Reasons for stimulant use among Latino gay men in San francisco:: A comparison between methamphetamine and cocaine users
Reasons for stimulant use among Latino gay men in San francisco:: A comparison between methamphetamine and cocaine users
复制标题
DOI：
10.1093/jurban/jti026
复制
发表时间：
2005-03-01
影响因子：
6.6
通讯作者：
Sánchez, J
中科院分区：
文献类型：
--
作者：
Díaz, RM;Heckert, AL;Sánchez, J
关于吸毒男性的文献记录了甲基苯丙胺（MA）使用与高风险性行为之间的牢固关系。特别关心的是，MA的使用与有力的性影响有关，这可能有助于艾滋病毒的传播。作为一个小组，拉丁裔男同性恋者表现出艾滋病毒感染的高风险，这种风险与药物影响下的性别发作有关。但是，关于拉丁裔男同性恋者中兴奋的使用的信息很少，尚不清楚该人群中的MA使用是否同样受到性影响的动机。这项研究报告了300名从社交场所随机选择的300名拉丁裔男同性恋者样本中兴奋的原因；该研究中只有在过去6个月内报告了兴奋剂使用的男性。在兴奋的使用者中，有51％（n = 153）报告了MA，有44％（n = 133）的可卡因报道可卡因，5％（n = 14）报告裂缝是其“最常用的刺激剂”（MFS）；评估了参与者特定MF的使用原因。兴奋剂使用的原因聚集在五个主要因素中，包括能量，性增强，社交联系，应对压力源以及集中的工作生产力。 MA使用者给出了与性增强（以更好的性，更多的性别和更多肛交）相关的原因，而可卡因使用者给出了与社交联系更常见的原因（更加社交并适合其他同性恋者）。这些发现表明，拉丁裔男同性恋者使用兴奋剂的原因是其社交，情感，工作和性生活很重要的原因。像非拉丁裔白人一样，由于与性增强有关的原因，发现拉丁裔男同性恋者依靠MA，可能会满足同性恋社区中性能力和性成功的文化期望和规范。
The literature on drug-using gay men has documented a strong relationship between methamphetamine (MA) use and high-risk sexual practices. Of particular concern is that MA use is associated with powerful sexual effects that may facilitate the transmission of HIV. As a group, Latino gay men show high risk for HIV infection, and such risk has been related to episodes of sex under the influence of drugs. However, little information exists about stimulant use among Latino gay men, and it is not known whether MA use in this population is similarly motivated by sexual effects. This study reports reasons for stimulant use in a sample of 300 Latino gay men randomly selected from social and sexual venues; only men who reported stimulant use in the last 6 months were included in the study. Of stimulant users, 51% (n=153) reported MA, 44% (n=133) reported cocaine, and 5% (n=14) reported crack as their "most frequently used stimulant" (MFS); reasons for use were assessed for the participant's specific MFS. Reasons for stimulant use clustered by five main factors, including energy, sexual enhancement, social connection, coping with stressors, and focused work productivity. MA users gave reasons more frequently related to sexual enhancement (to have better sex, more sex, and more anal sex) whereas cocaine users gave reasons more often related to social connections (to be more sociable and to fit in with other gay men). These findings suggest that Latino gay men use stimulants for reasons that are important in their social, emotional, work, and sexual lives. Like non-Latino Whites, Latino gay men were found to rely on MA for reasons related to sexual enhancement, possibly to meet cultural expectations and norms of sexual prowess and sexual success in the gay community.