Social Stressors and Intoxicated Sex Among an Online Sample of Men who have Sex with Men (MSM) Drawn from Seven Countries
Social Stressors and Intoxicated Sex Among an Online Sample of Men who have Sex with Men (MSM) Drawn from Seven Countries
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DOI：
10.1080/10826084.2017.1322985
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发表时间：
2018-01-01
影响因子：
2
通讯作者：
Stephenson, Rob
中科院分区：
文献类型：
--
作者：
Chard, Anna N.;Metheny, Nicholas S.;Stephenson, Rob
背景资料：与一般成年男性人口相比，男男性行为者（MSM）的毒品和酒精使用率更高，而且往往与性风险增加有关。目的：我们的目的是研究醉酒或高性行为的流行率及其与社会人口特征，同性恋社交网络的大小，以及来自七个国家的在线样本的MSM之间的社会压力。研究方法：2012年，通过Facebook招募了居住在澳大利亚、巴西、加拿大、南非、泰国、英国或美国的18岁以上性活跃MSM进行定量调查（n = 2，403）。通过逻辑回归检查两个结果：报告在最后一次性行为时醉酒/醉酒，以及报告在最后一次性行为时醉酒/醉酒。结果：结果突出了社会压力因素在塑造MSM之间的药物使用的作用。结果因具体情况而异，但各国之间存在共性。在五个国家中，处于男性-男性性关系中与最后一次性行为中醉酒/醉酒的几率较低有关。在三个国家中，外部阴性歧视和内在阴性性措施的得分越高，最后一次性行为的报告率越高。结论/重要性：社交网络和少数民族的压力源可以对吸毒和性行为，而醉酒或高有显着的影响。这表明，在为男男性行为者设计旨在减少艾滋病毒和其他性传播感染的干预措施时，必须注重结构性问题。
Background: Rates of drug and alcohol use are higher among men who have sex with men (MSM) than the general adult male population, and are often associated with increased sexual risk-taking. Objectives: We aim to examine the prevalence of drunk or high sex and their associations with socio-demographic characteristics, gay social network size, and social stress among an online sample of MSM drawn from seven countries. Methods: Sexually-active MSM aged over 18 residing in Australia, Brazil, Canada, South Africa, Thailand, the United Kingdom, or the United States were recruited through Facebook for a quantitative survey (n = 2,403) in 2012. Two outcomes were examined via logistic regression: reporting being buzzed/drunk at last sex, and reporting being high at last sex. Results: Results highlight the role of social stressors in shaping drug use among MSM. Results were context-specific, though commonalities were seen across countries. Being in a male-male sexual relationship was associated with lower odds of being buzzed/drunk at last sex in five countries. Higher scores on measures of external homonegative discrimination and internalized homonegativity were associated with greater odds of reporting being high at last sex in three countries. Conclusions/Importance: Social networks and minority stressors can have significant effects on drug use and sex while drunk or high. This points to the importance of focusing on structural issues when designing interventions for MSM aimed at reducing the transmission of HIV and other STIs.