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Erschienen in: AIDS and Behavior 2/2007

01.03.2007 | Original Paper

Avoidance, Anxiety, and Sex: The Influence of Romantic Attachment on HIV-Risk among Pregnant Women

verfasst von: Trace S. Kershaw, Stephanie Milan, Claire Westdahl, Jessica Lewis, Sharon Schindler Rising, Rachel Fletcher, Jeannette Ickovics

Erschienen in: AIDS and Behavior | Ausgabe 2/2007

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Abstract

Most unprotected sex occurs in close relationships. However, few studies examine relational factors and sexual risk among high-risk populations. Romantic Attachment Theory states that individuals have cognitive working models for relationships that influence expectations, affect, and behavior. We investigated the influence of attachment avoidance and anxiety on sexual beliefs (e.g., condom use beliefs, self-efficacy), behavior (e.g., condom use, multiple partners, unprotected sex with risky partners), and sexually transmitted infections (STIs) among 755 high-risk, young pregnant women (ages 14–25) recruited from urban prenatal clinics. Attachment anxiety predicted sexual beliefs, condom use, and unprotected sex with risky partners controlling for demographic variables. Sexual beliefs did not mediate the relationship between attachment orientation and sexual behavior. Current relationship with the father of the baby did mediate the effect of attachment anxiety on multiple partners and STIs. Results indicate the importance of including general relational factors, such as attachment, in HIV prevention.
Literatur
Zurück zum Zitat Ainsworth, M. D. S. (1982). Attachment: Retrospect and prospect. In C. M. Parkes, & J. Stevenson-Hinde (Eds.), The place of attachment in human behavior (pp. 3–30). New York: Basic Books. Ainsworth, M. D. S. (1982). Attachment: Retrospect and prospect. In C. M. Parkes, & J. Stevenson-Hinde (Eds.), The place of attachment in human behavior (pp. 3–30). New York: Basic Books.
Zurück zum Zitat Baron, R. M., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistic considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistic considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef
Zurück zum Zitat Basen-Engquist, K., Masse, L. C., Coyle, K., Kirby, D., Parcel, G. S., Banspach, S., et al. (1999). Validity of scales measuring the psychosocial determinants of HIV/STD-related risk behavior in adolescents. Health Education Research, 14, 25–38.PubMedCrossRef Basen-Engquist, K., Masse, L. C., Coyle, K., Kirby, D., Parcel, G. S., Banspach, S., et al. (1999). Validity of scales measuring the psychosocial determinants of HIV/STD-related risk behavior in adolescents. Health Education Research, 14, 25–38.PubMedCrossRef
Zurück zum Zitat Begley, E., Crosby, R. A., DiClemente, R. J., Wingood, G. M., & Rose, E. (2003). Older partners and STD prevalence among pregnant African American teens. Sexually Transmitted Diseases, 30, 211–213.PubMedCrossRef Begley, E., Crosby, R. A., DiClemente, R. J., Wingood, G. M., & Rose, E. (2003). Older partners and STD prevalence among pregnant African American teens. Sexually Transmitted Diseases, 30, 211–213.PubMedCrossRef
Zurück zum Zitat Bogaert, A. F., & Sadava, S. (2002). Adult attachment and sexual behavior. Personal Relationships, 9, 191–204.CrossRef Bogaert, A. F., & Sadava, S. (2002). Adult attachment and sexual behavior. Personal Relationships, 9, 191–204.CrossRef
Zurück zum Zitat Bost, K. K., Cox, M. J., Burchinal, M. R., & Payne, C. (2002). Structural and supportive changes in couples’ family and friendship networks across the transition to parenthood. Journal of Marriage and the Family, 64, 517–531.CrossRef Bost, K. K., Cox, M. J., Burchinal, M. R., & Payne, C. (2002). Structural and supportive changes in couples’ family and friendship networks across the transition to parenthood. Journal of Marriage and the Family, 64, 517–531.CrossRef
Zurück zum Zitat Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY: Basic Books. Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY: Basic Books.
