Acculturative Stress and Risky Sexual Behavior: The Roles of Sexual Compulsivity and Negative Affect.
Acculturative stress raises HIV risk only when it fuels sexual compulsivity, so screen and treat compulsivity first.
01Research in Context
What this study did
Jardin et al. (2016) asked why some minority college students take sexual risks. They looked at acculturative stress, the strain of balancing two cultures. They tested whether sexual compulsivity, an urge to act out sexually, links this stress to HIV-risk behaviors.
The team surveyed racial and ethnic minority students. They used statistics to see if compulsivity carried the effect of stress to risk.
What they found
The path was clear: more acculturative stress led to more sexual compulsivity, which in turn led to more HIV-risk behavior. The link held for both men and women.
Stress alone did not predict risk; it worked through compulsivity. Targeting compulsivity may cut the chain.
How this fits with other research
Fledderus et al. (2010) ran a similar mediation model. They showed that experiential avoidance, a drive to escape bad feelings, carries the effect of passive coping to anxiety and depression. Both studies say: stress shapes behavior through a middle process.
Willemsen-Swinkels et al. (1998) also worked with college students. They found that fear of intimacy, not stress, predicted sexual risk after rape. The mediators differ, but the lesson is the same: check what sits between trauma and risky sex.
Together, the papers build a map: stress → inner driver → sexual risk. The driver changes with the group, so assess it first.
Why it matters
When you work with minority young adults, ask about acculturative stress, then probe for sexual compulsivity. A brief scale like the Sexual Compulsivity Scale can flag the mediator. If scores are high, add impulse-control modules or referral to sex-specific counseling. You may stop HIV risk without tackling every cultural stressor.
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02At a glance
03Original abstract
Recent syndemic models of sexual health disparities affecting racial/ethnic minorities have highlighted the role of discrimination. Yet no previous work has examined how acculturative stress (distress at the transition from one's original culture toward a new culture) associates with sexual HIV-risk behavior (SHRB). Work among other minority populations suggests sexual compulsivity (SC) may contribute to syndemic sexual health disparities as a means of coping with distress. With this in mind, the present study examined whether SC explained the relation between acculturative stress and SHRB. Separate analyses were conducted for males and females within a sample of 758 sexually initiated racial/ethnic minority college students. Among males and females, acculturative stress had an indirect effect on SHRB via SC. As the first study to examine SHRB in relation to acculturative stress, findings provide preliminary evidence that targeting SC among racial/ethnic minorities may help reduce sexual health disparities.
Behavior modification, 2016 · doi:10.1177/0145445515613331