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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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“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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Self-citation
Metadata
- 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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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