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Dual Process Interaction Model of HIV-Risk Behaviors Among Drug Offenders

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Abstract

This study evaluated dual process interaction models of HIV-risk behavior among drug offenders. A dual process approach suggests that decisions to engage in appetitive behaviors result from a dynamic interplay between a relatively automatic associative system and an executive control system. One synergistic type of interplay suggests that executive functions may dampen or block effects of spontaneously activated associations. Consistent with this model, latent variable interaction analyses revealed that drug offenders scoring higher in affective decision making were relatively protected from predictive effects of spontaneous sex associations promoting risky sex. Among drug offenders with lower levels of affective decision making ability, spontaneous sexually-related associations more strongly predicted risky sex (lack of condom use and greater number of sex partners). These findings help elucidate associative and control process effects on appetitive behaviors and are important for explaining why some individuals engage in risky sex, while others are relatively protected.

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Acknowledgments

This research was supported by grants from the National Institute on Drug Abuse (DA023368, DA024659, DA024772) and the National Institute on Alcohol Abuse and Alcoholism (AA017996).

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  1. School of Community and Global Health, Claremont Graduate University, 675 Foothill Blvd., Suite 310, Claremont, CA, 91711, USA

    Susan L. Ames, Jerry L. Grenard & Alan W. Stacy

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  1. Susan L. Ames
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Correspondence to Susan L. Ames.

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Ames, S.L., Grenard, J.L. & Stacy, A.W. Dual Process Interaction Model of HIV-Risk Behaviors Among Drug Offenders. AIDS Behav 17, 914–925 (2013). https://doi.org/10.1007/s10461-012-0140-2

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