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首页> 外文期刊>Experimental and clinical psychopharmacology >Cocaine-Dependent Adults and Recreational Cocaine Users Are More Likely Than Controls to Choose Immediate Unsafe Sex Over Delayed Safer Sex
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Cocaine-Dependent Adults and Recreational Cocaine Users Are More Likely Than Controls to Choose Immediate Unsafe Sex Over Delayed Safer Sex

机译：依赖可卡因的成年人和娱乐性可卡因使用者比控制者更有可能选择立即不安全的性行为，而不选择延迟的安全性行为

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Cocaine users have a higher incidence of risky sexual behavior and HIV infection than nonusers. Our aim was to measure whether safer sex discount rates-a measure of the likelihood of having immediate unprotected sex versus waiting to have safer sex-differed between controls and cocaine users of varying severity. Of the 162 individuals included in the primary data analyses, 69 met the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) criteria for cocaine dependence, 29 were recreational cocaine users who did not meet the dependence criteria, and 64 were controls. Participants completed the Sexual Discounting Task, which measures a person's likelihood of using a condom when one is immediately available and how that likelihood decreases as a function of delay to condom availability with regard to 4 images chosen by the participants of hypothetical sexual partners differing in perceived desirability and likelihood of having a sexually transmitted infection. When a condom was immediately available, the stated likelihood of condom use sometimes differed between cocaine users and controls, which depended on the image condition. Even after controlling for rates of condom use when one is immediately available, the cocaine-dependent and recreational users groups were more sensitive to delay to condom availability than controls. Safer sex discount rates were also related to intelligence scores. The Sexual Discounting Task identifies delay as a key variable that impacts the likelihood of using a condom among these groups and suggests that HIV prevention efforts may be differentially effective based on an individual's safer sex discount rate.
机译：可卡因使用者比非使用者更容易发生危险的性行为和感染艾滋病毒。我们的目的是测量是否更安全的性折扣率-衡量在不同严重程度的对照组和可卡因使用者之间立即进行无保护性行为与等待进行更安全性行为的可能性之间的差异。在主要数据分析中包括的162位个体中，有69位符合《可卡因依赖性精神疾病诊断和统计手册》（第4版，文本修订; DSM-IV-TR）的标准，其中29位是娱乐性可卡因使用者依赖标准，其中64个为对照组。参与者完成了性折扣任务，该任务测量了一个人立即可获得避孕套时使用避孕套的可能性，以及针对假设性伴侣参与者选择的4张图像不同，这种可能性如何随避孕套可用性延迟而降低。性传播感染的期望和可能性。当立即使用安全套时，可卡因使用者和对照组之间所规定的使用安全套的可能性有时会有所不同，这取决于图像状况。即使在立即使用避孕套后控制避孕套使用率之后，可卡因依赖型和娱乐性使用者群体对避孕套可用性延迟的敏感度仍高于对照组。安全的性折扣率也与智力得分有关。 “性打折任务”将延迟视为影响这些人群中使用避孕套可能性的关键变量，并建议根据个人的安全性打折率，艾滋病毒的预防工作可能会有所不同。

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