In the shadows of a prevention campaign: Sexual risk behavior in the absence of crystal methamphetamine
In the shadows of a prevention campaign: Sexual risk behavior in the absence of crystal methamphetamine
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DOI：
10.1521/aeap.2008.20.1.42
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发表时间：
2008-02-01
影响因子：
1.8
通讯作者：
Bimbi, David S.
中科院分区：
文献类型：
--
作者：
Grov, Christian;Parsons, Jeffrey T.;Bimbi, David S.
由于冰毒能够减少抑制并增强性欲，一项新兴研究多次将冰毒视为解释男男性接触者 (MSM) 中新的艾滋病毒传播的关键变量。其影响包括制定艾滋病毒预防政策和公共卫生运动，重点是遏制美国城市同性恋中心使用甲基苯丙胺。从纽约市参加大型男同性恋、女同性恋和双性恋社区活动的男同性恋和双性恋男性的不同样本中收集的数据（n = 738）表明，10.2% 的男性最近（即 < 90 天）使用过甲基苯丙胺，并且 29.9% 的样本最近经历过一次无保护的肛交。在报告不安全性行为的男性中，大多数（81.1%）最近没有使用过甲基苯丙胺。该分析确定了甲基苯丙胺使用与性风险之间的双变量关系，但也强调了与危险性行为显着相关的其他变量。逻辑回归分析表明，近期使用 GHB、受到不安全性行为的诱惑、年龄较小以及被认定为无鞍者是比甲基苯丙胺使用更好的危险性行为指标。以预防甲基苯丙胺为重点的政策可能有助于遏制特定人群中的危险性行为；然而，这些措施并不能充分解决许多男同性恋和双性恋男子的性健康问题，他们在反甲基苯丙胺政策和预防方案的阴影下，继续从事不安全的性行为，但并不使用甲基苯丙胺。
Because of its ability to reduce inhibitions and increase sexual drive, an emerging body of research has repeatedly identified crystal methamphetamine as a key variable in explaining new HIV transmissions among men who have sex with men (MSM). The implications of which have included the development of HIV prevention policies and public health campaigns centered on curbing methamphetamine use in urban gay centers throughout the United States. Data collected from a diverse sample of gay and bisexual men attending large-scale gay, lesbian, and bisexual community events in New York City (n = 738) indicated that 10.2% of men used methamphetamine recently (i.e., < 90 days) and that 29.9% of the sample had experienced a recent episode of unprotected anal intercourse. The majority, 81.1%, of those men reporting unsafe sex had not used methamphetamine recently. This analysis identified a bivariate relationship between methamphetamine use and sexual risk, but also highlights other variables that were significantly related to risky sexual behavior. Logistic regression analyses indicated that recent GHB use, temptation for unsafe sex, being younger in age, and identification as a barebacker were better indicators of risky sexual behavior than methamphetamine use. Policies focused on methamphetamine prevention may help to curb risky sexual behavior among select groups of individuals; however, these will not adequately address the sexual health of the many gay and bisexual men who, in the shadows of anti-methamphetamine policies and prevention programs, continue to engage in unsafe sex but are nonusers of methamphetamine.