HIV 阳性男同性恋和双性恋者的依恋类型、无保护性行为和毒品使用。
Attachment Styles, Condomless Sex, and Drugs in HIV-Positive Gay and Bisexual Men.
机构信息
Lluita contra la Sida Foundation-HIV Unit-Germans Trias i Pujol University Hospital, Badalona, Spain.
Facultat de Psicologia i Ciències de l'Educació, Universitat Oberta de Catalunya (UOC), Barcelona, Spain.
出版信息
J Sex Marital Ther. 2020;46(1):35-42. doi: 10.1080/0092623X.2019.1626308. Epub 2019 Jun 22.
This study evaluated whether attachment styles might be related to condomless sex, use of drugs, and adherence to antiretroviral treatment (ART) in 400 HIV-positive gay and bisexual men (GBM). With the Relationship Questionnaire, 160 men were classified as securely attached and 240 as insecurely attached (88 dismissive, 79 preoccupied, and 73 fearful). Insecurely attached GBM had more condomless sex ( = 0.04), and used more cocaine ( = 0.001), ecstasy ( = 0.03), GHB ( = 0.04), and ketamine ( = 0.04). No differences were observed in adherence to ART. Dismissively attached GBM reported more condomless sex and use of drugs than preoccupied and fearfully attached GBM. The perspective of attachment might enrich the interventions to promote heath care in GBM.
这项研究评估了依恋类型是否与 400 名 HIV 阳性男同性恋和双性恋者（GBM）中的无保护性行为、吸毒和抗逆转录病毒治疗（ART）的依从性有关。通过关系问卷，160 名男性被归类为安全依恋，240 名男性被归类为不安全依恋（88 名回避型、79 名专注型和 73 名恐惧型）。不安全依恋的 GBM 有更多的无保护性行为（p=0.04），并且更多地使用可卡因（p=0.001）、摇头丸（p=0.03）、GHB（p=0.04）和氯胺酮（p=0.04）。在 ART 依从性方面没有观察到差异。回避型依恋的 GBM 报告的无保护性行为和药物使用比专注型和恐惧型依恋的 GBM 更多。依恋的观点可能会丰富干预措施，以促进 GBM 的医疗保健。
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