Advertisement

Archives of Sexual Behavior

, Volume 41, Issue 2, pp 385–389 | Cite as

Sexual, Behavioral, and Quality of Life Characteristics of Healthy Weight, Overweight, and Obese Gay and Bisexual Men: Findings from a Prospective Cohort Study

  • Thomas E. GuadamuzEmail author
  • Sin How Lim
  • Michael P. Marshal
  • Mark S. Friedman
  • Ronald D. Stall
  • Anthony J. Silvestre
Original Paper

Abstract

While there have been attempts to explore the association of obesity and risky sexual behaviors among gay men, findings have been conflicting. Using a prospective cohort of gay and bisexual men residing in Pittsburgh, we performed a semi-parametric, group-based analysis to identify distinct groups of trajectories in body mass index slopes over time from 1999 to 2007 and then correlated these trajectories with a number of psychosocial and behavioral factors, including sexual behaviors. We found many men were either overweight (41.2%) or obese (10.9%) in 1999 and remained stable at these levels over time, in contrast to recent increasing trends in the general population. Correlates of obesity in our study replicated findings from the general population. However, we found no significant association between obesity and sexual risk-taking behaviors, as suggested from several cross-sectional studies of gay men. While there was not a significant association between obesity and sexual risk-taking behaviors, we found high prevalence of overweight and obesity in this population. Gay and bisexual men’s health researchers and practitioners need to look beyond HIV and STI prevention and also address a broader range of health concerns important to this population.

Keywords

Sexual behavior Obesity Quality of life HIV risks Gay and bisexual men’s health Men who have sex with men 

Notes

Acknowledgments

We thank the participants and staff of the Pitt Men’s Study, in particular, Carol Perfetti. The U.S. National Institutes of Health funded the following individuals: Thomas E. Guadamuz (DA022936), Sin How Lim (DA025952), Michael P. Marshal (AA015100), and Mark S. Friedman (MH080648).

References

  1. Allensworth-Davies, D., Welles, S. L., Hellerstedt, W. L., & Ross, M. W. (2008). Body image, body satisfaction, and unsafe anal intercourse among men who have sex with men. Journal of Sex Research, 45, 49–56.PubMedCrossRefGoogle Scholar
  2. Bing, E. G., Hays, R. D., Jacobson, L. P., Chen, B., Gange, S. J., Kass, N. E., et al. (2000). Health-related quality of life among people with HIV disease: Results from the Multicenter AIDS Cohort Study. Quality of Life Research, 9, 55–63.PubMedCrossRefGoogle Scholar
  3. Brown, T. T., Chu, H., Wang, Z., Palella, F. J., Kingsley, L., Witt, M. D., et al. (2007). Longitudinal increases in waist circumference are associated with HIV-serostatus, independent of antiretroviral therapy. AIDS, 21, 1731–1738.PubMedCrossRefGoogle Scholar
  4. Farinpour, R., Miller, E. N., Satz, P., Selnes, O. A., Cohen, B. A., Becker, J. T., et al. (2003). Psychosocial risk factors of HIV morbidity and mortality: Findings from the Multicenter AIDS Cohort Study (MACS). Journal of Clinical and Experimental Neuropsychology, 25, 654–670.PubMedCrossRefGoogle Scholar
  5. Flegal, K. M., Carroll, M. D., Ogden, C. L., & Johnson, C. L. (2002). Prevalence and trends in obesity among US adults, 1999–2000. Journal of the American Medical Association, 288, 1723–1727.PubMedCrossRefGoogle Scholar
  6. Gay Men’s Health Crisis. (2011). Retrieved from http://www.gmhc.org/. Accessed 12 Oct 2011.
  7. Kraft, C., Robinson, B. B., Nordstrom, D. L., Bockting, W. O., & Rosser, B. R. (2006). Obesity, body image, and unsafe sex in men who have sex with men. Archives of Sexual Behavior, 35, 587–595.PubMedCrossRefGoogle Scholar
  8. Mills, T. C., Paul, J., Stall, R., Pollack, L., Canchola, J., Chang, Y. J., et al. (2004). Distress and depression in men who have sex with men: The Urban Men’s Health Study. American Journal of Psychiatry, 161, 278–285.PubMedCrossRefGoogle Scholar
  9. Moskowitz, D. A., & Seal, D. W. (2010). Revisiting obesity and condom use in men who have sex with men. Archives of Sexual Behavior, 39, 761–765.PubMedCrossRefGoogle Scholar
  10. Nagin, D. (1999). Analyzing developmental trajectories: A semi-parametric group-based approach. Psychological Methods, 4, 139–157.CrossRefGoogle Scholar
  11. Nagin, D. (2005). Group-based modeling of development. Cambridge, MA: Harvard University Press.Google Scholar
  12. Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.PubMedCrossRefGoogle Scholar
  13. Plankey, M. W., Ostrow, D. G., Stall, R., Cox, C., Li, X., Peck, J. A., et al. (2007). The relationship between methamphetamine and popper use and risk of HIV seroconversion in the Multicenter AIDS Cohort Study. Journal of Acquired Immune Deficiency Syndromes, 45, 85–92.PubMedCrossRefGoogle Scholar
  14. Raldoff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  15. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage Publications.Google Scholar
  16. Silvestre, A. J., Hylton, J. B., Johnson, L. M., Houston, C., Witt, M., Jacobson, L., et al. (2006). Recruiting minority men who have sex with men for HIV research: Results from a 4-city campaign. American Journal of Public Health, 96, 1020–1027.PubMedCrossRefGoogle Scholar
  17. Silvestre, A. J., Lyter, D. W., Rinaldo, C. R., Kingsley, L. A., Forrester, R., & Huggins, J. (1986). Marketing strategies for recruiting gay men into AIDS research and education projects. Journal of Community Health, 11, 222–232.PubMedCrossRefGoogle Scholar
  18. Stice, E., Presnell, K., Shaw, H., & Rohde, P. (2005). Psychological and behavioral risk factors for obesity onset in adolescent girls: A prospective study. Journal of Consulting and Clinical Psychology, 73, 195–202.PubMedCrossRefGoogle Scholar
  19. Vaidya, V. (2006). Psychosocial aspects of obesity. Advances in Psychosomatic Medicine, 27, 73–85.PubMedCrossRefGoogle Scholar
  20. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item Short-Form Health Survey (SF-36). Medical Care, 30, 473–483.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Thomas E. Guadamuz
    • 1
    • 2
    Email author
  • Sin How Lim
    • 1
    • 3
  • Michael P. Marshal
    • 1
    • 4
  • Mark S. Friedman
    • 1
    • 2
  • Ronald D. Stall
    • 1
    • 2
  • Anthony J. Silvestre
    • 1
    • 5
  1. 1.Center for Research on Health and Sexual OrientationGraduate School of Public Health, University of PittsburghPittsburghUSA
  2. 2.Department of Behavioral and Community Health SciencesGraduate School of Public Health, University of PittsburghPittsburghUSA
  3. 3.Department of EpidemiologyGraduate School of Public Health, University of PittsburghPittsburghUSA
  4. 4.Department of PsychiatrySchool of Medicine, University of PittsburghPittsburghUSA
  5. 5.Department of Infectious Diseases and MicrobiologyGraduate School of Public Health, University of PittsburghPittsburghUSA

Personalised recommendations