The SCS was also significantly associated with having engaged in a variety of specialized sexual behaviors (i.e., fetishes), many of which can increase HIV transmission risks. The SCS was significantly associated with a variety of sexual risk behaviors, including having sex under the influence of club drugs, engaging in unprotected anal sex (receptive or insertive) with partners of the same and/or different HIV serostatus, identity as a barebacker, intentions to have bareback sex, number of recent sex partners, and temptation for unsafe sex.
Using data from a community-based survey of gay and bisexual men ( n = 1214), this analysis sought to further evaluate the association between the SCS and sexual risk behavior. Much of our understanding of the association between the Sexual Compulsivity Scale (SCS Kalichman et al., 1994) and sexual risk behavior among men who have sex with men (MSM) has been limited to samples of HIV positive MSM only.