Zurück zum Zitat Brennan, K. A., & Shaver, P. R. (1995). Dimensions of adult attachment, affect regulation, and romantic relationship functioning. Personality and Social Psychology Bulletin, 21, 267–283.CrossRef Brennan, K. A., & Shaver, P. R. (1995). Dimensions of adult attachment, affect regulation, and romantic relationship functioning. Personality and Social Psychology Bulletin, 21, 267–283.CrossRef
Zurück zum Zitat Brennan, K. A., & Shaver, P. R. (1998). Attachment styles and personality disorders: Their connections to each other and to parental divorce, parental death, and perceptions of parental caregiving. Journal of Personality, 66, 835–878.PubMedCrossRef Brennan, K. A., & Shaver, P. R. (1998). Attachment styles and personality disorders: Their connections to each other and to parental divorce, parental death, and perceptions of parental caregiving. Journal of Personality, 66, 835–878.PubMedCrossRef
Zurück zum Zitat C’de Baca, J., Lapham, S. C., Skipper, B. J., & Watkins, M. L. (1997). Use of computer interview data to test associations between risk factors and pregnancy outcomes. Computers and Biomedical Research, 30, 232–243.PubMedCrossRef C’de Baca, J., Lapham, S. C., Skipper, B. J., & Watkins, M. L. (1997). Use of computer interview data to test associations between risk factors and pregnancy outcomes. Computers and Biomedical Research, 30, 232–243.PubMedCrossRef
Zurück zum Zitat Ciesla, J. A., Roberts, J. E., & Hewitt, R. G. (2004). Adult attachment and high-risk sexual behavior among HIV-positive patients. Journal of Applied Social Psychology, 34, 108–124.CrossRef Ciesla, J. A., Roberts, J. E., & Hewitt, R. G. (2004). Adult attachment and high-risk sexual behavior among HIV-positive patients. Journal of Applied Social Psychology, 34, 108–124.CrossRef
Zurück zum Zitat Collins, N., & Read, S. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644–663.PubMedCrossRef Collins, N., & Read, S. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644–663.PubMedCrossRef
Zurück zum Zitat Cooper, M., Shaver, P. R., & Collins, N. L. (1998). Attachment styles, emotion regulation, and adjustment in adolescence. Journal of Personality and Social Psychology, 74, 1380–1397.PubMedCrossRef Cooper, M., Shaver, P. R., & Collins, N. L. (1998). Attachment styles, emotion regulation, and adjustment in adolescence. Journal of Personality and Social Psychology, 74, 1380–1397.PubMedCrossRef
Zurück zum Zitat Cooper, M. L., Shapiro, C. M., & Powers, A. M. (1998). Motivations for sex and risky sexual behavior among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 75, 1528–1558.PubMedCrossRef Cooper, M. L., Shapiro, C. M., & Powers, A. M. (1998). Motivations for sex and risky sexual behavior among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 75, 1528–1558.PubMedCrossRef
Zurück zum Zitat Cox, M.J., Paley, B., Payne, C. C., & Burchinal, P. (1999). The transition to parenthood: Marital conflict and withdrawal and parent-infant interaction. In M. Cox & J. Brooks-Gunn (Eds.), Conflict and cohesion in families:Causes and consequences. The advances in family research series (pp. 87–104). Mahwah, NJ: Lawrence Erlbaum. Cox, M.J., Paley, B., Payne, C. C., & Burchinal, P. (1999). The transition to parenthood: Marital conflict and withdrawal and parent-infant interaction. In M. Cox & J. Brooks-Gunn (Eds.), Conflict and cohesion in families:Causes and consequences. The advances in family research series (pp. 87–104). Mahwah, NJ: Lawrence Erlbaum.
Zurück zum Zitat Crosby, R. A., DiClemente, R. J., Wingood, G. M., Sionean, C., Cobb, B. K., & Harrington, K. (2000). Correlates of unprotected vaginal sex among African American female adolescents: Importance of relationship dynamics. Archives of Pediatric Adolescent Medicine, 154, 893–899. Crosby, R. A., DiClemente, R. J., Wingood, G. M., Sionean, C., Cobb, B. K., & Harrington, K. (2000). Correlates of unprotected vaginal sex among African American female adolescents: Importance of relationship dynamics. Archives of Pediatric Adolescent Medicine, 154, 893–899.
Zurück zum Zitat Des Jarlais, D. C., & Turner, C. V. (1998, 1998). Audio-CASI versus interviewer obtained survey from participants in syringe exchange programs. Paper presented at the North American syringe exchange convention, Baltimore, Maryland. Des Jarlais, D. C., & Turner, C. V. (1998, 1998). Audio-CASI versus interviewer obtained survey from participants in syringe exchange programs. Paper presented at the North American syringe exchange convention, Baltimore, Maryland.
