Archives of Sexual Behavior

, Volume 32, Issue 6, pp 555–572 | Cite as

Sexual Risk-Taking in Gay Men: The Relevance of Sexual Arousability, Mood, and Sensation Seeking

  • John Bancroft
  • Erick Janssen
  • David Strong
  • Lori Carnes
  • Zoran Vukadinovic
  • J. Scott Long
Article

Abstract

This paper examined the relationship of three aspects of personality to sexual risk-taking in gay men: (1) sexual arousability, as propensity for sexual excitation, and propensity for inhibition of sexual arousal in the face of threat (measured by the Sexual Excitation, SES, and Sexual Inhibition, SIS1, SIS2, scales); (2) the relation between negative mood and sexuality; and (3) sensation seeking. Risk-taking was assessed for the past 6 months in relation to unprotected anal intercourse (UAI), oral sex, number of casual partners, and patterns of cruising behavior. A combination of number of partners and use of condoms was used to derive a “longer-term risk” grouping. Two patterns of association were identified. UAI and high risk oral sex were more likely in those with low inhibition of sexual response due to “threat of performance consequences" (i.e., low SIS2) and low trait anxiety (low STAI). High numbers of casual partners and frequent cruising were associated with increased sexual interest in states of depression and high propensity for sexual excitation (SES). Higher “long-term risk” was also associated with low SIS2. Unexpectedly, high SIS1, which is strongly related to vulnerability to erectile failure, was also predictive of higher long-term risk. Possible reasons for this are discussed. Disinhibition from the Sensation Seeking Scales was a positive predictor of all types of sexual risk assessed. All three aspects of personality are of potential relevance to designing better interventions to reduce high risk sexual behavior and in evaluating their effectiveness.

high risk sexual behavior homosexual men sexual arousability mood sensation seeking 

