Nonmedical Use of Prescription Drugs and HIV Risk Behavior in Gay and Bisexual Men
Nonmedical Use of Prescription Drugs and HIV Risk Behavior in Gay and Bisexual Men
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DOI：
10.1097/olq.0b013e3181f0bc4b
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发表时间：
2011-02-01
影响因子：
3.1
通讯作者：
Luckman, Diana
中科院分区：
文献类型：
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作者：
Benotsch, Eric G.;Martin, Aaron M.;Luckman, Diana
背景：先前的研究已经证明了与男性发生性关系的男性（MSM）的物质使用和性风险行为之间的关联。最近的药物使用趋势表明，处方药的使用越来越多（例如，例如，在一个实施例中，Vicodin）没有医生的处方，但非医疗使用处方药（NMUPD）和艾滋病毒的危险行为之间的关联还没有得到很好的研究在男同性恋者。方法：男同性恋者参加同性恋骄傲节完成了自我报告的措施评估NMUPD，使用的动机，使用传统的娱乐性药物，和艾滋病毒的危险行为。超过三分之一的样本（38%）报告了终生NMUPD，17%的样本在过去3个月内报告了NMUPD。最常用的药物类别是处方止痛药。男性报告NMUPD也报告了较高的使用率大麻，poppers，摇头丸，可卡因，甲基苯丙胺，GHB，氯胺酮，海洛因，和rohypnol，并有显着较高的艾滋病毒的风险行为，包括更多的性伴侣和更多的无保护sex.Conclusions：一个显着的少数MSM使用处方药未经医生的同意。这样做的男子有可能因使用这种药物而产生不良后果，包括可能上瘾、处方药和娱乐性药物之间可能发生危险的相互作用，以及感染艾滋病毒的更大风险。
Background: Previous research has demonstrated associations between substance use and sexual risk behavior in men who have sex with men (MSM). Recent trends in substance use show increasing use of prescription medications (e. g., Vicodin) without a physician's prescription, yet associations between the nonmedical use of prescription drugs (NMUPD) and HIV risk behavior have not been well examined in MSM.Methods: MSM attending a gay pride festival completed a self-report measure assessing NMUPD, motivations for use, use of traditional recreational drugs, and HIV risk behavior.Results: More than one-third of the sample (38%) reported lifetime NMUPD and 17% reported NMUPD in the previous 3 months. The most common class of medications used was prescription analgesics. Men reporting NMUPD also reported higher rates of the use of marijuana, poppers, ecstasy, cocaine, methamphetamine, GHB, ketamine, heroin, and rohypnol, and had significantly higher rates of HIV risk behaviors, including more sexual partners and more unprotected sex.Conclusions: A significant minority of MSM are using prescription medications without a doctor's consent. Men who do so are risking negative consequences of such use, including the potential for addiction, potentially dangerous interactions between prescription and recreational drugs, and greater risk for contracting HIV.