Zurück zum Zitat DiClemente, R. J., Wingood, G. M., Crosby, R. A., Sionean, C., Cobb, B. K., Harrington, K., et al. (2002). Sexual risk behaviors associated with having older sex partners: A study of black adolescent females. Sexually Transmitted Diseases, 29, 20–24.PubMedCrossRef DiClemente, R. J., Wingood, G. M., Crosby, R. A., Sionean, C., Cobb, B. K., Harrington, K., et al. (2002). Sexual risk behaviors associated with having older sex partners: A study of black adolescent females. Sexually Transmitted Diseases, 29, 20–24.PubMedCrossRef
Zurück zum Zitat Dulude, D., Belanger, C., Wright, J., & Sabourin, S. (2002). High-risk pregnancies, psychological distress, and dyadic adjustment. Journal of Reproductive and Infant Psychology, 20, 101–124.CrossRef Dulude, D., Belanger, C., Wright, J., & Sabourin, S. (2002). High-risk pregnancies, psychological distress, and dyadic adjustment. Journal of Reproductive and Infant Psychology, 20, 101–124.CrossRef
Zurück zum Zitat El-Bassel, N., Witte, S. S., Gilbert, L., Sormanti, M., Moreno, C., Pereira, L., et al. (2001). HIV prevention for intimate couples: A relationship-based model. Families, Systems and Health, 19, 379–395. El-Bassel, N., Witte, S. S., Gilbert, L., Sormanti, M., Moreno, C., Pereira, L., et al. (2001). HIV prevention for intimate couples: A relationship-based model. Families, Systems and Health, 19, 379–395.
Zurück zum Zitat El-Bassel, N., Witte, S. S., Gilbert, L., Wu, E., Chang, M., Hill, J., et al. (2003). The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. American Journal of Public Health, 93, 963–969.PubMed El-Bassel, N., Witte, S. S., Gilbert, L., Wu, E., Chang, M., Hill, J., et al. (2003). The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. American Journal of Public Health, 93, 963–969.PubMed
Zurück zum Zitat El-Bassel, N., Witte, S. S., Gilbert, L., Wu, E., Chang, M., Hill, J., et al. (2005). Long-term effects of an HIV/STI sexual risk reduction intervention for heterosexual couples. AIDS and Behavior, 9, 1–13.PubMedCrossRef El-Bassel, N., Witte, S. S., Gilbert, L., Wu, E., Chang, M., Hill, J., et al. (2005). Long-term effects of an HIV/STI sexual risk reduction intervention for heterosexual couples. AIDS and Behavior, 9, 1–13.PubMedCrossRef
Zurück zum Zitat Feeney, B. C., & Kirkpatrick, L. A. (1996). Effects of adult attachment and presence of romantic partners on physiological responses to stress. Journal of Personality and Social Psychology, 70, 255–270.PubMedCrossRef Feeney, B. C., & Kirkpatrick, L. A. (1996). Effects of adult attachment and presence of romantic partners on physiological responses to stress. Journal of Personality and Social Psychology, 70, 255–270.PubMedCrossRef
Zurück zum Zitat Feeney, J. A., Kelly, L., Gallois, C., Peterson, C., & Terry, D. J. (1999). Attachment style, assertive communication, and safer-sex behavior. Journal of Applied Social Psychology, 29, 1964–1983.CrossRef Feeney, J. A., Kelly, L., Gallois, C., Peterson, C., & Terry, D. J. (1999). Attachment style, assertive communication, and safer-sex behavior. Journal of Applied Social Psychology, 29, 1964–1983.CrossRef
Zurück zum Zitat Feeney, J. A., & Noller, P. (2003). Attachment and sexuality in close relationships. In P. Florsheim (Ed.), Adolescent romantic relations and sexual behavior: Theory, research, and practical implications (pp. 137–162). Mahwah, NJ: Lawrence Erlbaum. Feeney, J. A., & Noller, P. (2003). Attachment and sexuality in close relationships. In P. Florsheim (Ed.), Adolescent romantic relations and sexual behavior: Theory, research, and practical implications (pp. 137–162). Mahwah, NJ: Lawrence Erlbaum.
