Abstract

Impulsivity is a trait characteristic that is associated with sexual risk behavior. We examined correlates of impulsivity among 602 female sex workers (FSWs) enrolled in a sexual risk reduction intervention in Mexico (2016–2020). Impulsivity was positively associated with condomless sex with clients. Higher levels of impulsivity were associated with greater use of alcohol and heavy drugs, use of illicit drugs with clients, sexual/physical abuse history, and clinical depression. Global public health policy that supports free substance abuse treatment in combination with psychotherapeutic treatments (e.g. regulation management skills) and behavioral-focused therapy may help to reduce HIV/STI incidence in this vulnerable population.

 抽象的

冲动是一种与危险性行为相关的特征。我们研究了墨西哥（2016-2020 年）参加性风险降低干预措施的 602 名女性性工作者 (FSW) 的冲动相关性。冲动与与客户的无安全套性行为呈正相关。较高水平的冲动与更多地使用酒精和重毒、与客户一起使用非法药物、性/身体虐待史和临床抑郁症有关。支持免费药物滥用治疗与心理治疗（例如监管管理技能）和以行为为中心的治疗相结合的全球公共卫生政策可能有助于减少这一弱势群体中的艾滋病毒/性传播感染发病率。