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Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic

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  • Parsons, J.T.
  • Grov, C.
  • Golub, S.A.

Abstract

Objectives. We evaluated whether sexual compulsivity fits into a syndemic framework, in which sexual compulsivity is one of a number of co-occurring psychosocial health problems that increase HIV risk among men who have sex with men (MSM). Methods. In 2003 and 2004, we conducted an anonymous cross-sectional survey of MSM in New York City (n=669) by approaching attendees at gay, lesbian, and bisexual community events. We analyzed data by bivariate and multivariate logistic regression. Results. We found strong positive interrelationships among syndemic factors including sexual compulsivity, depression, childhood sexual abuse, intimate partner violence, and polydrug use. In bivariate analyses, all syndemic health problems except for childhood sexual abuse were positively related to HIV seropositivity and high-risk sexual behavior. Our multivariate models revealed an array of interrelationships among psychosocial health problems. We found amplified effects of these problems on HIV seropositivity and on the likelihood of engaging in high-risk sexual behavior. Conclusions. Our findings support the conclusion that sexual compulsivity is a component of a syndemic framework for HIV risk among MSM. HIV prevention interventions should consider the overlapping and compounding effects of psychosocial problems, including sexual compulsivity.

Suggested Citation

  • Parsons, J.T. & Grov, C. & Golub, S.A., 2012. "Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic," American Journal of Public Health, American Public Health Association, vol. 102(1), pages 156-162.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300284_0
    DOI: 10.2105/AJPH.2011.300284
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    Cited by:

    1. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    2. Graham F Watts & Lauri Wright, 2019. "Can Multiple Illnesses Plus HIV Trigger Integrated Care?," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 6(5), pages 105-1102:6, June.
    3. Shirley J Semple & Eileen V Pitpitan & David Goodman-Meza & Steffanie A Strathdee & Claudia V Chavarin & Gudelia Rangel & Karla Torres & Thomas L Patterson, 2017. "Correlates of condomless anal sex among men who have sex with men (MSM) in Tijuana, Mexico: The role of public sex venues," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-16, October.
    4. Kline, Nolan, 2022. "Syndemic statuses: Intersectionality and mobilizing for LGBTQ+ Latinx health equity after the Pulse shooting," Social Science & Medicine, Elsevier, vol. 295(C).
    5. Yinqiao Dong & Shangbin Liu & Danni Xia & Chen Xu & Xiaoyue Yu & Hui Chen & Rongxi Wang & Yujie Liu & Jingwen Dong & Fan Hu & Yong Cai & Ying Wang, 2022. "Prediction Model for the Risk of HIV Infection among MSM in China: Validation and Stability," IJERPH, MDPI, vol. 19(2), pages 1-14, January.
    6. Quinn, Katherine G., 2022. "Applying an intersectional framework to understand syndemic conditions among young Black gay, bisexual, and other men who have sex with men," Social Science & Medicine, Elsevier, vol. 295(C).

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