Zurück zum Zitat Feeney, J. A., Noller, P., & Callan, V. J. (1994). Attachment style, communication and satisfaction in the early years of marriage. In K. Bartholomew, & D. Perlman (Eds.), Attachment processes in adulthood. Advances in personal relationships. PA, US: Jessica Kingsley Publishers, Ltd. Feeney, J. A., Noller, P., & Callan, V. J. (1994). Attachment style, communication and satisfaction in the early years of marriage. In K. Bartholomew, & D. Perlman (Eds.), Attachment processes in adulthood. Advances in personal relationships. PA, US: Jessica Kingsley Publishers, Ltd.
Zurück zum Zitat Feeney, J. A., Noller, P., & Patty, J. (1993). Adolescents’ interactions with the opposite sex: Influence of attachment style and gender. Journal of Adolescence, 16, 169–186.PubMedCrossRef Feeney, J. A., Noller, P., & Patty, J. (1993). Adolescents’ interactions with the opposite sex: Influence of attachment style and gender. Journal of Adolescence, 16, 169–186.PubMedCrossRef
Zurück zum Zitat Feeney, J. A., Peterson, C., Gallois, C., & Terry, D. J. (2000). Attachment style as a predictor of sexual attitudes and behavior in late adolescence. Psychology and Health, 14, 1105–1122.CrossRef Feeney, J. A., Peterson, C., Gallois, C., & Terry, D. J. (2000). Attachment style as a predictor of sexual attitudes and behavior in late adolescence. Psychology and Health, 14, 1105–1122.CrossRef
Zurück zum Zitat Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., et al. (2003). The transition to parenthood among young African American and Latino couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17, 65–79.PubMedCrossRef Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., et al. (2003). The transition to parenthood among young African American and Latino couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17, 65–79.PubMedCrossRef
Zurück zum Zitat Fortenberry, J. D., Tu, W., Harezlak, J., Katz, B. P., & Orr, D. P. (2002). Condom use as a function of time in new and established adolescent sexual relationships. American Journal of Public Health, 92, 211–213.PubMed Fortenberry, J. D., Tu, W., Harezlak, J., Katz, B. P., & Orr, D. P. (2002). Condom use as a function of time in new and established adolescent sexual relationships. American Journal of Public Health, 92, 211–213.PubMed
Zurück zum Zitat Fraley, R. C., & Davis, K. E. (1997). Attachment formation and transfer in young adults’ close friendships and romantic relationships. Personal Relationships, 4, 131–144.CrossRef Fraley, R. C., & Davis, K. E. (1997). Attachment formation and transfer in young adults’ close friendships and romantic relationships. Personal Relationships, 4, 131–144.CrossRef
Zurück zum Zitat Furman, W., & Shaffer, L. (2003). The role of romantic relationships in adolescent development. In P. Florsheim (Ed.), Adolescent romantic relations and sexual behavior (pp. 3–22). Mahwah, New Jersey: Lawrence Erlbaum Associates. Furman, W., & Shaffer, L. (2003). The role of romantic relationships in adolescent development. In P. Florsheim (Ed.), Adolescent romantic relations and sexual behavior (pp. 3–22). Mahwah, New Jersey: Lawrence Erlbaum Associates.
