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Correlates of impulsivity among female sex workers in Mexico.

Shirley J SempleHeather A PinesEileen V PitpitanAlicia Harvey VeraGustavo MartinezM Gudelia RangelSteffanie A StrathdeeThomas L Patterson
Published in: Health care for women international (2021)
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.
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