A Concept Analysis of Self-Control in the Sexual Risk Behaviors of Men who have sex with Men (MSM)

Self-control is an integral concept in the sexual risk behaviors of men who have sex with men (MSM). There are varying definitions and descriptions of self-control in different fields. Some concepts are interchangeably used to denote self-control. Walker and Avant’s concept analysis method was used to clarify the attributes, antecedents, consequences, and empirical referents of self-control. The attributes of self-control are recognition of sexual impulses, rationalization of sexual risk perceptions, and regulation of sexual risk behaviors. The antecedents of self-control are personal drivers, situational experiences, social linkages, and environmental structures. Self-control is significant to empower MSM to make conscious and responsible decisions, actions, and reflections toward safer sex practices, better sexual health, and lower HIV risk.