavioral sciences
Explain the Actor-Partner Interdependence Model and how it can be used to examine both individual and couple-level factors related to sexual health in gay male couples. Identify the specific actor and partner effects between sexual compulsivity and sexual risk, and between attachment style and sexual satisfaction and communication.
Keyword(s): Gay Men, Sexual Risk Behavior
Qualified on the content I am responsible for because: Dr. Starks has published broadly in the field of HIV prevention and focused specifically on substance use as a predictor of HIV risk behavior. In addition, he has extensive experience in the analysis of dyadic data, including the use of the actor-partner interdependence model with exchangeable and distinguishable dyads.
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.