Syndemic production and sexual compulsivity/hypersexuality in highly sexually active gay and bisexual men: further evidence for a three group conceptualization.
Syndemic production and sexual compulsivity/hypersexuality in highly sexually active gay and bisexual men: further evidence for a three group conceptualization.
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DOI：
10.1007/s10508-015-0574-5
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发表时间：
2015-10
影响因子：
3.8
通讯作者：
Grov C
中科院分区：
文献类型：
--
作者：
Parsons JT;Rendina HJ;Moody RL;Ventuneac A;Grov C
在男同性恋和双性恋男性（GBM）中，综合征描述了一种情况，其中消极条件（例如，儿童期性虐待、亲密伴侣暴力、抑郁症、多种物质使用）同时发生，从而放大了艾滋病毒风险。研究表明，性强迫症（SC）也可能是一种综合症。在2011年至2013年期间，368名高度性活跃（90天内9+男性伴侣）的GBM完成了一项综合因素调查以及性强迫（性强迫量表[SCS]）和性欲亢进（性欲亢进筛查量表[HDSI]）的测量。根据SCS和HDSI的评分，将参与者分为三组-两者均为阴性（“既不是SC也不是HD”）;仅SCS为阳性（“仅SC”），以及SCS和HDSI均为阳性（“SC和HD两者”）。我们发现支持的效用的三组分类的性强迫/性欲亢进的综合因素之一，有助于艾滋病毒的风险。在既未经历SC也未经历HD的患者中，经历的并发症因素的平均数量最低，在经历SC和HD的患者中最高，仅经历SC的患者介于其他两组之间。这项研究提供了进一步的证据，证明性强迫/性欲亢进是GBM艾滋病毒风险综合征模型的一个促成因素，考虑到三个严重程度（即，SC沿着HD）导致比单独考虑SC更强的模型预测。SC/HD严重程度为艾滋病毒预防干预措施的发展提供了另一个可修改的目标。
Among gay and bisexual men (GBM), a syndemic describes a situation in which negative conditions (e.g., childhood sexual abuse, intimate partner violence, depression, polysubstance use) co-occur such to amplify HIV risk. Research has suggested that sexual compulsivity (SC) may also be a syndemic condition. Between 2011 and 2013, 368 highly sexually active (9+ male partners in 90 days) GBM completed a survey of syndemic factors as well as measures of sexual compulsivity (Sexual Compulsivity Scale [SCS]) and hypersexuality (hypersexual disorder screening inventory [HDSI]). Based on scores on the SCS and HDSI, participants were organized into three groups—negative on both (“Neither SC nor HD”); positive on the SCS only (“SC Only”), and positive on both the SCS and the HDSI (“Both SC and HD”). We found support for the utility of a three-group classification of sexual compulsivity/hypersexuality as one of the syndemic factors that contribute to HIV risk. The average number of syndemic factors experienced was lowest among those who experienced Neither SC nor HD and highest among the group that experienced Both SC and HD, with those experiencing SC Only falling between the two other groups. This study provided further evidence that sexual compulsivity/hypersexuality is a contributing factor to the syndemics model of HIV risk for GBM and that considering three levels of severity (i.e., SC along with HD) led to stronger model predictions than considering SC alone. SC/HD severity provides another modifiable target for HIV prevention intervention development.