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References

  1. Appleby, P. R., Miller, L. C., & Rothspan, S. (1999). The paradox of trust for male couples: When risking is a part of loving. Personal Relationships, 6, 81–93.Google Scholar
  2. Bancroft, J. (1999). Central inhibition of sexual response in the male: A theoretical perspective. Neuroscience, and Biobehavioral Reviews, 23, 763–784.Google Scholar
  3. Bancroft, J. (2000). Individual differences in sexual risk-taking: A biopsychosocial theoretical approach. In J. Bancroft (Ed.), The role of theory in sex research (pp. 177–212). Bloomington IN: Indiana University Press.Google Scholar
  4. Bancroft, J., & Janssen, E. (2000). The dual control model of male sexual response: A theoretical approach to centrally mediated erectile dysfunction. Neuroscience, and Biobehavioral Reviews, 24, 571–579.Google Scholar
  5. Bancroft, J., Janssen, E., Carnes, L. C., Strong, D. A., Goodrich, D., & Long, J. S. (in press). Sexual risk-taking in young heterosexual men: The relevance of personality factors. Journal of Sex Research.Google Scholar
  6. Bancroft, J., Janssen, E., Strong, D., Carnes, L., Vukadinovic, Z., & Long, J. S. (2003). The relation between mood, and sexuality in heterosexual men. Archives of Sexual Behavior, 32, 217–230.Google Scholar
  7. Bancroft, J., Janssen, E., Strong, D., & Vukadinovic, Z. (2003). The relation between mood, and sexuality in gay men. Archives of Sexual Behavior, 32, 231–242.Google Scholar
  8. Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.Google Scholar
  9. Binson, D., Woods, W. J., Pollack, L., Paul, J., Stall, R., & Catania, J. A. (2002). Differential HIV risk in bathhouses, and public cruising areas. American Journal of Public Health, 91, 1482–1486.Google Scholar
  10. Canin, L., Dolcini, M. M., & Adler, N. E. (1999). Barriers to, and facilitators of HIV-STD behavior change; intrapersonal, and relationship-based factors. Review of General Psychology, 3, 338–371.Google Scholar
  11. Carey, M. P., & Lewis, B. P. (1999). Motivational strategies can enhance HIV risk reduction programs. AIDS, and Behavior, 3, 269–276.Google Scholar
  12. Crawford, J. M., Rodden, P., Kippax, S., & Van de Ven, P. (2001). Negotiated safety, and other agreements between men in relationships: Risk practice redefined. International Journal of STD, and AIDS, 12, 164–170.Google Scholar
  13. Crepaz, N., & Marks, G. (2001). Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychology, 20, 291–299.Google Scholar
  14. Dolezal, C., Meyer-Bahlburg, H. F. L., Remien, R. H., & Petkova, E. (1997). Substance use during sex, and sensation seeking as predictors of sexual risk behavior among HIV+, and HIV-gay men. AIDS, and Behavior, 1, 19–28.Google Scholar
  15. Ekstrand, M., Stall, R., Paul, J., Osmond, D., & Coates, T. (1999). Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS, 13, 1525–1533.Google Scholar
  16. Elford, J., Bolding, G., Maguire, M., & Sherr, L. (2001). Gay men, risk, and relationships. AIDS, 15, 1053–1055.Google Scholar
  17. Emmons, C.-A., Joseph, J. G., Kessler, R. C., Wortman, C. B., Montgomery, S. B., & Ostrow, D. G. (1986). Psychosocial predictors of reported behavior change in homosexual men at risk for AIDS. Health Education Quarterly, 13, 331–345.Google Scholar
  18. Flowers, P., Smith, J. A., Sheeran, P., & Beail, N. (1997). Health, and romance: Understanding unprotected sex in relationships between gay men. British Journal of Health Psychology, 2, 73–86.Google Scholar
  19. Folkman, S., Chesney, M. A., Pollack, L., & Phillips, C. (1992). Stress, coping, and high-risk sexual behavior. Health Psychology, 11, 218–222.Google Scholar
  20. Gerrard, M., Gibbons, F. X., & Bushman, B. J. (1996). Relation between perceived vulnerability to HIV, and precautionary sexual behavior. Psychological Bulletin, 119, 390–409.Google Scholar
  21. Gerrard, M., Gibbons, F. X., & McCoy, S. B. (1993). Emotional inhibition of effective contraception. Anxiety, Stress, and Coping, 6, 73–88.Google Scholar
  22. Gold, R. S. (2000). AIDS education for gay men: Towards a more cognitive approach. AIDS Care, 12, 267–272.Google Scholar
  23. Gold, R. S., & Skinner, M. J. (1997). Unprotected anal intercourse in gay men: The resolution to withdraw before ejaculating. Psychological Reports, 81, 496–498.Google Scholar
  24. Hays, R. B., Kegeles, S. M., & Coates, T. J. (1997). Unprotected sex, and HIV risk-taking among young gay men within boyfriend relationships. AIDS Education, and Prevention, 9, 314–329.Google Scholar
  25. Hoff, C. C., Stall, R., Paul, J., Acree, M., Daigle, D., Phillips, K. (1997). Differences in sexual behavior among HIV discordant, and concordant gay men in primary relationships. Journal of Acquired Immune Deficiency Syndromes, and Human Retrovirology, 14, 72–78.Google Scholar
  26. Hospers, H. J., & Kok, G. (1995). Determinants of safe, and risk-taking sexual behavior among gay men: A review. AIDS Education, and Prevention, 7, 74–95.Google Scholar
  27. Hoyle, R. H., Fejfar, M. C., & Miller, J. D. (2000). Personality, and sexual risk-taking: A quantitative review. Journal of Personality, 68, 1203–1231.Google Scholar
  28. Jaccard, J., & Wilson, T. (1991). Personality factors influencing risk behaviors. In J. N. Wasserheit, S. O. Aral, & K. K. Holmes (Eds.), Research issues in human behavior, and sexually transmitted diseases in the AIDS era (pp. 177–200). Washington, DC: American Society for Microbiology.Google Scholar
  29. Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002a). The Sexual Inhibition (SIS), and Sexual Excitation (SES) Scales: I. Measuring sexual inhibition, and excitation proneness in men. Journal of Sex Research, 39, 114–126.Google Scholar
  30. Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002b). The Sexual Inhibition (SIS), and Sexual Excitation (SES) Scales: II. Predicting psychophysiological response patterns. Journal of Sex Research, 39, 127–132.Google Scholar
  31. Kalichman, S. C., Kelly, J. A., Morgan, M., & Rompa, D. (1997). Fatalism, current life satisfaction, and risk for HIV infection among gay and bisexual men. Journal of Consulting and Clinical Psychology, 65, 542–546.Google Scholar
