Community, Health Outcomes, and Intervention Research Program, The Saban Research Institute, Childrens Hospital Los Angeles, Los Angeles, CA 90027, USA.
J Adolesc. 2010 Jun;33(3):463-75. doi: 10.1016/j.adolescence.2009.06.004. Epub 2009 Jul 16.
Limited research has captured the wide varieties of distinct, but interrelated, life stressors that young men who have sex with men (YMSM) experience as emerging adults. We examined the way recent experiences of a diverse set of stressors predict illicit drug use, alcohol misuse, and inconsistent condom use (i.e., unprotected anal intercourse) among an ethnically diverse cohort of YMSM (N=526). Results indicated that stress related to financial and health concerns were associated with increased risk for substance use, while health concerns and partner-related stress were associated with sexual risk-taking. Additional analyses indicated drug use and alcohol misuse did not significantly mediate the impact that stressors have on sexual risk. Findings show that stressors from different life domains can have impact on different HIV-risk behavior. Results challenge the way diverse stressful life experiences are conceptualized for this population.
有限的研究已经捕捉到了各种各样不同但相互关联的生活压力源，这些压力源是男男性行为者（YMSM）在成年早期所经历的。我们研究了最近一系列不同压力源的经历如何预测不同种族的 YMSM 群体（N=526）中的非法药物使用、酒精滥用和不坚持使用安全套（即无保护的肛交）。结果表明，与财务和健康相关的压力与物质使用风险增加有关，而健康问题和伴侣相关的压力与性冒险行为有关。进一步的分析表明，药物使用和酒精滥用并不能显著调节压力源对性风险的影响。研究结果表明，来自不同生活领域的压力源可能对不同的 HIV 风险行为产生影响。研究结果挑战了为这一人群概念化不同的压力生活经历的方式。