Zurück zum Zitat Gallo, L. C., & Smith, T. W. (2001). Attachment style in marriage: Adjustment and responses to interaction. Journal of Social and Personal Relationships, 18, 263–289.CrossRef Gallo, L. C., & Smith, T. W. (2001). Attachment style in marriage: Adjustment and responses to interaction. Journal of Social and Personal Relationships, 18, 263–289.CrossRef
Zurück zum Zitat Gentzler, A. L., & Kerns, K. A. (2004). Associations between insecure attachment and sexual experiences. Personal Relationships, 11, 249–265.CrossRef Gentzler, A. L., & Kerns, K. A. (2004). Associations between insecure attachment and sexual experiences. Personal Relationships, 11, 249–265.CrossRef
Zurück zum Zitat Goldman, A., & Greenberg, L. S. (1992). Comparison if integrated systemic and emotionally focused approaches to couple therapy. Journal of Consulting and Clinical Psychology, 60, 962–969.PubMedCrossRef Goldman, A., & Greenberg, L. S. (1992). Comparison if integrated systemic and emotionally focused approaches to couple therapy. Journal of Consulting and Clinical Psychology, 60, 962–969.PubMedCrossRef
Zurück zum Zitat Greenberg, L. S., & Johnson, S. M. (1986). Affect in marital therapy. Journal of Marital and Family Therapy, 12, 19–23.CrossRef Greenberg, L. S., & Johnson, S. M. (1986). Affect in marital therapy. Journal of Marital and Family Therapy, 12, 19–23.CrossRef
Zurück zum Zitat Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511–524.PubMedCrossRef Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511–524.PubMedCrossRef
Zurück zum Zitat Hensley, W. E. (1996). The effect of a ludus love style on sexual experiences. Social Behavior and Personality, 24, 205–212.CrossRef Hensley, W. E. (1996). The effect of a ludus love style on sexual experiences. Social Behavior and Personality, 24, 205–212.CrossRef
Zurück zum Zitat Ickovics, J. R., Niccolai, L. M., Lewis, J. B., Kershaw, T. S., & Ethier, K. A. (2003). High postpartum rates of sexually transmitted infections among teens: Pregnancy as a window of opportunity for prevention. Sexually Transmitted Infections, 79, 469–473.PubMedCrossRef Ickovics, J. R., Niccolai, L. M., Lewis, J. B., Kershaw, T. S., & Ethier, K. A. (2003). High postpartum rates of sexually transmitted infections among teens: Pregnancy as a window of opportunity for prevention. Sexually Transmitted Infections, 79, 469–473.PubMedCrossRef
Zurück zum Zitat Johnson, S. M., Hunsley, J., Greenberg, L. S., & Schindler, D. (1999). Emotionally focused couples therapy: Status and challenges. Journal of Clinical Psychology:Science and Practice, 6, 67–79.CrossRef Johnson, S. M., Hunsley, J., Greenberg, L. S., & Schindler, D. (1999). Emotionally focused couples therapy: Status and challenges. Journal of Clinical Psychology:Science and Practice, 6, 67–79.CrossRef
Zurück zum Zitat Kalichman, S. C., Sarwer, D. B., Johnson, J. R., & Ali, S. A. (1994). Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. Journal of Psychology and Human Sexuality, 6, 93–106.CrossRef Kalichman, S. C., Sarwer, D. B., Johnson, J. R., & Ali, S. A. (1994). Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. Journal of Psychology and Human Sexuality, 6, 93–106.CrossRef
Zurück zum Zitat Kershaw T. S., Ethier K. A., Milan S., Lewis J. B., Niccolai L. M., Meade C., Ickovics J. R. (2005). The influence of pregnancy, STD, and HIV susceptibility patterns on sexual risk reduction for adolescent females. Journal of Community Psychology, 33, 313–331.CrossRef Kershaw T. S., Ethier K. A., Milan S., Lewis J. B., Niccolai L. M., Meade C., Ickovics J. R. (2005). The influence of pregnancy, STD, and HIV susceptibility patterns on sexual risk reduction for adolescent females. Journal of Community Psychology, 33, 313–331.CrossRef
Zurück zum Zitat Kershaw, T. S., Ethier, K. A., Niccolai, L. M., Lewis, J. B., & Ickovics, J. R. (2003). Misperceived risk among female adolescents: Social and psychological factors associated with sexual risk accuracy. Health Psychology, 22, 523–532.PubMedCrossRef Kershaw, T. S., Ethier, K. A., Niccolai, L. M., Lewis, J. B., & Ickovics, J. R. (2003). Misperceived risk among female adolescents: Social and psychological factors associated with sexual risk accuracy. Health Psychology, 22, 523–532.PubMedCrossRef
