Associations between impulsivity, risk behavior and HIV, HBV, HCV and syphilis seroprevalence among female prisoners in Indonesia: A cross-sectional study

PLoS One. 2019 Feb 15;14(2):e0207970. doi: 10.1371/journal.pone.0207970. eCollection 2019.

Abstract

HIV, hepatitis B and C, and syphilis share common transmission routes of which primarily unsafe sexual contact and injecting drug use are important. Impulsivity is a major factor contributing to this transmission risk behavior; however comprehensive studies within female, prison, and Asian populations are scarce. This cross-sectional study aims to delineate the contributions of different aspects of impulsivity to risk behavior, among female inmates living in a prison in Jakarta (N = 214). The relationships between various aspects of impulsivity, risk behaviors and seropositivity were tested using analyses of variance and logistic regression analyses. Motor impulsivity was related to alcohol use, reward-related impulsivity to drug use, and cognitive/goal-directed impulsivity to sexual risk behavior. Finally, goal-directed impulsivity was also directly associated with seropositivity. Specific aspects of impulsivity are associated with different types of risk behavior in Indonesian female prisoners, which can be relevant for future studies on infection prevention strategies for such a population.

MeSH terms

  • Cross-Sectional Studies
  • Female
  • HIV Infections / etiology*
  • HIV Infections / virology
  • Hepatitis B / etiology*
  • Hepatitis B / virology
  • Hepatitis C / etiology*
  • Hepatitis C / virology
  • Humans
  • Impulsive Behavior / physiology*
  • Indonesia
  • Prisoners
  • Risk Factors
  • Risk-Taking
  • Seroepidemiologic Studies
  • Sexual Behavior / physiology*
  • Syphilis / etiology*
  • Syphilis / virology
  • Syphilis Serodiagnosis / methods

Grants and funding

The authors received no specific funding for this work.