Crystal methamphetamine and sexual sociality in an urban gay subculture: An elective affinity
Crystal methamphetamine and sexual sociality in an urban gay subculture: An elective affinity
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DOI：
10.1080/13691050600783320
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发表时间：
2006-07-01
影响因子：
2.2
通讯作者：
Halkitis, Perry N.
中科院分区：
文献类型：
--
作者：
Green, Adam Isaiah;Halkitis, Perry N.
本文通过49次定性访谈，探讨曼哈顿男同性恋者和双性恋者使用甲基苯丙胺的前因性因素。这篇论文通过将分析重点从个人层面的药物使用因素转移到社会背景的作用，将自己与公共卫生文献中关于冰毒在这一人群中的使用情况区分开来。虽然个人层面的因素--包括自尊和社交尴尬--与甲基苯丙胺的使用有关，但我们认为，这些因素产生于曼哈顿同性恋性亚文化带来的互动压力，并因此而加剧，这种互动压力围绕着对高潮性行为的期望。由于甲基苯丙胺与自尊增强、性欲增强、性耐力增强、性抑制减弱以及疼痛阈值较高有关，因此同性恋和双性恋男性战略性地使用这种药物来谈判性社交和增强性快感。因此，我们认为，曼哈顿的同性恋性亚文化和甲基苯丙胺的特殊药理作用之间存在选择性的亲和力--前者强烈支持后者作为一种系统的反应模式。反过来，这种关系与不安全的性行为或将男同性恋者置于感染艾滋病毒风险中的社会条件联系在一起。
This paper draws on 49 qualitative interviews to explore the contextual antecedents of methamphetamine use in a sample of gay and bisexual Manhattan men. The paper distinguishes itself from the public health literature on crystal methamphetamine use in this population by shifting the analytic focus from individual-level factors of drug use to the role of social context. While individual-level factors-including self esteem and social awkwardness-are related to methamphetamine use, we argue that these factors arise in and are exacerbated by interactional pressures attendant to Manhattan's gay sexual subculture, which revolve around the expectation of peak sexual performance. Because methamphetamine is associated with increased self-esteem, increased libido, greater sexual endurance, diminished sexual inhibition, and a higher threshold for pain, the drug is used strategically by gay and bisexual men to negotiate sexual sociality and increase sexual pleasure. Hence, we suggest that there exists an elective affinity between Manhattan's gay sexual subculture and the particular pharmacological effects of methamphetamine-whereby the former strongly favours the latter as a systematic pattern of response. In turn, this relationship is linked to unsafe sexual practices or the social conditions that put gay men 'at risk of risk' of HIV infection.