Zurück zum Zitat Kershaw, T. S., Ickovics, J. R., Lewis, J. B., Niccolai, L. M., Milan, S., & Ethier, K. A. (2004). Sexual risk following a sexually transmitted disease diagnosis: The more things change the more they stay the same. Journal of Behavior Medicine, 27, 445–461.CrossRef Kershaw, T. S., Ickovics, J. R., Lewis, J. B., Niccolai, L. M., Milan, S., & Ethier, K. A. (2004). Sexual risk following a sexually transmitted disease diagnosis: The more things change the more they stay the same. Journal of Behavior Medicine, 27, 445–461.CrossRef
Zurück zum Zitat Kershaw, T. S., Niccolai, L. M., Ethier, K. A., Lewis, J. B., & Ickovics, J. R. (2003). Perceived susceptibility to pregnancy and sexually transmitted disease among pregnant and nonpregnant adolescents. Journal of Community Psychology, 31, 419–434.CrossRef Kershaw, T. S., Niccolai, L. M., Ethier, K. A., Lewis, J. B., & Ickovics, J. R. (2003). Perceived susceptibility to pregnancy and sexually transmitted disease among pregnant and nonpregnant adolescents. Journal of Community Psychology, 31, 419–434.CrossRef
Zurück zum Zitat Kershaw, T. S., Niccolai, L. M., Ickovics, J. R., Lewis, J. B., Meade, C. S., & Ethier, K. A. (2003). Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: Implications for prevention of repeat pregnancy. Journal of Adolescent Health, 33, 359–368.PubMedCrossRef Kershaw, T. S., Niccolai, L. M., Ickovics, J. R., Lewis, J. B., Meade, C. S., & Ethier, K. A. (2003). Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: Implications for prevention of repeat pregnancy. Journal of Adolescent Health, 33, 359–368.PubMedCrossRef
Zurück zum Zitat Ketterlinus, R. D., Lamb, M. E., & Nitz, K. (1991). Development and ecological sources of stress among adolescent parents. Family Relations: Interdisciplinary Journal of Applied Family Studies, 40, 435–441. Ketterlinus, R. D., Lamb, M. E., & Nitz, K. (1991). Development and ecological sources of stress among adolescent parents. Family Relations: Interdisciplinary Journal of Applied Family Studies, 40, 435–441.
Zurück zum Zitat Latkin, C., Vlahov, D., & Anthony, J. (1993). Socially desirable responding and self-reported HIV infection risk behaviors among intravenous drug users. Addiction, 38, 517–526.CrossRef Latkin, C., Vlahov, D., & Anthony, J. (1993). Socially desirable responding and self-reported HIV infection risk behaviors among intravenous drug users. Addiction, 38, 517–526.CrossRef
Zurück zum Zitat Lenoir, C. D., & Ellen, J. M. (2004). What you don’t know can hurt you: Perceptions of sex partner concurrency and partner reported behavior. Journal of Adolescent Health, 34, 113. Lenoir, C. D., & Ellen, J. M. (2004). What you don’t know can hurt you: Perceptions of sex partner concurrency and partner reported behavior. Journal of Adolescent Health, 34, 113.
Zurück zum Zitat Meade, C. S., & Ickovics, J. R. (2005). Systematic review of sexual risk among pregnant and mothering teens in the USA: Pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy. Social Science and Medicine, 60, 661–678.PubMedCrossRef Meade, C. S., & Ickovics, J. R. (2005). Systematic review of sexual risk among pregnant and mothering teens in the USA: Pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy. Social Science and Medicine, 60, 661–678.PubMedCrossRef
Zurück zum Zitat Mikulincer, M., & Florian, V. (1999). The association between spouses’ self-reports of attachment styles and representations of family dynamics. Family Process, 38, 69–83.PubMedCrossRef Mikulincer, M., & Florian, V. (1999). The association between spouses’ self-reports of attachment styles and representations of family dynamics. Family Process, 38, 69–83.PubMedCrossRef
Zurück zum Zitat Mikulincer, M., Florian, V., Cowan, P. A., & Cowan, C. P. (2002). Attachment security in couple relationships: A systemic model and its implications for family dynamics. Family Process, 41, 405–434.PubMedCrossRef Mikulincer, M., Florian, V., Cowan, P. A., & Cowan, C. P. (2002). Attachment security in couple relationships: A systemic model and its implications for family dynamics. Family Process, 41, 405–434.PubMedCrossRef
Zurück zum Zitat Miller, W. B., & Pasta, D. J. (2001). Motivational antecedents to contraceptive method change following a pregnancy scare: A couple analysis. Social Biology, 48, 256–277.PubMed Miller, W. B., & Pasta, D. J. (2001). Motivational antecedents to contraceptive method change following a pregnancy scare: A couple analysis. Social Biology, 48, 256–277.PubMed
Zurück zum Zitat Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.CrossRef Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.CrossRef
