Expectancies of sexual "escape" and sexual risk among drug and alcohol-involved gay and bisexual men

Purpose: We tested the hypotheses that sexual risk would relate to gay/bisexual men's patterns of combining alcohol or drugs with sex, their motivation to use drugs to cognitively "escape" awareness of HIV risk, and their use of bars as social and sexual settings. Methods: We conducted extensive inter-views among African-American (n = 139) and White (n = 112) gay and bisexual men who were attending a behavioral intervention for safer sex results. Those who frequently combined drugs with sex reported higher rates of sexual risk and Hepatitis B infection than did men who infrequently combined substances with sex, or who combined only alcohol with sex. Sexual risk was pronounced among more frequent drug users who also reported strong expectancies that alcohol or drugs facilitate sex and cognitively escape from awareness of HIV risk. Frequenting bars per se was not an important factor in sexual risk. Implications: Men who use alcohol or drugs to enhance sexuality and escape self-awareness of HIV risk have a significantly diminished capacity to avoid sexual risk. (C) 2001 Elsevier Science Inc. All rights reserved.

目的：我们检验了以下假设：性风险与男同性恋/双性恋者将酒精或毒品与性行为相结合的模式、他们使用毒品以在认知上“逃避”对艾滋病风险的意识的动机，以及他们将酒吧作为社交和性活动场所的情况有关。 方法：我们对参加安全性行为行为干预的非裔美国人（n = 139）和白人（n = 112）男同性恋和双性恋者进行了广泛的访谈。那些经常将毒品与性行为相结合的人报告的性风险和乙肝感染率高于那些很少将物质与性行为相结合，或仅将酒精与性行为相结合的人。在更频繁使用毒品且还报告强烈预期酒精或毒品会促进性行为并在认知上逃避对艾滋病风险的意识的人中，性风险更为显著。经常光顾酒吧本身并不是性风险的一个重要因素。 启示：使用酒精或毒品来增强性欲并逃避对艾滋病风险的自我意识的男性避免性风险的能力显著降低。（C）2001年爱思唯尔科学公司。保留所有权利。