Correlates of intensive alcohol and drug use in men who have sex with men in Catalonia, Spain
Correlates of intensive alcohol and drug use in men who have sex with men in Catalonia, Spain
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DOI：
10.1093/eurpub/ckp091
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发表时间：
2010-04-01
影响因子：
4.4
通讯作者：
Casabona, Jordi
中科院分区：
文献类型：
--
作者：
Folch, Cinta;Esteve, Anna;Casabona, Jordi
背景资料：这项研究的目的是确定2006年期间在加泰罗尼亚与男性发生性关系的男性（MSM）之间的性行为之前或期间的酒精和药物使用的流行率，并确定与密集的酒精和药物使用的变量相关的因素。方法：采用自填式问卷进行横断面研究。男性在桑拿浴室、性用品商店、酒吧和一个公园被招募，并通过邮寄的方式被招募到加泰罗尼亚同性恋联合会的所有成员手中。结果如下：19.6%的男性表示，在过去12个月内，他们经常使用酒精、某种类型的药物（21.7%）或多种药物使用者（18%）。多变量分析显示，遭受歧视与频繁饮酒和多种药物使用之间存在关联。人类免疫缺陷病毒（艾滋病毒）阳性与频繁使用药物和多种药物使用有关。药物使用与危险性行为之间的联系也出现了。结论：男男性行为者在性行为之前和期间使用酒精和药物的比例很高，这些物质与性风险行为之间的联系表明，需要加强干预措施，以减少其使用水平和/或减少相关的损害和风险。这些方案必须设法涵盖男男性行为者特有的心理社会方面，并包括对艾滋病毒阳性男子的预防。
Background: The objectives of the study were to determine the prevalence of alcohol and drug use before or during sex among men who have sex with men (MSM) in Catalonia during 2006, and to identify factors associated with variables of intensive alcohol and drug use. Methods: Cross-sectional study using self-administered questionnaires. Men were recruited in saunas, sex shops, bars and a public park and by mail to all the members of the Catalonia Gay Federation. Results: 19.6% of men said they were frequent users of alcohol, some type of drug (21.7%), or that they were multidrug users (18%) in the last 12 months. The multivariate analysis showed an association between having suffered discrimination and frequent alcohol and multidrug use. Being human immunodeficiency virus (HIV)-positive was associated with frequent use of drugs and multidrug use. Associations between substance use and sexual risk behaviour also emerged. Conclusion: The high percentage of MSM who use alcohol and drugs before and during sex and association between these substances and sexual risk behaviours reveals the need to intensify interventions to reduce their levels of use and/or to reduce the associated damage and risks. These programs must try to cover MSM-specific psychosocial aspects and include prevention for HIV-positive men.