Wu Z Helen, Tennen Howard, Hosain G M Monawar, Coman Emil, Cullum Jerry, Berenson Abbey B
Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA.
Department of Community Medicine, University of Connecticut Health Center, Farmington, CT, USA.
Stress Health. 2016 Apr;32(2):138-44. doi: 10.1002/smi.2587. Epub 2014 Jul 2.
This study examined the role of stress as a mediator of the relationship between prior drug addiction and current high-risk sexual behaviour. Eight hundred twenty women aged 18 to 30 years, who received care at community-based family planning clinics, were interviewed using the Composite International Diagnostic Interview and the Sexual Risk Behavior Assessment Schedule. They also completed the brief version of the Self-Control Scale as a measure of problem-solving strategies and measures of recent stressful events, daily hassles and ongoing chronic stress. Regardless of addiction history, stress exposure during the previous 12 months was associated with risky sexual behaviour during the previous 12 months. Structural equation modelling revealed that 12-month stress levels mediated the relationship between past drug addiction and 12-month high-risk sexual behaviours, as well as the negative relationship between problem-solving strategies and high-risk sexual behaviours. Problem-solving strategies did not moderate the relationship between drug addiction and high-risk sexual behaviours. These findings suggest that stress management training may help reduce risky behaviour among young, low-income women.
本研究探讨了压力在既往药物成瘾与当前高危性行为之间关系中所起的中介作用。对820名年龄在18至30岁之间、在社区计划生育诊所接受护理的女性，使用综合国际诊断访谈和性风险行为评估量表进行了访谈。她们还完成了自我控制量表的简短版本，作为解决问题策略的一种衡量方式，以及近期压力事件、日常琐事和持续性慢性压力的测量。无论成瘾史如何，过去12个月内的压力暴露都与过去12个月内的危险性行为有关。结构方程模型显示，12个月的压力水平介导了过去药物成瘾与12个月高危性行为之间的关系，以及解决问题策略与高危性行为之间的负相关关系。解决问题策略并未调节药物成瘾与高危性行为之间的关系。这些发现表明，压力管理培训可能有助于减少年轻低收入女性中的危险行为。
