Alcohol use, drug use and alcohol-related problems among men who have sex with men: the Urban Men's Health Study
Alcohol use, drug use and alcohol-related problems among men who have sex with men: the Urban Men's Health Study
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DOI：
10.1046/j.1360-0443.2001.961115896.x
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发表时间：
2001-11-01
期刊：
影响因子：
6
通讯作者：
Catania, JA
中科院分区：
文献类型：
--
作者：
Stall, R;Paul, JP;Catania, JA
目标。以家庭为基础的城市男男性行为者（男男性行为者）样本，测量酒精和娱乐性药物的大量和问题性使用的患病率和独立关联。设计横截面调查。参与者确定为同性恋或双性恋或在过去5年内报告与另一名男性发生性关系的男性被纳入本分析（n = 2172）。设置. MSM的概率电话抽样是在美国四个大城市（芝加哥，洛杉矶，纽约和旧金山弗朗西斯科）的邮政编码内进行的，估计总浓度至少为4%的所有家庭有一个居民MSM。测量.酒精使用的标准措施，与酒精使用相关的问题，和娱乐性药物的使用由训练有素的电话采访。调查结果。娱乐性药物（52%）和酒精使用（85%）在城市MSM中非常普遍，而目前的多种药物使用水平（18%），三个或更多酒精相关问题（12%），频繁使用药物（19%）和频繁使用酒精（8%）并不罕见。重度和/或有问题的物质使用的关联是复杂的，在人口统计学、不良的早期生活环境、当前的心理健康状况、社会和性行为以及与男同性恋文化的联系等层面上发现了独立的多变量关联。结论.城市男男性行为者中重度和/或有问题的物质使用的复杂模式表明，重度和/或有问题的物质使用植根于多个层面：个人，人际和社会文化。
Aims. To measure the prevalence and independent associations of heavy and problematic use of alcohol and recreational drugs among a household-based sample of urban MSM (men who have sex with men). Design. Cross-sectional survey. Participants. Men who identified as being gay or bisexual or who reported sex with another man in the prior 5 years were included in this analysis (n = 2172). Setting. A probability telephone sample of MSM was taken within Zip Codes of four large American cities (Chicago, Los Angeles, New York and San Francisco) estimated to have total concentrations of at least 4% of all households with one resident MSM. Measurements. Standard measures of alcohol use, problems associated with alcohol use, and recreational drug use were administered by trained telephone interviewers. Findings. Both recreational drug (52%) and alcohol use (85%) were highly prevalent among urban MSM, while current levels of multiple drug use (18%), three or more alcohol-related problems (12%), frequent drug use (19%) and heavy-frequent alcohol use (8%) were not uncommon. The associations of heavy and/or problematic substance use are complex, with independent multivariate associations found at the levels of demographics, adverse early life circumstances, current mental health status, social and sexual practices and connection to gay male culture. Conclusions. The complex pattern of associations with heavy and/or problematic substance use among urban MSM suggests that heavy and/or problematic substance use is grounded in multiple levels: the individual, the interpersonal and the socio-cultural.