Martin D J
Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance 90509.
AIDS Educ Prev. 1993 Summer;5(2):104-20.
Because AIDS has been identified as a major source of stress among gay men, coping models may contribute to an understanding of factors related to changes in and failure to change sexual behavior. Gay men in Long Beach, California, were surveyed to determine whether appraisal and coping are factors in efforts to reduce transmission risk for the human immunodeficiency virus (HIV). Factor analysis of the appraisal and coping items yielded factor structures similar to those reported by earlier coping investigators and that were differentially associated with reported reductions in risk for HIV transmission and with reported intent to engage in high- and low-risk sexual behaviors. Risk-reduction efforts and intent were associated with health-threat (to self or to partner) primary appraisals, secondary appraisals that respondents could change or do something about AIDS, and the coping factors of self-control, seeking social support, and confrontive coping (expression of anger). In addition, intent to engage in relatively high-risk behavior was associated with passive coping (acceptance). These results are discussed in terms of their relevance for risk-reduction education programs and for future research.
由于艾滋病已被确认为男同性恋者压力的主要来源，应对模式可能有助于理解与性行为改变及未改变相关的因素。对加利福尼亚州长滩的男同性恋者进行了调查，以确定评估和应对是否是降低人类免疫缺陷病毒（HIV）传播风险努力中的因素。对评估和应对项目进行因素分析，得出的因素结构与早期应对研究人员报告的相似，且与报告的HIV传播风险降低以及参与高风险和低风险性行为的意图存在差异关联。降低风险的努力和意图与对健康威胁（对自己或伴侣）的初步评估、受访者认为自己可以改变或应对艾滋病的二次评估以及自我控制、寻求社会支持和对抗性应对（愤怒表达）等应对因素相关。此外，参与相对高风险行为的意图与被动应对（接受）相关。将根据这些结果与降低风险教育项目及未来研究的相关性进行讨论。
