Gender and social rejection as risk factors for engaging in risky sexual behavior among crack/cocaine users.

Gender and social rejection as risk factors for engaging in risky sexual behavior among crack/cocaine users.
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DOI:
10.1007/s11121-013-0406-6
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发表时间:
2014-06
期刊:
影响因子:
3.5
通讯作者:
Lejuez, C. W.
Lejuez, C. W.
中科院分区:
医学2区
文献类型:
--
作者:
Kopetz, Catalina;Pickover, Alison;Magidson, Jessica F.;Richards, Jessica M.;Iwamoto, Derek;Lejuez, C. W.

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可卡因/可卡因和从事危险性行为是导致妇女艾滋病毒感染上升的重要因素。有几个研究方向强调了社会因素在妇女易受这种做法影响方面的作用,并强调必须了解这些因素,以便更好地为预防工作提供信息,并提高其效力和效率。然而,很少有研究试图找出与女性可卡因/可卡因吸毒者等高危人群特别相关的特定社会/背景因素。先前广泛的研究已经将社会拒绝的经历与各种负面后果联系起来,包括但不限于各种形式的精神病、弄巧成拙和自我伤害的行为。在这项研究的激励下,目前的研究探索了实验室诱导的社会排斥在调节艾滋病毒高危人群(n=211)可卡因/可卡因吸毒者的性别和危险性行为之间的关系中的作用。结果表明,在女性中,经历社会排斥与更多的性伴侣数量显著相关,但在男性中并非如此。此外,经历社会排斥与使用避孕套的频率无关。对未来的研究、预防和治疗的意义进行了讨论。
Crack/cocaine and engagement in risky sexual behvaior represent important contributors to the escalation of the HIV infection among women. Several lines of research have emphasized the role of social factors in women’s vulnerability for such practices and stressed the importance of understanding such factors to better inform prevention efforts and improve their effectivenes and efficiency. However, few studies have attempted to pinpoint specific social/contextual factors particularly relevant to high risk populations such as female crack/cocaine users. Extensive previous research has related the experience of social rejection to a variety of negative outcomes including, but not limited to, various forms of psychopathology, self-defeating and self-harm behvaior. Motivated by this research, the current study explored the role of laboratory induced social rejection in moderating the relationship between gender and risky sexual behvaior among a sample of crack/cocaine users (n = 211) at high risk for HIV. The results showed that among women, but not among men, experiencing social rejection was significantly associated with a greater number of sexual partners. Further, experiencing social rejection was not related to the frequency of condom use. Implications for future research, prevention, and treatment are discussed.
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