Electron Physician. 2017 Aug 01;9(8):5129-5137. doi: 10.19082/5129. eCollection 2017 Aug.
Triangular relationship among risky sexual behavior, addiction, and aggression: A systematic review.
Electronic physician
Khodabakhsh Ahmadi, Seyed Alireza Javadinia, Seyed Hassan Saadat, Mohammad Arash Ramezani, Homa Sedghijalal
Affiliations
Affiliations
- Ph.D. in Counseling Psychology, Associate Professor, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
- Resident of Radiation Oncology, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
- M.D., Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
- Ph.D., Associate Professor, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
- Ph.D., Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
PMID: 28979752
PMCID: PMC5614302 DOI: 10.19082/5129
Abstract
BACKGROUND: Risky sexual behavior (RSB), addiction, and aggression are three important personal and social factors which influence each other.
OBJECTIVE: To overview the potential relationship among RSB, addiction, and aggression to conduct an interactive model for the pathology and management of human behavior.
METHODS: This review article was carried out by searching studies in PubMed, Medline, Web of Science, Ebsco, IEEE, Scopus, Springer, MagIran, and IranMedex databases from the year 1993 to 2013. The search terms were violence, aggression, drug abuse, substance abuse, illicit drug, psychoactive drug, intravenous drug users, addiction and high-risk sexual relationships, unprotected sex, high risk sexual behavior, and sexual risk-taking. In this study, forty-nine studies were accepted for further screening, and met all our inclusion criteria (in English or Persian, full text, and included the search terms).
RESULTS: Forty-nine articles were included; 17 out of 26 studies showed a significant correlation between addiction and risky sexual behavior, 15 out of 19 articles indicated a statistically significant correlation between aggression and addiction, and 9 out of 10 articles reported significant correlation between aggression and risky sexual behavior.
CONCLUSION: According to the results, the triangle hypothesis of sex, addiction, and aggression led to the definition of the relationship among the variables of the hypothetical triangle based on the reviewed studies; and the proposed dual and triple relationship based on the conducted literature review was confirmed. This is not a meta-analysis, and there is no analysis of publication bias.
Keywords: Addictive Behavior; Aggression; High Risk Sex; Unprotected Sex
Conflict of interest statement
Conflict of Interest: There is no conflict of interest to be declared.
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