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Sexual addiction scores and perception of risk for HIV/AIDS

G. Reynolds1, D. Fisher1, A. Latimore2

1California State University, Long Beach, Center for Behavioral Research & Services, Long Beach, United States, 2Johns Hopkins University, School of Public Health, Baltimore, United States

Background: The Sexual Addiction Screening Test (SAST) has been developed as a clinical assessment of problem sexual behaviors. There are versions of this screening tool for gay men, women, and heterosexual men.
Methods: The SAST was self-administered to out-of-treatment drug users and gay/bisexual men as part of the protocol for a multiple morbidities testing program (MMTP) for HIV, hepatitis A, B, and C, syphilis, gonorrhea and Chlamydia. Cut-point scores of 6.0, 13.0 and 6.0-8.0 have been used as a clinical determination of addictive sexual behaviors for those taking the g-SAST (gay/bisexual men), SAST (heterosexual men) and w-SAST (women), respectively. Means and standard deviations were determined for each group/instrument. The Risk Behavior Assessment (RBA) was also administered to elicit demographics, drug and sexual risk behaviors, previous incarceration and risk perception for HIV/AIDS. The risk perception item was worded “What do you think your chance of contracting HIV/AIDS is? Responses were 0%, 25%, 50%, 75%, and 100% (sure) chance.
Correlation and one-way analysis of variance (ANOVA) was used to determine associations with HIV risk perception and mean differences between SAST scores and level of risk perception for HIV/AIDS.
Results: The g-SAST was completed by 178 individuals and scored (M=5.84, SD=4.59); the w-SAST was completed by 127 women (M=6.30, SD=5.37) and the SAST was completed by 120 heterosexual men (M=4.91, SD=4.10). Total SAST scores were correlated with risk perception at r=.09, p=ns; g-SAST scores were correlated at r=.33, p<.0001; and w-SAST scores were correlated at r=.32, p= .0003. ANOVA results indicated statistically significant differences between level of risk perception for HIV/AIDS and SAST scores for women and gay/bisexual men but not for heterosexual men.
Conclusions: It may be useful to incorporate the use of the different versions of the SAST into HIV risk reduction programs.

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