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Sexual Compulsivity Among Men in a Decentralized MSM Community of the Midwestern United States
Satinsky, Sonya Fisher, Christopher Stupiansky, Nathan Dodge, Brian Alexander, Andreia Herbenick, Debby Reece, Michael
Satinsky, Sonya
Fisher, Christopher
Stupiansky, Nathan
Dodge, Brian
Alexander, Andreia
Herbenick, Debby
Reece, Michael
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Abstract
Among men who have sex with men (MSM), 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 Midwestern region where social and community resources for MSM are relatively diffuse, the patterns
of partner-seeking and sexual behavior, and their relations to sexual compulsivity, may be different than
findings from most other assessments of men in large urban areas. Using a community-based participatory approach
(CBPR) and a cross-sectional survey, quantitative data were collected between November 2006 and January
2007 from 504 men related to sexual compulsivity, sexual partner-seeking, and sexual behavior. We sought
to explore sexual behaviors in venues where men reported meeting sexual partners, based on their level of compulsivity.
Venues that could be characterized as “sexualized” were better predictors of higher sexual compulsivity
scores among men than those that are “social” in nature. Men who were higher in compulsivity reported
patterns of saturating sexualized venues in order to find sexual partners. Given the unique patterns of sexual
partner-seeking in this area, interventions to decrease sexual risk-taking should take into account that men who
have a higher propensity for sexual compulsivity are visiting multiple venues, and prevention messages need
to be tailored to be consistent across these contexts. In addition, these may need to be differentially designed
based on the specific environment in which they are to be delivered.
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This is the publisher's version, which may also be found at http://online.liebertpub.com/toc/apc/22/7
Date
2008
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Mary Ann Liebert, Inc.
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Citation
Satinsky, Sonya, et al. (2008) Sexual Compulsivity Among Men in a Decentralized MSM Community of the Midwestern United States. AIDS PATIENT CARE and STDs, 22.7, 553-561.