AIDS and Behavior

, Volume 19, Issue 3, pp 450–458 | Cite as

Behavioral Economic Decision Making and Alcohol-related Sexual Risk Behavior

  • James MacKillop
  • Mark A. Celio
  • Nadine R. Mastroleo
  • Christopher W. Kahler
  • Don Operario
  • Suzanne M. Colby
  • Nancy P. Barnett
  • Peter M. Monti
Original Paper

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.

Keywords

Sexual risk Alcohol Behavioral economics Delay discounting Probability discounting 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • James MacKillop
    • 1
    • 2
  • Mark A. Celio
    • 2
  • Nadine R. Mastroleo
    • 2
  • Christopher W. Kahler
    • 2
  • Don Operario
    • 2
  • Suzanne M. Colby
    • 2
  • Nancy P. Barnett
    • 2
  • Peter M. Monti
    • 2
  1. 1.Boris Centre for Addiction Research, Department of Psychiatry and Behavioural NeurosciencesMcMaster University/St. Joseph’s Healthcare HamiltonHamiltonCanada
  2. 2.Center for Alcohol and Addiction StudiesBrown UniversityProvidenceUSA

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