Zurück zum Zitat Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., & Ickovics, J. R. (2003). Pregnant adolescents at risk: Sexual behaviors and sexually transmitted disease prevalence. American Journal of Obstetrics and Gynecology, 188, 63–70.PubMedCrossRef Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., & Ickovics, J. R. (2003). Pregnant adolescents at risk: Sexual behaviors and sexually transmitted disease prevalence. American Journal of Obstetrics and Gynecology, 188, 63–70.PubMedCrossRef
Zurück zum Zitat Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., Meade, C. S., & Ickovics, J. R. (2004). New sex partner acquisition and sexually transmitted disease risk among adolescent females. Journal of Adolescent Health, 34, 216–223.PubMedCrossRef Niccolai, L. M., Ethier, K. A., Kershaw, T. S., Lewis, J. B., Meade, C. S., & Ickovics, J. R. (2004). New sex partner acquisition and sexually transmitted disease risk among adolescent females. Journal of Adolescent Health, 34, 216–223.PubMedCrossRef
Zurück zum Zitat Sanford, K. (1997). Two dimensions of adult attachment: Further validation. Journal of Social and Personal Relationships, 14, 133–143.CrossRef Sanford, K. (1997). Two dimensions of adult attachment: Further validation. Journal of Social and Personal Relationships, 14, 133–143.CrossRef
Zurück zum Zitat Schachner, D. A., & Shaver, P. R. (2004). Attachment dimensions and sexual motives. Personal Relationships, 11, 179–195.CrossRef Schachner, D. A., & Shaver, P. R. (2004). Attachment dimensions and sexual motives. Personal Relationships, 11, 179–195.CrossRef
Zurück zum Zitat Sikkema, K. J., Heckman, T. G., Kelly, J. A., Anderson, E. S., Winett, R. A., Solomon, L. J., et al. (1996). HIV risk behaviors among women living in low-income, inner-city housing developments. American Journal of Public Health, 86, 1123–1128.PubMedCrossRef Sikkema, K. J., Heckman, T. G., Kelly, J. A., Anderson, E. S., Winett, R. A., Solomon, L. J., et al. (1996). HIV risk behaviors among women living in low-income, inner-city housing developments. American Journal of Public Health, 86, 1123–1128.PubMedCrossRef
Zurück zum Zitat Simpson, J. A., Rholes, W. S., & Phillips, D. (1996). Conflict in close relationships: An attachment perspective. Journal of Personality and Social Psychology, 71, 899–914.PubMedCrossRef Simpson, J. A., Rholes, W. S., & Phillips, D. (1996). Conflict in close relationships: An attachment perspective. Journal of Personality and Social Psychology, 71, 899–914.PubMedCrossRef
Zurück zum Zitat Sionean, C., DiClemente, R. J., Wingood, G. M., Crosby, R., Cobb, B. K., Harrington, K., et al. (2002). Psychosocial and behavioral correlates of refusing unwanted sex among African-American adolescent females. Journal of Adolescent Health, 30, 55–63.PubMedCrossRef Sionean, C., DiClemente, R. J., Wingood, G. M., Crosby, R., Cobb, B. K., Harrington, K., et al. (2002). Psychosocial and behavioral correlates of refusing unwanted sex among African-American adolescent females. Journal of Adolescent Health, 30, 55–63.PubMedCrossRef
Zurück zum Zitat Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Josey-Bass. Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Josey-Bass.
Zurück zum Zitat Tracy, J. L., Shaver, P. R., Albino, A. W., & Cooper, M. (2003). Attachment styles and adolescent sexuality. [References]. In Florsheim Paul (Ed.), Dept of Psychology; U Utah (2003) Adolescent romantic relations and sexual behavior: Theory, research, and practical implications (pp. 137–159). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers. Tracy, J. L., Shaver, P. R., Albino, A. W., & Cooper, M. (2003). Attachment styles and adolescent sexuality. [References]. In Florsheim Paul (Ed.), Dept of Psychology; U Utah (2003) Adolescent romantic relations and sexual behavior: Theory, research, and practical implications (pp. 137–159). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers.
Zurück zum Zitat Turner C. F., Ku L., Rogers S. M., Lindberg L. D., Pleack J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873.PubMedCrossRef Turner C. F., Ku L., Rogers S. M., Lindberg L. D., Pleack J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873.PubMedCrossRef
Metadaten
Titel
Avoidance, Anxiety, and Sex: The Influence of Romantic Attachment on HIV-Risk among Pregnant Women
verfasst von
Trace S. Kershaw
Stephanie Milan
Claire Westdahl
Jessica Lewis
Sharon Schindler Rising
Rachel Fletcher
Jeannette Ickovics
Publikationsdatum
01.03.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 2/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9153-z

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