Financial hardship and drug use among men who have sex with men.

Financial hardship and drug use among men who have sex with men.
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DOI:
10.1186/s13011-018-0159-0
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发表时间:
2018-05-24
期刊:
Substance abuse treatment, prevention, and policy
影响因子:
--
通讯作者:
Duncan DT
Duncan DT
中科院分区:
其他
文献类型:
--
作者:
Park SH;Al-Ajlouni Y;Palamar JJ;Goedel WC;Estreet A;Elbel B;Sherman SE;Duncan DT

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人们对经济困难与吸毒有关的作用知之甚少,特别是在男男性行为者中。因此,本研究旨在调查MSM的经济困难状况和药物使用之间的潜在关联。我们对巴黎的580名MSM进行了一项横断面调查,这些MSM使用流行的地理社交网络智能手机应用程序(GSN应用程序)招募。进行描述性分析和多变量分析。采用改良泊松模型评估经济困难状况与药物使用(任何药物、烟草、酒精、大麻、吸入性亚硝酸盐和俱乐部药物)之间的关联。在我们的样本中,45.5%的人报告说,每月支付账单有点困难,非常困难或极其困难(经济困难)。在多变量分析中,高水平的经济困难与报告使用任何物质的可能性增加显著相关(调整后的风险比[aRR] = 1.15; 95% CI = 1.05-1.27),以及吸烟(aRR = 1.45; 95%CI = 1.19-1.78)、大麻(aRR = 1.48; 95%CI =1.03-2.13)和吸入性亚硝酸盐(aRR = 1.24; 95%CI = 1.03-1.50)。经济困难与吸毒男同性恋者,这表明需要采取干预措施,以减少在这一人群的经济困难的负担。
Little is known about the role of financial hardship as it relates to drug use, especially among men who have sex with men (MSM). As such, this study aimed to investigate potential associations between financial hardship status and drug use among MSM. We conducted a cross-sectional survey of 580 MSM in Paris recruited using a popular geosocial-networking smartphone application (GSN apps). Descriptive analyses and multivariate analyses were performed. A modified Poisson model was used to assess associations between financial hardship status and use of drugs (any drugs, tobacco, alcohol, marijuana, inhalant nitrites, and club drugs). In our sample, 45.5% reported that it was somewhat, very, or extremely difficult to meet monthly payments of bills (high financial hardship). In multivariate analyses, a high level of financial hardship was significantly associated with an increased likelihood of reporting use of any substance use (adjusted risk ratio [aRR] = 1.15; 95% CI = 1.05–1.27), as well as use of tobacco (aRR = 1.45; 95% CI = 1.19–1.78), marijuana (aRR = 1.48; 95% CI =1.03–2.13), and inhalant nitrites (aRR = 1.24; 95% CI = 1.03–1.50). Financial hardship was associated with drug use among MSM, suggesting the need for interventions to reduce the burden of financial hardship in this population.
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