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AIDS and Behavior
Published in: AIDS and Behavior 3/2015

01-03-2015 | Original Paper

Behavioral Economic Decision Making and Alcohol-related Sexual Risk Behavior

Authors: James MacKillop, Mark A. Celio, Nadine R. Mastroleo, Christopher W. Kahler, Don Operario, Suzanne M. Colby, Nancy P. Barnett, Peter M. Monti

Published in: AIDS and Behavior | Issue 3/2015

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Abstract

The discipline of behavioral economics integrates principles from psychology and economics to systematically characterize decision-making preferences. Two forms of behavioral economic decision making are of relevance to HIV risk behavior: delay discounting, reflecting preferences for immediate small rewards relative to larger delayed rewards (i.e., immediate gratification), and probability discounting, reflecting preferences for larger probabilistic rewards relative to smaller guaranteed rewards (i.e., risk sensitivity). This study examined questionnaire-based indices of both types of discounting in relation to sexual risk taking in an emergency department sample of hazardous drinkers who engage in risky sexual behavior. More impulsive delay discounting was significantly associated with increased sexual risk-taking during a drinking episode, but not general sexual risk-taking. Probability discounting was not associated with either form of sexual risk-taking. These findings implicate impulsive delay discounting with sexual risk taking during alcohol intoxication and provide further support for applying this approach to HIV risk behavior.
Footnotes
1
Data was identified as missing if the participant elected not to answer a particular item.
 
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Metadata
Title
Behavioral Economic Decision Making and Alcohol-related Sexual Risk Behavior
Authors
James MacKillop
Mark A. Celio
Nadine R. Mastroleo
Christopher W. Kahler
Don Operario
Suzanne M. Colby
Nancy P. Barnett
Peter M. Monti
Publication date
01-03-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0909-6

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