Social Stress and Risky Sex Among Gay Men: An Additional Explanation for the Persistence of Unsafe Sex

2004 ◽  
pp. 212-233
2021 ◽  
Author(s):  
Marie Faaborg-Andersen

Erectile dysfunction (ED) has been associated with considerable mental health and interpersonal problems, an increase in risky sex, and is particularly prevalent among gay and bisexual men. Psychological treatment protocols for sexual dysfunctions often aim at challenging beliefs and cognitions about the importance of a “perfect sexual performance,” known as sexual stereotypes. However, to date, little empirical evidence exists for the relationship between ED and belief in sexual stereotypes (BSS). To address this gap, 70 gay men were recruited; 30 with ED and 40 healthy controls. Participants completed a battery of questionnaires, including a measure of BSS, followed by having their genital temperature measured using a thermal imaging camera, while viewing a sexually explicit film. The study had four main objectives: (1) to evaluate between group differences in subjective sexual arousal and physiological arousal; (2) to examine within group differences in the effects of BSS on physiological and self-reported sexual arousal; (3) to evaluate the relationship between BSS, negative automatic thoughts during sex, and ED; and (4) to evaluate the relationship between ED and risky sex among gay men. Results revealed significant between-group differences in physiological arousal, but not in subjective sexual arousal. While between-group differences were found in BSS, no within-group differences were found in the relation of BSS on physiological and self-reported sexual arousal. No significant relationships were found between BSS, negative automatic thoughts, and ED. Participants with ED were found to be significantly more likely to use erectile enhancing drugs, but no significant differences in condom removal were found between groups; however, substantially more individuals with ED (23.3%) reported removing condoms prior to the completion of sexual activity, as compared to healthy controls (5%). Findings of this study contribute to improving psychological treatments for gay men with ED, as well as better understanding pathways leading to risky sex in gay men.


1995 ◽  
Vol 63 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Jeffrey A. Kelly ◽  
Kathleen J. Sikkema ◽  
Richard A. Winett ◽  
Laura J. Solomon ◽  
Roger A. Roffman ◽  
...  

1994 ◽  
Vol 20 (3) ◽  
pp. 175-184 ◽  
Author(s):  
Gregg Mulry ◽  
Seth C. Kalichman ◽  
Jeffrey A. Kelly
Keyword(s):  
Gay Men ◽  

2010 ◽  
Vol 38 (3) ◽  
pp. 442-454 ◽  
Author(s):  
Ilan H. Meyer

The author addresses two issues raised in Moradi, DeBlaere, and Huang’s Major Contribution to this issue: the intersection of racial/ethnic and lesbian, gay, and bisexual (LGB) identities and the question of stress and resilience. The author expands on Moradi et al.’s work, hoping to encourage further research. On the intersection of identities, the author notes that LGB identities among people of color have been construed as different from the identities of White LGB persons, purportedly because of an inherent conflict between racial/ethnic and gay identities.The author suggests that contrary to this, LGB people of color can have positive racial/ethnic and LGB identities. On the question of stress and resilience, hypotheses have suggested that compared with White LGB individuals, LGB people of color have both more stress and more resilience. The author addresses the competing hypotheses within the larger perspective of minority stress theory, noting that the study of stress and resilience among LGB people of color is relevant to core questions about social stress as a cause of mental disorders.


2021 ◽  
Author(s):  
Marie Faaborg-Andersen

Erectile dysfunction (ED) has been associated with considerable mental health and interpersonal problems, an increase in risky sex, and is particularly prevalent among gay and bisexual men. Psychological treatment protocols for sexual dysfunctions often aim at challenging beliefs and cognitions about the importance of a “perfect sexual performance,” known as sexual stereotypes. However, to date, little empirical evidence exists for the relationship between ED and belief in sexual stereotypes (BSS). To address this gap, 70 gay men were recruited; 30 with ED and 40 healthy controls. Participants completed a battery of questionnaires, including a measure of BSS, followed by having their genital temperature measured using a thermal imaging camera, while viewing a sexually explicit film. The study had four main objectives: (1) to evaluate between group differences in subjective sexual arousal and physiological arousal; (2) to examine within group differences in the effects of BSS on physiological and self-reported sexual arousal; (3) to evaluate the relationship between BSS, negative automatic thoughts during sex, and ED; and (4) to evaluate the relationship between ED and risky sex among gay men. Results revealed significant between-group differences in physiological arousal, but not in subjective sexual arousal. While between-group differences were found in BSS, no within-group differences were found in the relation of BSS on physiological and self-reported sexual arousal. No significant relationships were found between BSS, negative automatic thoughts, and ED. Participants with ED were found to be significantly more likely to use erectile enhancing drugs, but no significant differences in condom removal were found between groups; however, substantially more individuals with ED (23.3%) reported removing condoms prior to the completion of sexual activity, as compared to healthy controls (5%). Findings of this study contribute to improving psychological treatments for gay men with ED, as well as better understanding pathways leading to risky sex in gay men.


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