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317606
Association between outcome expectancy for condom use, HIV disclosure and negotiation of safer sex practices, and sexual compulsivity among HIV-positive men who have sex with men


Sunday, November 1, 2015

Monique J. Brown, PhD, MPH, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
Julianne M. Serovich, PhD, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
Judy A. Kimberly, PhD, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
Background: Sexual compulsivity, characterized by sexual behaviors, urges and thoughts, which may negatively affect day-to-day living, has been linked to HIV risk behavior including unprotected sexual intercourse, higher number of sexual partners, and lower self-efficacy for condom use among men who have sex with men (MSM).  Research has shown that psychosocial factors such as stigma and lower self-efficacy for condom use are linked to higher levels of sexual compulsivity.  However, research focusing on the relationship between outcome expectancy in sexual behavior measures and sexual compulsivity is lacking. 

Objective: To explore the association between outcome expectancy for condom use, HIV disclosure to partners and negotiation of safer sex practices, and sexual compulsivity among HIV-positive MSM.

Methods: Data were obtained from 340 HIV-positive MSM from a disclosure to sexual partners study.  Simple and multiple linear regression models (controlling for age, income, race/ethnicity, education, and employment status) were used to determine crude and adjusted beta estimates depicting the association between measures of outcome expectancy (condom use, disclosure, and negotiation) and sexual compulsivity.

Results: The mean score for sexual compulsivity was 32.8 (SD=10.8).  After adjusting for age, income, race/ethnicity, education, and employment status, positive outcome expectancy was negatively associated with sexual compulsivity (condom use: β=-0.83; 95% CI: -1.17, -0.49; HIV disclosure: β=-0.73; 95% CI: -1.19, -0.26; and negotiation: β=-0.64; 95% CI: -0.99, -0.29).

Conclusions: Interventions addressing negative outcome expectancies for condom use, HIV disclosure and negotiation of safer sex practices may help to reduce compulsive sexual behavior among HIV-positive MSM.

Learning Areas:

Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Explain the association between outcome expectancy for condom use and sexual compulsivity among HIV-positive men who have sex with men. Evaluate the association between outcome expectancy for HIV disclosure to partners and sexual compulsivity among HIV-positive men who have sex with men. Assess the association between outcome expectancy for negotiation of safer sex practices, and sexual compulsivity among HIV-positive men who have sex with men. Identify types of interventions, which may help in reducing sexual compulsivity among men who have sex with men.

Keyword(s): Vulnerable Populations, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: At present, I am a postdoctoral research scholar working on projects examining the effectiveness of HIV disclosure interventions among men who have sex with men (MSM) and other populations living with HIV. I have published research examining risky sexual behavior among vulnerable populations, including MSM populations. My main research interests include HIV prevention, risky sexual behavior, and how to improve mental and physical health outcomes, and overall quality of life for people living with HIV.
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.

Back to: 2035.0: Sexual Behavior and HIV