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The Slippery Slope of Sexual Decision-Making in Young Adults: The Role of Social and Cognitive Factors

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Cognitive Informatics in Health and Biomedicine

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Abstract

Sexual decision-making in young adults continues to present challenges for public health and social science researchers more than three decades after the first HIV epidemic. The objective of this chapter is to identify relevant social and cognitive factors that may influence decision-making about risky sexual behavior in young adults. More specifically, the chapter focuses on our research on sexual decision-making among heterosexual urban college students in a high-risk HIV/AIDS community. Participants completed two weeks of daily sexual encounter diaries, followed by in-depth interviews. Both quantitative and qualitative methods were used to analyze the data. Results showed that participants’ decisions about the use of condoms varied by particular social factors, such as partner influence and condom use attitudes; and cognitive factors, such as perceptions of relationship status and HIV/STD risk assessment. Participants’ justification of their behavior differentiated higher- from lower- risk individuals. The findings suggest that in order to intervene effectively with higher-risk individuals, it is important to understand the nature of the evidence used to make decisions and the conditions under which these decisions change. Risky decision-making in the context of education, the role of technology, and adequate interventions are discussed.

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Acknowledgements

The research presented in this chapter was supported by NIMH Grant R01 MH65851 to Vimla L. Patel. Support of writing this manuscript was provided in part by James S. McDonnell Foundation (JSMF 220020152).

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Authors and Affiliations

  1. Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY, USA

    Nicole A. Yoskowitz M.S., M.Phil.

  2. Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, 1216 Fifth Avenue, New York, 10029, NY, USA

    Nicole A. Yoskowitz M.S., M.Phil., Courtney A. Denton M.A. & Vimla L. Patel Ph.D., D.Sc.

  3. Department of Biomedical Informatics, Arizona State University, Tempe, AZ, USA

    David R. Kaufman Ph.D. & Vimla L. Patel Ph.D., D.Sc.

  4. Department of Biomedical Informatics, Columbia University, New York, NY, USA

    Vimla L. Patel Ph.D., D.Sc.

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  1. Nicole A. Yoskowitz M.S., M.Phil.
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Correspondence to Nicole A. Yoskowitz M.S., M.Phil. .

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  1. The New York Academy of Medicine, New York, NY, USA

    Vimla L. Patel

  2. University of Waterloo, Waterloo, ON, Canada

    Jose F. Arocha

  3. Weill Cornell Medical College, New York, NY, USA

    Jessica S. Ancker

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Yoskowitz, N.A., Kaufman, D.R., Denton, C.A., Patel, V.L. (2017). The Slippery Slope of Sexual Decision-Making in Young Adults: The Role of Social and Cognitive Factors. In: Patel, V., Arocha, J., Ancker, J. (eds) Cognitive Informatics in Health and Biomedicine. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-51732-2_8

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