a Department of Epidemiology , University of Florida , Gainesville , FL , USA.
b Wuhan Center for Disease Prevention and Control , Wuhan , Hubei , People's Republic of China.
Anxiety Stress Coping. 2019 Jul;32(4):362-375. doi: 10.1080/10615806.2019.1596673. Epub 2019 Mar 20.
Few studies have examined the complex relationship of migration stress and depression with sexual risk behaviors among migrants. The relationship between migration stress and sexual risk behaviors may be mediated by depression, and the mediation process may be modified by social capital. The study aims to investigate this moderated mediation mechanism among rural-to-urban migrants. Data were collected from rural-to-urban migrants in China. Migration stress, depression, and social capital were measured with validated scales and used as predictor, mediator and moderator, respectively, to predict the likelihood of having sex with risk partners. Mediation and moderated mediation models were used to analyze the data. Depression significantly mediated the migration stress-sex with risk partner relationship for males (the indirect effect [95%CI] = 0.36 [0.08, 0.66]); the mediation effect was not significant for females (0.31 [-0.82, 0.16]). Among males, social capital significantly moderated the depression-sex with risk partner relation with moderation effect -0.12 [-0.21, -0.04], -0.21 [-0.41, -0.01] and -0.17 [-0.30, -0.05] for total, bonding and bridging capital respectively. Social capital may weaken the association between migration stress and sexual risk behavior by buffering the depression-sexual risk behaviors association for males. Additional research is needed to examine this issue among females.
很少有研究探讨移民压力和抑郁与移民的性风险行为之间的复杂关系。移民压力与性风险行为之间的关系可能受到抑郁的影响,而社会资本可能会调节这种关系。本研究旨在探讨农村到城市移民中的这种调节中介机制。
数据来自中国的农村到城市移民。使用经过验证的量表测量移民压力、抑郁和社会资本,分别作为预测因子、中介变量和调节变量,以预测与风险伴侣发生性行为的可能性。使用中介和调节中介模型分析数据。
抑郁显著中介了男性移民压力与与风险伴侣发生性行为的关系(间接效应[95%CI] = 0.36 [0.08, 0.66]);对于女性,中介效应不显著(0.31 [-0.82, 0.16])。在男性中,社会资本显著调节了抑郁与与风险伴侣发生性行为的关系,调节效应分别为-0.12 [-0.21, -0.04]、-0.21 [-0.41, -0.01]和-0.17 [-0.30, -0.05],分别对应总资本、结合资本和桥接资本。
社会资本可能通过缓冲抑郁与性风险行为之间的关联,从而削弱移民压力与性风险行为之间的关联,对于男性来说尤其如此。需要进一步的研究来检验女性中的这一问题。