Starks Tyrel J, Millar Brett M, Tuck Andrew N, Wells Brooke E
Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave, New York, NY 10065, USA; Health Psychology and Clinical Science Doctoral Program, Graduate Center, CUNY, 365 5th Ave, New York, NY 10034, USA; Center for HIV/AIDS Educational Studies and Training (CHEST), 142 West 36th St, 9th Floor, New York, NY 10018, USA.
Health Psychology and Clinical Science Doctoral Program, Graduate Center, CUNY, 365 5th Ave, New York, NY 10034, USA; Center for HIV/AIDS Educational Studies and Training (CHEST), 142 West 36th St, 9th Floor, New York, NY 10018, USA.
Drug Alcohol Depend. 2015 Aug 1;153:187-93. doi: 10.1016/j.drugalcdep.2015.05.028. Epub 2015 May 27.
Research exploring substance use in gay and bisexual men has increasingly paid attention to interpersonal dynamics and relational concerns associated with the use of substances. The current study explored the role of adult attachment style on drug use as well as the potential mediating role of sexual expectancies of substance use among gay and bisexual men.
Online survey data were gathered from 122 gay and bisexual men across the U.S., with a mean age of 33 years. All participants were HIV-negative and identified their relationship status as single. Survey measures included attachment style, sexual expectancies of substance use, and recent drug use.
While neither anxious or avoidant attachment were directly associated with the odds of recent drug use, they were positively associated with sexual expectancies of substance use (β=0.27, p<0.01, and β=0.21, p<0.05) which, in turn, were positively associated with the odds of drug use (expB=1.09, p<0.01). Bootstrapping tests of indirect effects revealed a significant indirect relationship between anxious attachment and drug use through sexual expectancies of substance use (β=0.11, p<0.05), but not for avoidant attachment.
This study highlights the importance of interpersonal expectancies as motivators for drug use among gay and bisexual men. Sexual expectancies of substance use were associated with drug use and anxious adult attachment was associated indirectly with drug use through these sexual expectancies.
探索男同性恋者和双性恋者物质使用情况的研究越来越关注与物质使用相关的人际动态和关系问题。本研究探讨了成人依恋风格在药物使用中的作用，以及男同性恋者和双性恋者中物质使用的性期望的潜在中介作用。
从美国各地122名男同性恋者和双性恋者中收集在线调查数据，平均年龄为33岁。所有参与者均为HIV阴性，且表明其恋爱状况为单身。调查测量包括依恋风格、物质使用的性期望和近期药物使用情况。
虽然焦虑型或回避型依恋均与近期药物使用的几率无直接关联，但它们与物质使用的性期望呈正相关（β=0.27，p<0.01，以及β=0.21，p<0.05），而物质使用的性期望又与药物使用的几率呈正相关（expB=1.09，p<0.01）。间接效应的自抽样检验显示，焦虑型依恋通过物质使用的性期望与药物使用之间存在显著的间接关系（β=0.11，p<0.05），但回避型依恋则不存在这种关系。
本研究强调了人际期望作为男同性恋者和双性恋者药物使用动机的重要性。物质使用的性期望与药物使用相关，而焦虑型成人依恋通过这些性期望与药物使用间接相关。
