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Sexual Compulsivity, the Internet, and Sexual Behaviors Among Men in a Rural Area of the United States
Schnarrs, Phillip W. Rosenberger, Joshua G. Satinsky, Sonya Brinegar, Emily Stowers, Jill Dodge, Brian Reece, Michael
Schnarrs, Phillip W.
Rosenberger, Joshua G.
Satinsky, Sonya
Brinegar, Emily
Stowers, Jill
Dodge, Brian
Reece, Michael
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Abstract
Sexual compulsivity has been associated with higher frequencies of sexual behaviors that may increase risk for
transmission of HIV and other sexually transmitted infections (STI). In a rural midwestern region where social
and community resources for the sexual health of men who have sex with men (MSM) are relatively few, the
patterns of partner-seeking and sexual behavior, and their relations to sexual compulsivity, may be different
than findings from other assessments of men in urban centers. Using a community-based participatory approach
(CBPR), data were collected from 309 men who were primarily white, identified as gay or homosexual, and had
a mean age of 29.37 years (SDĀ¼11.33), to explore relations between scores on a measure of sexual compulsivity
and their sexual partner-seeking, drug and alcohol use, and sexual behaviors with men and women. The
majority of men reported having engaged in sexual activity with men in the past 30 days. Those scoring higher
than the sample mean (1.65 [SDĀ¼0.66]) on the sexual compulsivity measure reported patterns of having sex
with partners met online and having been the insertive or receptive partner in unprotected anal intercourse.
Given the unique patterns of sexual partner-seeking in this area, interventions to decrease sexual risk-taking
should take into account that the vast majority of men in rural areas are using the Internet to locate sexual
partners, and prevention messages focused on rural contexts need to be tailored to include men who have a
propensity for sexually compulsive behaviors. Additionally, interventions created for virtual spaces may be
more sustainable with rural communities than traditional approaches to HIV/STI prevention.
Description
This is the publisher's version, which is also found by way of http://online.liebertpub.com/toc/apc/24/9
Date
2010
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Mary Ann Liebert, Inc.
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Citation
Schnarrs, Phillip W.; Rosenberger, Joshua G.; Satinsky, Sonya; et al. (2010) Sexual Compulsivity, the Internet, and Sexual Behaviors Among Men in a Rural Area of the United States. AIDS PATIENT CARE and STDs, 24.9, 563-569.