Risky sexual behaviors associated with recreational drug use among men who have sex with men in an international resort area: Challenges and opportunities
Risky sexual behaviors associated with recreational drug use among men who have sex with men in an international resort area: Challenges and opportunities
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DOI：
10.1093/jurban/jti122
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发表时间：
2005-12-01
影响因子：
6.6
通讯作者：
Obiaja, K
中科院分区：
文献类型：
--
作者：
Darrow, WW;Biersteker, S;Obiaja, K
南佛罗里达州人口流动性极强，约有 145,000 名男男性行为者 (MSM)，每年接待超过 180 万同性恋和双性恋游客。为了在这种情况下制定更有效的艾滋病毒/性传播感染 (STI) 预防干预措施，我们对 MSM 中的娱乐性毒品使用和危险性行为进行了横断面研究。向自称曾与男性发生性关系的 18 岁及以上男性提供了一份由大学机构审查委员会审查和批准的标准化自填问卷。 2004 年冬季，周末在迈阿密-戴德县的五个不同地点和布劳沃德县的五个地点对男性进行了接触。完成并返回调查问卷的人将获得 10 美元的酬金。在 407 名参与者中，115 名男性 (28%) 居住在迈阿密戴德县，147 名男性 (36%) 居住在布劳沃德，46 名男性 (11%) 居住在佛罗里达州南部的另一个县，99 名男性 (24%) 居住在其他地方。总体而言，32% 的人报告在过去一年中使用了一种或多种“俱乐部毒品”。俱乐部吸毒与无保护肛交 (UAI) 高度相关 (P < .001)。居住在佛罗里达州南部以外的 MSM 比当地居民更有可能报告在过去一个月内使用可卡因和氯胺酮以及进行无保护的肛交 (URAI) (P = .03)。游客可能比居民更有可能进行危险的性行为和使用某些娱乐性药物。制定、实施和评估干预措施时必须考虑到国际度假区的独特特征。
South Florida is home to a highly transient population of approximately 145,000 men who have sex with men (MSM) and annually hosts over 1.8 million gay and bisexual visitors. To develop more effective interventions for HIV/sexually transmitted infections (STI) prevention in this setting, we conducted a cross-sectional study of recreational drug use and risky sexual behaviors among MSM. A standardized, self-administered questionnaire, reviewed and approved by a university Institutional Review Board, was offered to men 18 years of age and older who reported ever having sex with a man. Men were approached on weekends in five diverse locations in Miami-Dade County and five in Broward County in winter 2004. An honorarium of $10 was offered to those who completed and returned a questionnaire. Of 407 participants, 115 men (28%) lived in Miami-Dade, 147 (36%) lived in Broward, 46 (11%) lived in another county in south Florida, and 99 (24%) lived elsewhere. Overall, 32% reported using one or more "club drugs" in the past year. Club drug use was highly associated with unprotected anal intercourse (UAI) (P < .001). MSM residing outside of south Florida were more likely than local residents to report using cocaine and ketamine and engaging in unprotected receptive anal intercourse (URAI) in the past month (P = .03). Tourists may be even more likely than residents to engage in risky sexual behaviors and use certain recreational drugs. Interventions must be developed, implemented, and evaluated that take into account the unique characteristics of international resort areas.