Marijuana and illicit drugs: Correlates of condomless anal sex among adolescent and emerging adult sexual minority men.

Marijuana and illicit drugs: Correlates of condomless anal sex among adolescent and emerging adult sexual minority men.
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大麻和非法药物:青少年和新兴的成年性少数民族中无避孕套肛交的相关性。

DOI:
10.1016/j.addbeh.2021.107018
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发表时间:
2021-11
影响因子:
4.4
通讯作者:
Starks, Tyrel J.
Starks, Tyrel J.
中科院分区:
医学2区
文献类型:
--
作者:
Cain, Demetria;Samrock, Steven;Jones, S. Scott;Jimenez, Ruben H.;Dilones, Rafael;Tanney, Mary;Outlaw, Angulique;Friedman, Lawrence;Naar, Sylvie;Starks, Tyrel J.

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“非法药物”(例如,可卡因/快克、甲基苯丙胺、γ-羟基丁酸-GHB、氯胺酮和摇头丸)以及与临时伴侣无避孕套肛交(CAS)在性少数男性(SMM)中得到了广泛的应用。最近来自成年SMM的证据表明,大麻与CAS的发生有关,除了非法药物使用之外,还有偶然的伴侣。本研究的目的是评估CAS与年轻SMM(15至24岁)样本中大麻和非法药物使用之间的关联。参与者(n = 578)完成了一项在线调查,评估了人口统计学,当前PrEP处方,年龄,大麻使用以及过去90天的药物使用和性行为。障碍模型同时预测了CAS的发生以及CAS报告中的频率。非法药物使用与CAS的发生(OR = 2.26; p = 0.01)和频率(RR = 1.63; p = 0.02)相关。相比之下,大麻的使用与CAS的发生有关(OR = 1.69; p = 0.01),但与CAS的频率无关(RR = 1.07; p = 0.74)。研究结果反映了最近在成人SMM大样本中的观察结果。虽然大麻的效应大小比非法药物使用更温和,但大麻确实与CAS的发生有显著和独特的关联。因此,针对年轻SMM的艾滋病毒预防服务可能受益于评估和解决在艾滋病毒性行为背景下使用大麻的问题。
The association between “illicit drugs” (e.g., cocaine/crack, methamphetamine, gamma-hydroxybutyrate-GHB, ketamine, and ecstasy) and condomless anal sex (CAS) with casual partners is well established for sexual minority men (SMM). Recent evidence from adult SMM has indicated that marijuana is associated with the occurrence of CAS with casual partners above and beyond illicit drug use. The purpose of the current study was to evaluate associations between CAS and the use of marijuana and illicit drugs in a sample of young SMM (aged 15 to 24). Participants (n = 578) completed an online survey assessing demographics, current PrEP prescription, age, marijuana use, as well as drug use and sexual behavior in the past 90 days. A hurdle model simultaneously predicted the occurrence of CAS as well as the frequency of CAS among those reporting it. Illicit drug use was associated with both the occurrence (OR = 2.26; p = .01) and frequency of CAS (RR = 1.63; p = .02). In contrast, marijuana use was associated with the occurrence (OR = 1.69; p = .01), but not the frequency of CAS (RR = 1.07; p = .74). Findings mirror recent observations in large samples of adult SMM. While the effect size of marijuana is more modest than illicit drug use, marijuana does have significant and unique associations with the occurrence of CAS. HIV prevention services for young SMM may therefore benefit from assessing and addressing marijuana use in the context of HIV sexual behavior.
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