Attachment as a Predictor of Psychological and Sexual Wellbeing Among Transgender Women in New York City.
Attachment as a Predictor of Psychological and Sexual Wellbeing Among Transgender Women in New York City.
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依恋是纽约市跨性别女性心理和性健康的预测因素。
DOI：
10.1080/00224499.2019.1644486
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发表时间：
2019
影响因子：
3.6
通讯作者：
Rendina,HJonathon
中科院分区：
文献类型：
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作者：
Sizemore,KMarie;Carter,JosephA;Millar,BrettM;Cain,Demetria;Parsons,JeffreyT;Rendina,HJonathon
变性妇女受艾滋病毒影响的比例过高，抑郁和焦虑的发病率很高。安全依恋在缓冲消极的性和心理健康结果方面的重要性已经得到了充分的证实。然而，很少有研究调查跨性别女性之间的依恋。我们在纽约市招募了213名跨性别女性的社区便利样本（法师= 34.3; SD = 11.7）。大多数是有色人种妇女（75.6%），几乎一半被确定为异性恋（47.4%），34.7%为艾滋病毒阳性。初步分析研究了样本分布在附件类别使用修订的经验，在密切关系规模。具体来说，布伦南、克拉克和谢弗的指导方针被用于分类（43.19%的恐惧、22.5%的专注、21.6%的轻蔑和12.7%的安全）。回归分析探讨了维度依恋焦虑，依恋回避，以及它们与抑郁，焦虑，自我效能的避孕套使用，诱惑避孕套的性行为，和避孕套的性行为的相互作用。结果表明，依恋焦虑与抑郁，焦虑，诱惑和无套性行为的概率之间呈正相关;依恋回避和无套性行为的概率之间也呈正相关。一个显著的交互作用表明，低依恋焦虑和依恋回避的个体（即，安全）的安全套使用自我效能最高，无安全套性行为的可能性最低。
Transgender women are disproportionately affected by HIV and experience high rates of depression and anxiety. The importance of secure attachment in buffering against negative sexual and mental health outcomes is well established. However, few studies have examined attachment among transgender women. We recruited a community-based convenience sample of 213 transgender women in New York City (Mage=34.3;SD= 11.7). The majority were women of color (75.6%), almost half identified as heterosexual (47.4%), and 34.7% were HIV-positive. Preliminary analyses examined the sample distribution across attachment categories using the Revised Experiences in Close Relationships scale. Specifically, Brennan, Clark and Shaver’s guidelines were used for categorization (43.19% fearful, 22.5% preoccupied, 21.6% dismissive, and 12.7% secure). Regression analyses examined the association of dimensional attachment anxiety, attachment avoidance, and their interaction with depression, anxiety, self-efficacy for condom use, temptations for condomless sex, and condomless sex acts. Results indicated a positive association between attachment anxiety and depression, anxiety, temptations and probability for condomless sex; and also between attachment avoidance and condomless sex probability. A significant interaction indicated that individuals with low attachment anxiety and attachment avoidance (i.e., secure) had the greatest condom use self-efficacy and the lowest probability of engaging in condomless sex.