Depression is Associated with Sexual Risk Among Men Who Have Sex with Men, but is Mediated by Cognitive Escape and Self-Efficacy
Depression is Associated with Sexual Risk Among Men Who Have Sex with Men, but is Mediated by Cognitive Escape and Self-Efficacy
复制标题
DOI：
10.1007/s10461-010-9678-z
复制
发表时间：
2011-08-01
影响因子：
4.4
通讯作者：
Hudson, Sharon
中科院分区：
文献类型：
--
作者：
Alvy, Lisa M.;McKirnan, David J.;Hudson, Sharon
男男性行为者（MSM）艾滋病毒感染率高，抑郁症的发病率高于非MSM。我们研究了“高危”男男性接触者中抑郁和性风险之间的关系。关于抑郁症和危险性行为之间的联系，证据喜忧参半，尽管研究人员很少考虑心理社会脆弱性的作用，如性安全的自我效能或“逃避”应对方式。在一个全国性样本（N = 1，540）中，HIV阳性和HIV阴性MSM报告与性伴侣发生无保护性行为和使用药物，我们发现抑郁症与HIV传播风险有关的证据。性安全自我效能和认知逃避介导的抑郁症和风险行为之间的联系，这表明心理脆弱性在抑郁症与性风险的关联中起着重要作用。这些发现可能有助于我们构建更准确的关于抑郁症和性行为的理论，并可能为性安全干预措施的设计提供信息。
Men who have sex with men (MSM) show high rates of HIV infection, and higher rates of depression than non-MSM. We examined the association between depression and sexual risk among "high risk" MSM. Evidence has been mixed regarding the link between depression and risky sex, although researchers have rarely considered the role of psychosocial vulnerabilities such as self-efficacy for sexual safety or "escape" coping styles. In a national sample (N = 1,540) of HIV-positive and HIV-negative MSM who reported unprotected sex and drug use with sex partners, we found evidence that depression is related to HIV transmission risk. Self-efficacy for sexual safety and cognitive escape mediated the link between depression and risk behavior, suggesting that psychosocial vulnerability plays an important role in the association of depression with sexual risk. These findings may help us construct more accurate theories regarding depression and sexual behavior, and may inform the design of sexual safety interventions.