Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review
Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review
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DOI：
10.1037//0278-6133.20.4.291
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发表时间：
2001-07-01
影响因子：
4.2
通讯作者：
Marks, G
中科院分区：
文献类型：
--
作者：
Crepaz, N;Marks, G
这项荟萃分析综述研究了消极情感状态（抑郁、焦虑、愤怒）是否与使人们处于感染或传播艾滋病毒风险的性行为有关。34份研究样本的结果纳入分析。与流行的观点相反，研究结果作为一个整体提供了很少的证据表明，负面影响与增加性风险行为。整体关联的平均加权相关系数为0.05。愤怒（r = 0.10）的效应量不显著高于抑郁症状（r = 0.04）或焦虑（r = 0.03）。效应量的变异性未考虑到性风险指标的类型、受试者人群或研究的方法学方面。文献的概念和方法的局限性，并为今后的研究方向进行了讨论。
This meta-analytic review examined whether negative affective states (depressive symptomatology, anxiety, anger) are associated with sexual behaviors that place people at risk for contracting or transmitting HIV. The results from 34 study samples were included in the analysis. Contrary to popular belief, the findings as a whole provide little evidence that negative affect is associated with increased sexual risk behavior. The average weighted correlation for the overall association was .05. The effect size was nonsignificantly higher for anger (r = .10) than for depressive symptoms (r = .04) or anxiety (r = .03). The variability of effect sizes was not accounted for by type of sexual risk measure, subject population, or methodological aspects of the studies. Conceptual and methodological limitations of the literature are identified and directions for future research are discussed.