Measuring Sexual Risk-Taking: A Systematic Review of the Sexual Delay Discounting Task.

Measuring Sexual Risk-Taking: A Systematic Review of the Sexual Delay Discounting Task.
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衡量性冒险:对性延迟折现任务的系统审查。

DOI:
10.1007/s10508-022-02355-y
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发表时间:
2022-08
影响因子:
3.8
通讯作者:
Berry, Meredith S.
Berry, Meredith S.
中科院分区:
法学2区
文献类型:
--
作者:
Gebru, Nioud Mulugeta;Kalkat, Meher;Strickland, Justin C.;Ansell, Margaret;Leeman, Robert F.;Berry, Meredith S.

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性延迟折扣任务(SDDT)是一项行为经济学任务,通过测量立即和延迟使用避孕套的可能性来评估性风险。SDDT在生态学上是有效的,并已被用于测试各种物质对性冒险的影响。然而,SDDT在实施、分析和报告方面的相当大的多样性可能会限制研究结果的严谨性和可重复性。目前的综述综合了使用SDDT系统评价这些可能变异的研究。通过两步搜索(引文跟踪和基于关键字的搜索)来确定符合纳入标准的研究(即使用SDDT)。18篇同行评议文章符合纳入标准。SDDT主要在三个人群中实施:可卡因使用者、男男性行为者和大学生。不同人群的比较结果支持SDDT的有效性。一些研究是在SDDT之前给药的。有证据表明,可卡因和酒精在某些情况下增加了性冒险,而丁螺环酮则降低了人们对立即无套性行为的偏好。在确定数据有序性(即异常值)和不一致的任务设计和分析报告方面也存在异质性。方法方法上存在的相当大的差异可能影响结果。减少s滴滴涕的管理、分析和报告中的变化将提高精确性和可重复性,并最大限度地发挥这项任务的巨大潜力。
The Sexual Delay Discounting Task (SDDT) is a behavioral economic task that assesses sexual risk-taking by measuring likelihood of immediate and delayed condom use. The SDDT is ecologically valid and has been used to test effects of various substances on sexual risk-taking. However, considerable variety in implementation, analysis, and reporting of the SDDT may limit rigor and reproducibility of findings. The current review synthesized studies that used the SDDT to evaluate these possible variabilities systematically. A two-step search (citation-tracking and keyword-based search) was conducted to identify studies that met inclusion criteria (i.e., used the SDDT). Eighteen peer-reviewed articles met inclusion criteria. The SDDT has been implemented primarily in three populations: individuals who use cocaine, men who have sex with men, and college students. Comparable results across diverse populations support the SDDT’s validity. A few studies administered substances before the SDDT. Evidence suggests that while cocaine and alcohol increased sexual risk-taking under some conditions, buspirone decreased preference for immediate condomless sex. There was also heterogeneity in the determination of data orderliness (i.e., outliers) and inconsistent reporting of task design and analysis. Considerable differences present in methodologic approaches could influence results. Reducing variation in the administration, analysis, and reporting of the SDDT will enhance rigor and reproducibility and maximize the task’s tremendous potential.
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