Title | Gender moderates the relationship between impulsivity and sexual risk-taking in a cocaine-using psychiatric outpatient population. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Black, Anne C., Thomas J. McMahon, Marc N. Potenza, Lynn E. Fiellin, and Marc I. Rosen |
Journal | Personality and individual differences |
Volume | 75 |
Pagination | 190-194 |
Date Published | 2015 Mar 1 |
ISSN | 0191-8869 |
Abstract | Adults who abuse substances are at increased risk for contracting sexually transmitted infections, including HIV. Within this population, sexual risk behaviors have been associated with increased impulsivity. Studies in non-clinical populations showing gender-related differences in sexual decision-making and casual sexual partnering suggest impulsivity has a greater influence on men than women, but these differences have not been documented in substance-using patients. In a sample of 89 adults with recent cocaine use and receiving outpatient psychiatric treatment, we tested the hypothesis that gender moderates the effect of impulsivity on sexual risk-taking. Using logistic regression modeling, we tested the main and gender-moderated effects of task-related impulsivity on the probability of having a casual sexual partner and multiple sexual partners. Results confirmed a significant gender-by-impulsivity interaction; men who were more impulsive on a continuous performance task had significantly higher rates of sexual risk-taking than less impulsive men, but women's impulsivity was unrelated to these outcomes. Impulsive men were over three times as likely as less impulsive men to have a recent casual partner. Implications of these results and suggestions for future research are discussed. |
Alternate Journal | Pers Individ Dif |