Motivations associated with methamphetamine use among HIV plus men who have sex with men

Motivations associated with methamphetamine use among HIV plus men who have sex with men
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DOI:
10.1016/s0740-5472(02)00223-4
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发表时间:
2002-04-01
影响因子:
3.9
通讯作者:
Grant, I
Grant, I
中科院分区:
医学2区
文献类型:
--
作者:
Semple, SJ;Patterson, TL;Grant, I

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以前的研究已经记录了甲基苯丙胺(冰毒)使用和艾滋病毒高风险性行为之间的关联-男性与男性发生性关系(MSM);然而,很少有人知道艾滋病毒+甲基使用MSM的性风险行为。本研究旨在探讨HIV阳性男男性接触者使用冰毒的个人动机,并阐述冰毒使用与危险性行为之间的相互作用。对25名HIV+ MSM的定性数据进行的专题分析显示,冰毒使用与肛交率高、安全套使用率低、多个性伴侣、性马拉松和匿名性行为有关。与冰毒使用相关的个人动机包括:性增强;与艾滋病毒+血清状态相关的负面影响的自我治疗。各种治疗方法被用来描述如何客户的洞察动机可以被临床医生用来促进改变药物使用和性风险行为。(C)2002年爱思唯尔科技有限公司All rights reserved.
Previous research has documented an association between methamphetamine (meth) use and high-risk sex among HIV- men who have sex with men (MSM); however, little is known about the sexual risk behaviors of HIV+ meth-using MSM. The purpose of this study was to explore personal motivators of meth use among HIV+ MSM, and to elaborate upon the interaction between meth use and risky sex. Thematic analysis of qualitative data from 25 HIV+ MSM revealed meth use was associated with high rates of anal sex, low rates of condom use, multiple sex partners, sexual marathons, and anonymous sex. Personal motivations associated with meth use included: sexual enhancement; and self-medication of negative affect associated with HIV+ serostatus. A variety of treatment approaches are used to describe how client insights into motivations can be used by clinicians to promote change in drug use and sexual risk behavior. (C) 2002 Elsevier Science Inc. All rights reserved.