Cross-Lagged Associations of Insecure Attachment Style, Alcohol Use, and Sexual Behavior During Emerging Adulthood.

Cross-Lagged Associations of Insecure Attachment Style, Alcohol Use, and Sexual Behavior During Emerging Adulthood.
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DOI:
10.1007/s10508-021-02106-5
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发表时间:
2022-04
影响因子:
3.8
通讯作者:
D'Amico, Elizabeth J.
D'Amico, Elizabeth J.
中科院分区:
法学2区
文献类型:
--
作者:
Tucker, Joan S.;Rodriguez, Anthony;Davis, Jordan P.;D'Amico, Elizabeth J.

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不安全的浪漫依恋风格与更多的物质使用和更高风险的性行为有关,但这些关联的时间性质还没有得到很好的理解。这项研究探讨了随着时间的推移,更不安全的依恋风格是否与更高风险的性行为有关,如果是这样,这是否是由更频繁的饮酒介导的。我们使用了来自不同加州队列(N = 2,371)的三次年度调查数据,这些队列的评估年龄从19岁到21-22岁。独立的交叉滞后模型研究了不安全的浪漫依恋风格(焦虑,回避),过去一个月的饮酒频率和性行为(性伴侣的数量,与随意和稳定的伴侣无避孕套的性行为)的时间关联。依恋焦虑与性行为没有直接关系。相反,一个跨波的一致模式表明,更大的依恋焦虑与下一波更频繁的饮酒有关,而这反过来又与一年后拥有更多的性伴侣以及与随意和稳定的伴侣发生无安全套性行为有关。相比之下,更大的依恋回避与性伴侣较少直接相关,并且其与无安全套性行为的关联在伴侣类型和评估波之间存在差异。依恋回避与饮酒频率无关。结果表明,焦虑型和回避型依恋风格都与高危性行为有关,但方式和机制不同。未来的研究可能要检查是否有效性的性风险降低计划的年轻人提高讨论的依恋风格和定制相应的课程。
Insecure romantic attachment style has been associated with greater substance use and higher risk sexual behavior, but the temporal nature of these associations is not well understood. This study examined whether having a more insecure attachment style was associated with greater engagement in higher risk sexual behavior over time and, if so, whether this was mediated by more frequent alcohol use. We used three annual waves of survey data from a diverse California cohort (N = 2,371) who were assessed from ages 19 to 21-22. Separate cross-lagged models examined temporal associations of insecure romantic attachment style (anxious, avoidant), past month alcohol use frequency, and sexual behavior (number of sex partners, condomless sex with casual and steady partners). Attachment anxiety was not directly associated with sexual behavior. Rather, a consistent pattern across waves showed that greater attachment anxiety was associated with more frequent alcohol use at the next wave, which, in turn, was associated with having more sex partners and condomless sex with casual and steady partners one year later. In contrast, greater attachment avoidance was directly associated with having fewer sex partners, and its associations with condomless sex differed across partner type and assessment waves. Attachment avoidance was unrelated to alcohol use frequency. Results indicated that both anxious and avoidant attachment styles were associated with higher risk sexual behavior, but in different ways and through different mechanisms. Future research may want to examine whether the effectiveness of sexual risk reduction programs for young people is enhanced by discussing attachment style and tailoring the curriculum accordingly.
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