  32. Kalichman, S. C., Tannenbaum, L., & Nachimson, D. (2001). Personality, and cognitive factors influencing substance use, and sexual risk for HIV infection among gay, and bisexual men. Psychology of Addictive Behaviors, 12, 262–271.Google Scholar
  33. Kalichman, S. C., & Weinhardt, L. (2001). Negative affect, and sexual risk behavior: Comment on Crepaz, and Marks (2001). Health Psychology, 20, 300–301.Google Scholar
  34. Kelly, J. A., & Kalichman, S. C. (1995). Increased attention to human sexuality can improve HIV–AIDS prevention efforts: Key research issues, and directions. Journal of Consulting, and Clinical Psychology, 63, 907–918.Google Scholar
  35. Kelly, J. A., & Kalichman, S. C. (1998). Reinforcement value of unsafe sex as a predictor of condom use, and continued HIV/AIDS risk behavior among gay, and bisexual men. Health Psychology, 17, 328–335.Google Scholar
  36. Kelly, J. A., St. Lawrence, J. S., Brasfield, T. L., Lemke, A., Amidei, T., Roffman, R. E. (1990). Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior. Journal of Consulting, and Clinical Psychology, 58, 117–120.Google Scholar
  37. Leigh, B. D., & Stall, R. (1993). Substance use and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention. American Psychologist, 48, 1035–1045.Google Scholar
  38. Long, J. S. (1997). Regression models for categorical, and limited dependent variables. Thousand Oaks, CA: Sage.Google Scholar
  39. McKusick, L., Hoff, C. C., Stall, R., & Coates, T. J. (1991). Tailoring AIDS prevention: Differences in behavioral strategies among heterosexual, and gay bar patrons in San Francisco. AIDS Education, and Prevention, 3, 1–9.Google Scholar
  40. Meyer, I. H., & Dean, L. (1998). Internalized homophobia, intimacy, and sexual behavior among gay and bisexual men. In G. M. Herek (Ed.), Stigma and sexual orientation: Understanding prejudice against lesbians, gay men, and bisexuals (pp. 160–186). Thousand Oaks, CA: Sage.Google Scholar
  41. Odets, W. W. (1996). Risk appraisals, and HIV prevention. Focus, 11, 1–4.Google Scholar
  42. Ostrow, D. B., DiFranceisco, W., & Wagstaff, D. (1998). Coping, and Change Sexual Behavior, and Behavior Change Questionnaire. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 547–553). Thousand Oaks, CA: Sage.Google Scholar
  43. Ostrow, D. G. (1989). Risk reduction for transmission of Human Immunodeficiency Virus in high-risk communities. Psychiatric Medicine, 7, 70–96.Google Scholar
  44. Reece, M., & Dodge, B. (2003). The college campus as a sexual space for rural men who have sex with men: An issue for HIV/STD prevention? Paper presented at the 2003 National Conference on HIV/STD Prevention in Rural Communities, Bloomington, IN.Google Scholar
  45. Ross, M. W., Rosser, B. R. S., Bauer, G. R., Bockting, W. O., Robinson, B. E., Rugg, D. L. (2001). Drug use, unsafe sexual behavior, and internalized homonegativity in men who have sex with men. AIDS and Behavior, 5, 97–103.Google Scholar
  46. Ryan, C. M., Huggins, J., & Beatty, R. (1999). Substance use disorders, and the risk of HIV infection in gay men. Journal of Studies on Alcohol, 60, 70–77.Google Scholar
  47. Seal, D. W., & Agostinelli, G. (1994). Individual differences associated with high-risk sexual behavior: Implications for intervention programmes. AIDS Care, 6, 393–397.Google Scholar
  48. Seal, D. W., Kelly, J. A., Bloom, F. R., Stevenson, L. Y., Coley, B. I., Broyles, L. A. (2000). HIV prevention with young men who have sex with men: What young men themselves say is needed. AIDS Care, 12, 5–26.Google Scholar
  49. Simpson, J. A., & Gangestad, S. W. (1991). Individual differences in sociosexuality: Evidence for convergent, and discriminant validity. Journal of Personality, and Social Psychology, 60, 870–883.Google Scholar
  50. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). STAI manual for the State Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  51. Stall, R., McKusick, L., Wiley, J., Coates, T. J., & Ostrow, D. G. (1986). Alcohol, and drug use during sexual activity, and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly, 13, 359–371.Google Scholar
  52. Suarez, T., & Kauth, M. R. (2001). Assessing basic HIV transmission risks, and the contextual factors associated with HIV risk behavior in men who have sex with men. Journal of Clinical Psychology/In Session: Psychotherapy in Practice, 57, 655–669.Google Scholar
  53. Van de Ven, P., Campbell, D., Kippax, S., Knox, S., Prestage, G., Crawford, J. (1998). Gay men who engage repeatedly in unprotected anal intercourse with casual partners: The Sydney Men, and Sexual Health Study. International Journal of STD, and AIDS, 9, 336–340.Google Scholar
  54. Vincke, J., Bolton, R., & De Vleeschouwer, P. (2001). The cognitive structure of the domain of safe, and unsafe gay sexual behaviour in Belgium. AIDS Care, 13, 57–70.Google Scholar
  55. Warner, P., & Bancroft, J. (1986). Sex therapy outcome research: A reappraisal of methodology. II. Methodological considerations. Psychological Medicine, 16, 855–863.Google Scholar
  56. Woody, G. E., Donnell, D., Seage, G. R., Metzger, D., Marmor, M., Koblin, B. A. (1999). Non-injection substance use correlates with risky sex among men having sex with men: Data from HIVNET. Drug, and Alcohol Dependence, 53, 197–205.Google Scholar
  57. Zemore, R., Fischer, D. G., Garratt, L. S., & Miller, C. (1990). The Depression Proneness Rating Scale: Reliability, validity, and factor structure. Current Psychology: Research and Reviews, 9, 255–263.Google Scholar
  58. Zuckerman, M. (1994). Behavioral expressions, and biosocial bases of sensation seeking. Cambridge, England: Cambridge University Press.Google Scholar

Copyright information

© Plenum Publishing Corporation 2003

Authors and Affiliations

  • John Bancroft
    • 1
  • Erick Janssen
    • 1
  • David Strong
    • 1
  • Lori Carnes
    • 1
  • Zoran Vukadinovic
    • 1
  • J. Scott Long
    • 2
  1. 1.The Kinsey InstituteIndiana UniversityBloomington
  2. 2.Department of SociologyBloomingtonIndiana University

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