Crystal methamphetamine and ecstasy differ in relation to unsafe sex among young gay men
Crystal methamphetamine and ecstasy differ in relation to unsafe sex among young gay men
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DOI：
10.1007/bf03404028
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发表时间：
2005-09-01
影响因子：
4.3
通讯作者：
Hogg, RS
中科院分区：
文献类型：
--
作者：
Schilder, AJ;Lampinen, TM;Hogg, RS
目的：在同性恋社交（“俱乐部”）环境中使用多种物质很常见。最近的研究表明“俱乐部”吸毒与危险性行为之间存在联系。在这项定性研究中，我们比较和对比了两种“俱乐部”药物：冰毒和摇头丸 (MDMA)。 方法：对从不列颠哥伦比亚省温哥华市的年轻同性恋和双性恋男性前瞻性队列研究中招募的 12 名 HIV 血清转化者和 12 名年龄匹配的对照者进行生活史访谈。使用 NUDIST 软件分析有关非法药物使用和不安全性行为的文本数据。结果：大多数男性对水晶和摇头丸拥有丰富的知识和经验。这两种药物都具有增强同性恋社交的特性，并且在同一场所使用。水晶用于保持清醒和增加能量。摇头丸被用来引发欣快感和群体联系。然而，与摇头丸不同的是，水晶与一种独特的性唤起模式相关，通常包括无保护的（有时是集体）性行为，更有可能被艾滋病毒阳性男性经常使用，并且据报道具有高度成瘾性和问题性。结论：水晶和摇头丸在相同的社交场所使用，但在性危险行为方面存在显着差异。
Objective: Poly-substance use in gay social ('club') settings is common. Recent studies suggest a link between 'club' drug use and sexual risk behaviours. In this qualitative study, we compare and contrast two 'club' drugs: crystal methamphetamine and ecstasy (MDMA).Methods: Life history interviews were conducted with 12 HIV seroconverters and 12 age-matched controls recruited from a prospective cohort study of young gay and bisexual men in Vancouver, British Columbia. Textual data concerning illicit substance use and unsafe sex were analyzed using NUDIST software.Results: Most men related a substantial knowledge of and experience with crystal and ecstasy. Both drugs had attributes that enhanced gay socialization and were used in the same venues. Crystal was used to remain awake and increase energy. Ecstasy was used to induce euphoria and group connectedness. However, unlike ecstasy, crystal was associated with a distinct pattern of sexual arousal that frequently included unprotected (sometimes group) sex, was more likely to be used regularly by HIV-positive men, and was reportedly highly addictive and problematic.Conclusion: Crystal and ecstasy are used in the same social venues but differ markedly in relation to sexual risk behaviour.