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Related Experiment Videos

Stress, coping, and high-risk sexual behavior.

S Folkman1, M A Chesney, L Pollack

  • 1Center for AIDS Prevention Studies, University of California, San Francisco 94105.

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|January 1, 1992
PubMed
Summary

High-risk sexual behavior in gay and bisexual men is linked to specific coping strategies, not stress levels. Using sex to cope and self-controlling coping were associated with unprotected anal intercourse.

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Area of Science:

  • Psychology
  • Public Health
  • Sociology

Background:

  • High-risk sexual behavior remains a significant concern within nonmonogamous gay and bisexual communities.
  • Understanding the psychological factors influencing these behaviors is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To investigate the relationship between stress, coping mechanisms, and high-risk sexual behavior (unprotected anal intercourse) in nonmonogamous gay and bisexual men.
  • To identify specific coping strategies associated with unprotected anal intercourse.

Main Methods:

  • A cross-sectional study involving 398 nonmonogamous gay and bisexual men.
  • Self-report measures assessed unprotected anal intercourse, stress levels across 10 domains, six coping strategies, and spiritual beliefs/activities.

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Main Results:

  • No significant association was found between overall stress levels and unprotected anal intercourse.
  • Engaging in unprotected anal intercourse was associated with using sex as a coping mechanism.
  • Negative associations were observed between unprotected anal intercourse and seeking social support and spiritual activities.
  • Positive associations were found between unprotected anal intercourse and self-controlling coping (suppressing emotions) and positive reappraisal.

Conclusions:

  • Coping strategies, rather than stress levels, appear to be more strongly related to high-risk sexual behavior in this population.
  • The social and emotional aspects of coping, such as seeking support versus internalizing feelings, may differentiate individuals engaging in high-risk sexual behaviors.