"It's how we get to know each other": Substance use, connectedness, and sexual activity among men who have sex with men who are living with HIV.
"It's how we get to know each other": Substance use, connectedness, and sexual activity among men who have sex with men who are living with HIV.
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DOI：
10.1186/s12889-022-12778-w
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发表时间：
2022-03-03
影响因子：
4.5
通讯作者：
Batchelder AW
中科院分区：
文献类型：
--
作者：
Stanton AM;Wirtz MR;Perlson JE;Batchelder AW
在男男性接触者中，使用药物会增加感染艾滋病毒的风险，并与艾滋病毒相关护理的次优参与度有关。大多数与男男性接触者的物质使用和性行为有关的研究侧重于确定和减少艾滋病毒感染和传播的风险，而不是快乐和中介。然而，物质使用也可能促进性快感和建立社区，这对于那些应对与疾病、性身份和药物使用有关的交叉耻辱的个人来说可能特别有意义。为了探索物质使用如何促进和阻碍积极的性表达和健康的性关系，我们对33名感染艾滋病毒的MSM进行了二次分析，这些人在护理中参与程度较低，并报告了最近使用药物的情况。专题分析表明，药物使用被认为是：(1)获得亲密关系和增强性体验的潜在途径；(2)帮助伴侣接触和进入社区的工具；(3)赋权的来源，尽管有些人指出，这有时是以性剥夺权利和不平衡的关系为代价的。临床上，我们的结果表明，在性行为期间使用药物的复杂动机需要仔细考虑并与患者讨论，特别是当试图减少有问题的使用作为改善艾滋病毒自我护理的途径时。网上版载有补充材料，可在10.1186/s12889-022-12778-w查阅。
Among MSM, substance use increases risk for acquiring HIV and is associated with sub-optimal engagement in HIV-related care. Most research related to substance use and sexual activity among MSM focuses on identifying and reducing risk of HIV acquisition and transmission rather than pleasure and agency. However, substance use may also facilitate sexual pleasure and build community, which could be particularly meaningful for individuals who cope with intersecting stigmas related to the disease, sexual identity, and drug use. To explore the ways in which substance use both promotes and hinders positive sexual expression and healthy sexual relationships, we conducted a secondary analysis of 33 semi-structured qualitative interviews with MSM living with HIV who were poorly engaged in care and reported recent substance use. Thematic analysis revealed that substance use was perceived as: (1) a potential pathway to intimacy and enhanced sexual experiences; (2) a tool to help access partners and gain entry to a community; and (3) a source of empowerment, though some noted that it sometimes came at the cost of sexual disempowerment and unbalanced relationships. Clinically, our results suggest that the complex motivations for substance use during sexual activity need to be carefully considered and discussed with patients, especially when attempting to decrease problematic use as a pathway to improved HIV self-care. The online version contains supplementary material available at 10.1186/s12889-022-12778-w.
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DOI：
10.1016/j.chc.2010.03.004
发表时间：
2010-07-01
影响因子：
2.4
作者：
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通讯作者：
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DOI：
10.1016/j.socscimed.2021.113824
发表时间：
2021-04
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Batchelder AW;Foley JD;Kim J;Thiim A;Kelly J;Mayer K;O'Cleirigh C
通讯作者：
O'Cleirigh C