The impact of sexual arousal on sexual risk-taking: a qualitative study.

Quantitative studies have shown that both straight and gay men with a low propensity for inhibition of sexual arousal are more likely to engage in unprotected sex in the face of risk. This article reports findings from an interview study of both straight and gay men focusing on the individual's experience of the impact of sexual arousal on risk management. The impact of the immediate post-ejaculatory period and the effects of condoms on sexual arousal are also considered. Three patterns were apparent in both groups: (a) low inhibition of sexual arousal associated with impaired risk management; (b) low inhibition of arousal in risk situations leading to establishment of planning ahead, and (c) no impact of sexual arousal on risk management. We also consider the contrast between committed and uncommitted relationships. Lastly, we consider possible mediating mechanisms between sexual arousal and risk management and discuss the implications of these varied patterns for interventions to reduce high-risk sexual behavior.