Prevention Science

, Volume 15, Issue 3, pp 376–384 | Cite as

Gender and Social Rejection as Risk Factors for Engaging in Risky Sexual Behavior Among Crack/Cocaine Users

  • Catalina KopetzEmail author
  • Alison Pickover
  • Jessica F. Magidson
  • Jessica M. Richards
  • Derek Iwamoto
  • C. W. Lejuez


Crack/cocaine and engagement in risky sexual behavior 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 effectiveness 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 behavior. Motivated by this research, the current study explored the role of laboratory-induced social rejection in moderating the relationship between gender and risky sexual behavior 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.


Risky sexual behavior Crack cocaine Social rejection 



This research was supported by the National Institute of Drug Abuse grant R01DA19405 awarded to Carl W. Lejuez and F32DA026253 awarded to Catalina Kopetz.


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Copyright information

© Society for Prevention Research 2013

Authors and Affiliations

  • Catalina Kopetz
    • 1
    • 2
    Email author
  • Alison Pickover
    • 1
  • Jessica F. Magidson
    • 1
  • Jessica M. Richards
    • 1
  • Derek Iwamoto
    • 1
  • C. W. Lejuez
    • 1
  1. 1.Department of PsychologyUniversity of MarylandCollege ParkUSA
  2. 2.Department of Clinical Psychology and PsychotherapyBabes-Bolyai UniversityCluj-NapocaRomania

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