Depression is Associated with Sexual Risk Among Men Who Have Sex with Men, but is Mediated by Cognitive Escape and Self-Efficacy

被引：0
作者：
Lisa M. Alvy
David J. McKirnan
Gordon Mansergh
Beryl Koblin
Grant N. Colfax
Stephen A. Flores
Sharon Hudson
机构：
[1] University of Illinois at Chicago,Department of Psychology
[2] Howard Brown Health Center,undefined
[3] CDC,undefined
[4] Division of HIV/AIDS Prevention,undefined
[5] New York Blood Center,undefined
[6] San Francisco Department of Public Health,undefined
[7] Health Research Association,undefined
来源：
AIDS and Behavior | 2011年 / 15卷
关键词：
Depression; Sexual risk; MSM; Cognitive escape; Self-efficacy;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：1171 / 1179
页数：8
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