Abstract

Gay and bisexual men (GBM) experience disproportionate rates of mental health and other negative health outcomes. For GBM in relationships, contextualizing the myriad of negative outcomes as a dyadic process may provide insight into the mechanisms through which these adverse outcomes develop. The objective of this review is to examine the current state of the relationship science literature using a health framework, Relationship Process and Health. We conducted a search for articles using PubMed, PsycInfo, and Web of Science for empirical articles in English published in the past 15 years on GBM in a relationship, assessing attachment, and relationship functioning as predictors of health outcomes. We found 649 articles. After screening, 23 articles were identified and reviewed. Findings overwhelming identified HIV risk as the primary health outcome. Attachment was associated with relationship functioning and sexual risk behaviors. Relationship-specific components were largely used as predictors of sexual HIV transmission risk behaviors. Together, these studies suggest that relationship functioning is a prospective link between attachment and health-related outcomes. The literature has yet to examine empirically dyadic-level mechanisms that may explain the association between individual attachment and health outcomes aside from HIV risk, and needs more examination of other health disparities affecting GBM.

摘要

男同性恋者和双性恋者（GBM）的心理健康和其他负面健康后果的发生率不成比例。对于处于关系中的GBM，将无数负面结果作为二元化过程进行情境化可以提供洞悉这些不良结果发展的机制的信息。这篇综述的目的是使用健康框架，关系过程和健康研究关系科学文献的当前状态。。我们使用PubMed，PsycInfo和Web of Science对过去15年间在GBM上以关系建立的英语经验性文章进行搜索，以评估依恋关系和关系作为健康结果的预测指标。我们找到649条文章。筛选后，鉴定并审查了23篇文章。调查结果表明，艾滋病毒风险是主要的健康后果。依恋与关系功能和性风险行为有关。关系特定的成分在很大程度上被用作性爱传播途径的预测指标。总之，这些研究表明，关系功能是依恋与健康相关结果之间的前瞻性联系。