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.
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References
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.
Bancroft, J. (1999). Central inhibition of sexual response in the male: A theoretical perspective. Neuroscience, and Biobehavioral Reviews, 23, 763–784.
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.
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.
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.
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.
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.
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.
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.
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.
Carey, M. P., & Lewis, B. P. (1999). Motivational strategies can enhance HIV risk reduction programs. AIDS, and Behavior, 3, 269–276.
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.
Crepaz, N., & Marks, G. (2001). Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychology, 20, 291–299.
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.
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.
Elford, J., Bolding, G., Maguire, M., & Sherr, L. (2001). Gay men, risk, and relationships. AIDS, 15, 1053–1055.
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.
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.
Folkman, S., Chesney, M. A., Pollack, L., & Phillips, C. (1992). Stress, coping, and high-risk sexual behavior. Health Psychology, 11, 218–222.
Gerrard, M., Gibbons, F. X., & Bushman, B. J. (1996). Relation between perceived vulnerability to HIV, and precautionary sexual behavior. Psychological Bulletin, 119, 390–409.
Gerrard, M., Gibbons, F. X., & McCoy, S. B. (1993). Emotional inhibition of effective contraception. Anxiety, Stress, and Coping, 6, 73–88.
Gold, R. S. (2000). AIDS education for gay men: Towards a more cognitive approach. AIDS Care, 12, 267–272.
Gold, R. S., & Skinner, M. J. (1997). Unprotected anal intercourse in gay men: The resolution to withdraw before ejaculating. Psychological Reports, 81, 496–498.
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.
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.
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.
Hoyle, R. H., Fejfar, M. C., & Miller, J. D. (2000). Personality, and sexual risk-taking: A quantitative review. Journal of Personality, 68, 1203–1231.
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.
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.
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.
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.
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.
Kalichman, S. C., & Weinhardt, L. (2001). Negative affect, and sexual risk behavior: Comment on Crepaz, and Marks (2001). Health Psychology, 20, 300–301.
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.
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.
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.
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.
Long, J. S. (1997). Regression models for categorical, and limited dependent variables. Thousand Oaks, CA: Sage.
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.
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.
Odets, W. W. (1996). Risk appraisals, and HIV prevention. Focus, 11, 1–4.
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.
Ostrow, D. G. (1989). Risk reduction for transmission of Human Immunodeficiency Virus in high-risk communities. Psychiatric Medicine, 7, 70–96.
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.
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.
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.
Seal, D. W., & Agostinelli, G. (1994). Individual differences associated with high-risk sexual behavior: Implications for intervention programmes. AIDS Care, 6, 393–397.
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.
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.
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). STAI manual for the State Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
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.
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.
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.
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.
Warner, P., & Bancroft, J. (1986). Sex therapy outcome research: A reappraisal of methodology. II. Methodological considerations. Psychological Medicine, 16, 855–863.
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.
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.
Zuckerman, M. (1994). Behavioral expressions, and biosocial bases of sensation seeking. Cambridge, England: Cambridge University Press.
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Bancroft, J., Janssen, E., Strong, D. et al. Sexual Risk-Taking in Gay Men: The Relevance of Sexual Arousability, Mood, and Sensation Seeking. Arch Sex Behav 32, 555–572 (2003). https://doi.org/10.1023/A:1026041628364
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DOI: https://doi.org/10.1023/A:1026041628364