The role of sexual compulsivity in unprotected intercourse among STI patients in Shanghai, China

Abstract

Background Sexual compulsivity (SC) and its relationship with unprotected intercourse (UI) have long been an intriguing topic, but its existential meaning in the management of public health or, more precisely, sexually transmitted infections (STIs) has rarely been studied to date. This study examines whether SC plays a role in UI among sexually active STI patients. Method A cross-sectional study was conducted in two sexual transmitted disease (STD) clinicals of Shanghai Skin Diseases Hospital in Shanghai. Totally 664 sexually active STI patients were included. Results The ages of the 664 participants ranged from 18 to 76 years, with 58.73% between 26 and 40 years old. 449 (191 male and 258 female) reported had UI during the past 6 months. Although the only statistically significant difference (p < 0.01) was in relation to UI with a casual sexual partner, the difference between male/female and regular/casual sexual partners remained evident. Conclusions SC is evidently a potential predictor of UI with a casual sexual partner in male STI patients, while the use of condoms is more likely to be affected by other factors. In addition to general sexual education, counseling interventions should be provided by health institutions, and specific intervention methods targeting gender and sexual partners should be considered.

The prevalence of sexual compulsivity and its correlates among adults living with HIV/AIDS attending antiretroviral therapy clinic in Gambella town, Southwest Ethiopia, 2020

“…When compared to their counterparts, those who did not get any skill training about safer sex behaviors had a 9-fold AOR = 9.00(5.10,15.88) higher chance of developing sexual compulsivity. The findings matched those of studies conducted in the United States and China [ 13 , 36 , 37 ]. Self-awareness, emotional adjustment, and education are all important for managing sexual desires and ritualistic habits.…”

“…Therefore, life skill training is essential. Individuals who are well-versed in various safe sexual practices, such as the use of toys, traps, and masturbations, are also important in resolving recurrent sexual impulses, thoughts, and behaviors [ 37 ].…”

Who feels affected by “out of control” sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)

“…Across studies, CSB seems to be substantially more prevalent in men than in women ( Böthe et al., 2018 ; Dickenson et al., 2018 ). CSB has frequently been investigated in men who have sex with men ( Coleman, 1991 ; Coleman et al, 2010 ; Ni et al., 2021 ) and often in association with sexual risk taking ( Rooney, Tulloch, & Blashill, 2018 ). Sexual urges and the frequency of sexual behavior (e.g., total sexual outlet) are age-dependent ( Peters, Pullman, Kingston, & Lalumière, 2022 ), with CSB being negatively related to age.…”

Consistent Condom Use and Associated Factors among sexually active Military Personnel in Eastern Ethiopia: Cross-Sectional Study Design

“… 15 Generally, men with high levels of compulsivity and sensation-seeking engage in relationships with multiple partners, 16 have sex under the influence of alcohol, 17 do not use condoms during vaginal or anal intercourse, 18 and have higher STI incidence rates. 19 The study clearly demonstrated a weak but positive relationship between condom knowledge and use. There was also significant mediation of the relationship between condom knowledge and use by condom use attitude.…”