Sexual Compulsivity and HIV Serostatus Disclosure Among Men Who Have Sex with Men

To explore associations among sexual compulsivity, HIV serostatus disclosure, and sexual risk behaviors, data were collected from 180 gay and bisexual men living with HIV upon their self-enrollment into mental health care at an inner-city clinic. Results indicated associations among level of sexual compulsivity and a participant s likelihood of participation in high-risk sexual behavior, their perceived level of responsibility to disclose HIV serostatus to sexual partners, and whether they had disclosed their HIV status to a sexual partner in their most recent act of unprotected intercourse. These findings suggest the need to include, across the continuum of HIV care, activities related to the assessment of, and response to, sexual compulsivity and its association with behaviors likely to sustain the HIV epidemic.