Integrating intra-individual and dyadic factors in examining health among gay and bisexual men: A narrative review of recent literature.

Integrating intra-individual and dyadic factors in examining health among gay and bisexual men: A narrative review of recent literature.
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DOI:
10.1080/1550428x.2019.1682740
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发表时间:
2020
影响因子:
3.4
通讯作者:
Starks TJ
Starks TJ
中科院分区:
其他
文献类型:
--
作者:
Robles G;Bosco SC;Dellucci TV;Starks TJ

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男同性恋者和双性恋者(GBM)经历了不成比例的精神健康和其他负面健康后果。对于关系中的GBM来说,将无数的负面结果背景化为一个二元过程可能会提供对这些负面结果发展机制的洞察。这篇综述的目的是使用健康框架、关系过程和健康来检查关系科学文献的现状。我们利用PubMed、PancINFO和Web of Science检索了过去15年发表的关于关系中的GBM、评估依恋和作为健康结果预测因素的关系的经验性文章,并检索了英文文章。我们找到了649篇文章。经过筛选,共筛选出23篇文献并进行综述。压倒性的发现将艾滋病毒风险确定为主要的健康结果。依恋与人际关系功能和性危险行为相关。关系特有的成分主要被用来预测性行为传播艾滋病毒的危险行为。总而言之,这些研究表明,关系功能是依恋和健康相关结果之间的预期联系。除了艾滋病毒风险,这些文献还没有对可能解释个体依恋和健康结果之间的关联的二元水平的机制进行经验检验,还需要更多地研究影响GBM的其他健康差异。
Gay and bisexual men (GBM) experience disproportionate rates of mental health and other negative health outcomes. For GBM in relationships, contextualizing the myriad of negative outcomes as a dyadic process may provide insight into the mechanisms through which these adverse outcomes develop. The objective of this review is to examine the current state of the relationship science literature using a health framework, Relationship Process and Health. We conducted a search for articles using PubMed, PsycInfo, and Web of Science for empirical articles in English published in the past 15 years on GBM in a relationship, assessing attachment, and relationship functioning as predictors of health outcomes. We found 649 articles. After screening, 23 articles were identified and reviewed. Findings overwhelming identified HIV risk as the primary health outcome. Attachment was associated with relationship functioning and sexual risk behaviors. Relationship-specific components were largely used as predictors of sexual HIV transmission risk behaviors. Together, these studies suggest that relationship functioning is a prospective link between attachment and health-related outcomes. The literature has yet to examine empirically dyadic-level mechanisms that may explain the association between individual attachment and health outcomes aside from HIV risk, and needs more examination of other health disparities affecting GBM.
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