Differences in impulsivity and sexual risk behavior among inner-city crack/cocaine users and heroin users
Abstract
The current study utilized a sample of 123 inner-city drug users in residential treatment, comparing sexual risk behavior (SRB) across primary users of (a) heroin and not crack/cocaine, (b) crack/cocaine and not heroin, and (c) both heroin and crack/cocaine. Additional analyses also examined impulsivity as a mediator of drug choice and SRB. Results indicated that SRB was higher in primary crack/cocaine users than in primary heroin users, with those using both drugs evidencing intermediate levels of SRB. Beyond differences in SRB, a similar pattern across drugs was found for impulsivity. Finally, impulsivity mediated the relationship between drug choice and SRB. Although further research is necessary to establish causal relationships, these results support a relationship between SBR and crack/cocaine, and suggest that disinhibition processes including impulsivity may underlie this relationship.
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BART balloon pumping is positively associated with risky sexual behavior, smoking, and a composite of substance use, sexual behavior, delinquency, and health domains.
“Previous studies found that balloon pumping on the BART was positively associated with risky sexual behavior (Lejuez et al. 2005), smoking (Lejuez et al. 2003), and a composite of substance use, sexual behavior, delinquency, and health domains (Lejuez et al. 2007).”
From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Lejuez et al. 2005
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- Authors
- Lejuez, C. W., Bornovalova, M. A., Daughters, S. B., & Curtin, J. J.
- Affiliations
- University of Maryland, College Park (US)
- University of Wisconsin–Madison (US)
- Corresponding author
- Lejuez, C.W.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2005-02
- Volume
- 77
- Issue
- 2
- Pages
- 169-175
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W2093325639
- Cited by
- 114
- References
- 42
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 7 · 2015: 9 · 2014: 12 · 2013: 6 · 2012: 13
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Institute on Drug Abuse (R21DA014699, R21-DA14699)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Keywords
- impulsivity, sexual risk behavior, crack cocaine, heroin, residential drug treatment, disinhibition, drug selection, mediation
- MeSH terms
- Adult, Female, Heroin Dependence, Humans, Impulsive Behavior, Male, Middle Aged, Risk-Taking, Sexual Behavior, Urban Population, Crack Cocaine, Cocaine-Related Disorders
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