Rejection Sensitivity, Perceived Power, and HIV Risk in the Relationships of Low-Income Urban Women.
Rejection Sensitivity, Perceived Power, and HIV Risk in the Relationships of Low-Income Urban Women.
复制标题
低收入城市女性关系中的拒绝敏感性、感知权力和艾滋病毒风险。
DOI：
10.1080/03630242.2015.1061091
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发表时间：
2015
期刊：
影响因子：
1.6
通讯作者：
Downey,Geraldine
中科院分区：
文献类型：
--
作者：
Berenson,KathyR;Paprocki,Christine;ThomasFishman,Marget;Bhushan,Devika;El-Bassel,Nabila;Downey,Geraldine
长期关系中与艾滋病毒感染相关的心理过程与偶然性接触中的心理过程不同，并且相对较少的研究考虑了适用于女性面临最大风险的持续异性关系中的人格方面。对拒绝的敏感性与以牺牲自我为代价来防止拒绝的努力有关，因此可能与许多女性在人际关系中遭受的健康风险有关。我们在艾滋病毒暴露风险较高的女性样本中研究了拒绝敏感性与女性性危险行为的关系。 2001-2003 年，长期异性恋关系中的女性（N = 159）被招募参加为纽约市低收入社区提供服务的医院急诊室的研究。使用口头问卷评估拒绝敏感性和已知的艾滋病毒危险因素。拒绝敏感性与较低的感知关系能力有关，反过来，与被认为有艾滋病毒风险的伴侣发生更频繁的无保护性行为有关。在控制其他艾滋病毒风险因素（包括伴侣暴力、经济依赖和药物滥用）时，这些结果仍然成立。了解拒绝担忧与人际关系中个人权力较低之间的关系对于预防艾滋病毒可能很重要。
The psychological processes associated with HIV infection in long-term relationships differ from those operative in casual sexual encounters, and relatively little research has considered the aspects of personality applicable in the ongoing heterosexual relationships in which women are at greatest risk. Sensitivity to rejection has been linked with efforts to prevent rejection at a cost to the self and, therefore, may be relevant to the health risks that many women incur in relationships. We examined the association of rejection sensitivity with women’s sexual risk behavior in a sample of women at heightened risk for HIV exposure. Women in long-term heterosexual relationships (N= 159) were recruited for study participation in the hospital emergency room serving a low-income neighborhood in New York City, in 2001–2003. Rejection sensitivity and known HIV risk factors were assessed using verbally administered questionnaires. Rejection sensitivity was associated with lower perceived relationship power and, in turn, more frequent unprotected sex with a partner perceived to be at risk for HIV. These results held when controlling for other HIV risk factors including partner violence, economic dependence, and substance use. Understanding the association of rejection concerns with lower perceived personal power in relationships may be important for HIV prevention.