Concept analysis of self-control in the sexual behaviors of men who have sex with men

ABSTRACT

Background@#Self-control is an integral concept in understanding the sexual behaviors of men who have sex with men (MSM). It has varying definitions and descriptions which may affect its practical and scientific use. @*Objective@#To examine self-control in the context of MSM's sexual behaviors. @*Methodology@#Walker and Avant's concept analysis method was used to clarify the attributes, antecedents, consequences, and empirical referents of self-control. @*Results@#The attributes of self-control were recognition of sexual impulses, rationalization of sexual perceptions, and regulation of sexual behaviors. The antecedents of self-control were personal drivers, situational experiences, social linkages, and environmental structures. Self-control promotes empowered decision-making toward sexual behaviors and HIV risk reduction. Variations exist in how self-control is conceptualized and measured. @*Conclusion@#Self-control does not automatically mean inhibiting sexual urges and avoiding sexual engagements. It involves a conscious effort to make independent decisions over one's sexual thoughts, emotions, and actions.