American Journal of Public Health Vol. 102; No. 1: P. 156-162
The authors set out to evaluate whether sexual compulsivity
fits into a syndemic framework, in which it is "one of a
number of co-occurring psychosocial health problems that
increase HIV risk among men who have sex with men (MSM)."
In New York City from 2003-04, the team conducted an anonymous
survey of 669 MSM; the men were approached at gay, lesbian and
bisexual community events. Bivariate and multivariate logistic
regression were used to analyze the data.
"We found strong positive interrelationships among syndemic
factors including sexual compulsivity, depression, childhood
sexual abuse, intimate partner violence and polydrug use," the
Bivariate analyses showed all syndemic health problems except
childhood sexual abuse were positively related to HIV
seropositivity and high-risk sexual behavior. The multivariate
models showed "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," the authors wrote.
"Our findings support the conclusion that sexual compulsivity
is a component of a syndemic framework for HIV risk among
MSM," the team concluded. "HIV prevention interventions should
consider the overlapping and compounding effects of
psychosocial problems, including sexual compulsivity."