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Outcome Expectancy and Sexual Compulsivity Among Men Who Have Sex with Men Living with HIV

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Abstract

Sexual compulsivity is operationalized by engaging in repetitive sexual acts, having multiple sexual partners and/or the excessive use of pornography. Outcome expectancy refers to the beliefs about the consequences of engaging in a given behavior. Research examining the relationship between outcome expectancy and sexual compulsivity is limited. The aim of this study was to assess the association between outcome expectancy and sexual compulsivity among men who have sex with men (MSM) living with HIV. Data were obtained from 338 MSM. Simple and multiple linear regression models were used to assess the association between outcome expectancy and sexual compulsivity. After adjusting for age, race/ethnicity, income, education, and employment status, for every one point increase in outcome expectancies for condom use, HIV disclosure and negotiation of safer sex practices, there was, on average, an approximate one point decrease in sexual compulsivity score. Prevention and intervention programs geared towards reducing sexual compulsivity among MSM should focus on increasing outcome expectancies for condom use, HIV disclosure and negotiation of safer sex practices.

Resumen

Las características de la compulsividad sexual incluyen actos sexuales repetitivos, múltiples parejas sexuales y el uso excesivo de la pornografía. El resultado esperado se refiere a las creencias sobre las consecuencias de envolverse en un comportamiento específico. Los estudios que examinan la relación entre el resultado esperado y la compulsividad sexual son limitados. El objetivo de esta investigación fue evaluar la asociación entre el resultado esperado y la compulsividad sexual entre los hombres que tienen sexo con hombres (HSH) viviendo con VIH. Los datos fueron obtenidos de 338 HSH. La asociación entre el resultado esperado y la compulsividad sexual fue evaluada con un análisis de regresión lineal sencilla y múltiple. Después de ajustar por la edad, la raza/etnicidad, el ingreso, la educación, y el estado de empleo, por cada punto de incremento en los resultados esperados en el área del uso del condón, divulgación de tener el VIH y negociación de prácticas sexuales seguras, hubo aproximadamente un punto de reducción en la puntación de la compulsividad sexual. Los programas de prevención e intervención para reducir la compulsividad sexual entre HSH deberían enfocarse en el aumento de los resultados esperados relacionados con el uso de condones, la divulgación de tener el VIH, y la negociación de las prácticas sexuales seguras.

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Acknowledgments

This study was supported by funding from the National Institute of Mental Health (R01MH082639) to the second author. We would like to thank the men who participated in this study and Ms. Ercilia Calcano for edits made to the Spanish version of the abstract.

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Authors and Affiliations

  1. College of Behavioral and Community Sciences, University of South Florida, Tampa, 33612, FL, USA

    Monique J. Brown, Julianne M. Serovich & Judy A. Kimberly

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  1. Monique J. Brown
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  2. Julianne M. Serovich
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  3. Judy A. Kimberly
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Correspondence to Monique J. Brown.

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Brown, M.J., Serovich, J.M. & Kimberly, J.A. Outcome Expectancy and Sexual Compulsivity Among Men Who Have Sex with Men Living with HIV. AIDS Behav 20, 1667–1674 (2016). https://doi.org/10.1007/s10461-016-1361-6

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  • DOI: https://doi.org/10.1007/s10461-016-1361-6

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