Syndemic Production and Sexual Compulsivity in a Cohort of Highly Sexually Active Gay and Bisexual Men
Methods: A diverse sample of 371 highly sexually active (≥9 partners in previous 90 days) gay and bisexual men (GBM), aged 18-73 (M=36.8), completed at-home surveys including measures of sociodemographic characteristics, syndemics, and SC/HD, and a timeline follow-back interview of sexual behavior. Men were grouped for analyses as experiencing neither SC nor HD, SC only, or SC with HD.
Results: Chi-square analyses indicated all three groups differed significantly on experiences of IPV (p=.005), CSA (p=.04), and depression (p<.001), as well as the average number of syndemic factors they experienced (p<.001), but did not differ significantly on polysubstance use. Path analyses revealed significant direct effects of syndemics on SC/HD grouping (p<.001) as well as syndemics and SC/HD grouping on serodiscordant unprotected anal intercourse acts (p=.02; p=.05) and HIV-positive status (p=.001; p=.002). There was a small but significant indirect effect of syndemics on HIV-positive status through SC/HD grouping (p=.01).
Conclusions: These findings demonstrate the utility of examining distinctions in the severity of SC and HD within the existing syndemics framework. Specifically, SC/HD appears to be a contributing syndemic factor rather than an antecedent of syndemics.
Learning Areas:Public health or related research
Social and behavioral sciences
Differentiate sexual compulsivity severity among highly sexually active GBM. Explain contributions of SC/HD within the existing syndemics framework.
Keyword(s): Sexual Risk Behavior, Mental Health
Qualified on the content I am responsible for because: I have been conducting research on gay and bisexual men's sexual health for more than 20 years. I am a Distinguished Professor of Psychology at Hunter college and my accomplishments include more than 175 authored and co-authored manuscripts, serving on the editorial board of numerous journals in the field, and serving as the principal investigator on many large, NIH-funded research projects.
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.