American Journal of Infectious Diseases

Antisocial Psychopathy and HIV Risk among Alcohol and Other Drug (AOD) Abusing Adolescent Offenders

Robert M. Malow, Jessy Dévieux, Rhonda Rosenberg, Madhavan Nair, Robert McMahon, Emma J. Brown and Seth C. Kalichman

DOI : 10.3844/ajidsp.2007.230.239

American Journal of Infectious Diseases

Volume 3, Issue 4

Pages 230-239


While the consensus is that HIV prevalence has remained low among adolescent offenders, the prevalence of STDs and HIV transmission risk behaviors is alarming, particularly for those abusing alcohol and other drugs and those displaying antisocial or conduct disorder characteristics. In the current study, 269 male and 110 female inner city, culturally diverse alcohol and other drug (AOD) abusing adolescent offenders completed measures of (a) psychopathy, using the Millon Adolescent Clinical Inventory (MACI) (b) HIV transmission risk behavior, (c) prevention skills and attitudes and (d) social desirability. Results showed that those with high levels of psychopathy reported more AOD use, overall unprotected sex and more sexual activity when influenced by alcohol and/or marijuana. High psychopathy adolescent offenders also reported lower self-efficacy and sexual response-efficacy, less favorable safer sex and condom attitudes and less favorable intentions to engage in safer sex behaviors, when controlling for social desirability. Data suggest that adolescent offenders, who are either in court-ordered treatment or detention, should be assessed for psychopathy and provided with tailored risk reduction interventions, geared toward attitudinal and behavioral change. A discussion of integrating neurobiological measures to improve the next generation of tailored interventions for this risk group is offered in conclusion.


© 2007 Robert M. Malow, Jessy Dévieux, Rhonda Rosenberg, Madhavan Nair, Robert McMahon, Emma J. Brown and Seth C. Kalichman. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.