Surfing new territory:: Club-drug use and risky sex among hispanic men who have sex with men recruited on the internet
Surfing new territory:: Club-drug use and risky sex among hispanic men who have sex with men recruited on the internet
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DOI：
10.1093/jurban/jti027
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发表时间：
2005-03-01
影响因子：
6.6
通讯作者：
Bowen, GS
中科院分区：
文献类型：
--
作者：
Fern치ndez, MI;Perrino, T;Bowen, GS
互联网为开展艾滋病毒/性传播疾病研究提供了独特且日益增长的机会。这篇文章报道了一项正在进行的研究中登记的第一批171名参与者，该研究旨在利用互联网招募居住在艾滋病中心的男男性行为者(HMSM)的西班牙裔男性参与基于社区的研究。首先，它描述了聊天室招聘的初步成功。其次，它比较了通过互联网招募的HMSM中在过去6个月内使用过俱乐部药物和没有使用过俱乐部药物的人的人口统计学、心理社会和性风险行为。在两个月内，在聊天室招聘花费了211个小时；735个聊天室用户参与其中。研究人员使用脚本对话来描述这项研究，并邀请聊天室用户访问该研究的社区网站进行筛选和注册。176名男性来到社区网站；172人(98%)符合条件并完成了音频计算机辅助的自我面试。在过去6个月内，48.5%的样本滥用了俱乐部药物[定义为可卡因、冰毒(晶体)、亚硝酸戊酯(毒品)、摇头丸、γ-羟基丁酸酯(GHB)、氯胺酮(特殊K)和伟哥]。报告使用每种药物的男性比例为：可卡因(15.8%)、水晶(11.7%)、爆米花(31.6%)、摇头丸(14%)、羟基丁酸(3.5%)、特殊K(3.5%)和伟哥(19.3%)。在多变量分析中，拥有更多的性伴，有更高的社会隔离得分，以及进行过无保护的接受性肛交，与俱乐部毒品的使用显著相关。这些初步发现表明，可以通过聊天室对话成功招募高危HMSM参与以社区为基础的艾滋病毒研究。HMSM中令人震惊的高吸毒率和危险的性行为突显了对这一人群进行有效的艾滋病毒预防干预的必要性。
The Internet presents unique and growing opportunities for conducting HIV/STD research. This article reports on the first 171 participants enrolled in an ongoing study examining use of the Internet to recruit Hispanic men who have sex with men (HMSM) living in an AIDS epicenter to participate in community-based studies. First, it describes initial success with chatroom recruitment. Second, it compares the demographic, psychosocial, and sexual risk practices among HMSM recruited through the Internet who had used club drugs in the last 6 months and those who had not. In 2 months, 211 hours were spent recruiting in chatrooms; 735 chatroom users were engaged. Researchers used a scripted dialogue to describe the study and to invite chatroom users to visit the study's community sites for screening and enrollment. One hundred and seventy-six men came to the community sites; 172 (98%) were eligible and completed an audio-computer assisted self-interview. In the last 6 months, 48.5% of the sample bad used club drugs [defined as cocaine, crystal methamphetamines (crystal), amyl nitrites (poppers), Ecstasy, gamma-hydroxybutyrate (GHB), ketamine (Special K), and Viagra]. The proportion of men reporting use of each drug was: cocaine (15.8%), crystal (11.7%), poppers (31.6%), Ecstasy (14%), GHB (3.5%), Special K (3.5%), and Viagra (19.3%). In multivariate analyses, having higher number of sex partners, having higher social isolation scores, and having engaged in unprotected receptive anal intercourse were significantly associated with club-drug use. These initial findings suggest that high-risk HMSM can be successfully recruited through chatroom dialogues to participate in community-based HIV studies. The alarmingly high rates of club-drug use and risky sexual practices among HMSM underscore the need for effective HIV preventive interventions for this population.