Asian American MSM, Club Drugs and Nightlife

描述(由申请人提供)：这个拟议的为期42个月的质量更新项目(竞争延续)的重点是通过专门关注与男性发生性关系的亚裔美国男性(AAMSM)来扩展我们正在进行的研究俱乐部药物、舞蹈活动和亚裔美国青年(CDA)。在CDA项目中，MSM(与他们的异性恋同龄人相比)吸毒水平上升的模式导致我们将重点放在这一亚群作为一个特别令人关注的群体。虽然这个更新项目将建立在我们现有研究的基础上，并将具体比较药物使用模式和流程与CDA母项目，但拟议的项目是一个单独的努力，重点发生了重大变化。我们将重点研究以下问题：1)AAMSM中俱乐部药物使用的模式、变化和组合是什么？它们与CDA项目中更大的亚裔美国人样本相比如何？)在旧金山湾区的俱乐部/派对场景中，俱乐部吸毒的社交过程是什么，包括启蒙、动机、仪式和年轻AAMSM的认知？青少年AAMSM俱乐部吸毒与HIV/性危险行为之间有什么关系？年轻的AAMSM在哪些不同的社会背景下使用俱乐部毒品，这些因素如何促成毒品使用模式和危险行为5)性认同和种族认同的构建与吸毒或性危险的做法和信仰之间有什么关系？我们将找到并采访240名18-30岁的年轻AAMSM，他们在过去6个月内使用过一种或多种俱乐部药物，三次或三次以上。样本将被细分为三分之一的外国出生的AAMSM和三分之二的美国出生的AAMSM。我们还根据旧金山湾区亚裔美国人作为一个整体的民族构成，为受访者制定了灵活的招聘目标。但是，在参与场景的初始映射之后，采样帧将被修改以反映俱乐部场景中所涉及的AAMSM的人口。我们将主要使用定性的方法，包括民族志观察，以及关键线人和深入访谈。访谈将包括一份结构化的问卷，以收集社会人口和关键的量化数据，以及一份开放的、半结构化的时间表，以提供详细的叙事信息。分析将包括适用于收集的各种类型数据的混合方法。这个项目很重要，因为亚裔美国MSM是一个研究不足的人群，而且可能面临着吸毒和艾滋病毒/性传播感染的巨大风险。该项目可以通过分析种族、性和毒品消费的交叉以及对文化、身份和社会背景的重视来促进现有的研究--这些都是现有文献中未被研究的问题。 公共卫生相关性：这一定性研究项目将提供急需的经验性信息，说明男男性行为者(MSM)的年轻亚裔美国男子使用俱乐部药物的程度和社会背景。该项目的发现将提供有关他们吸毒、他们作为年轻亚裔美国男性的身份与他们的性身份、性行为和接触艾滋病毒风险之间的关系的信息。这项研究的结果将以适合以下受众的形式发表：在药物滥用和艾滋病毒治疗、预防和干预项目中工作的人；社会科学家；以及临床医生和更广泛的生物医学界的其他代表。

DESCRIPTION (provided by applicant): The focus of this proposed 42-month, qualitative renewal project (competing continuation) is to extend our on-going research Club Drugs, Dance Events and Asian American Youth (CDA) by focusing specifically on Asian American men who have sex with men (AAMSM). Patterns of heightened levels of drug use among MSM (compared to their heterosexual peers) in the CDA project lead us to focus on this sub-population as one of particular concern. Although this renewal project will build on our existing research, and will specifically compare drug using patterns and processes with the CDA parent project, the proposed project is a separate endeavor with a significant change in focus. We will focus on the following research questions: 1.) What are the patterns, variations and combinations of club drug use among AAMSM and how do they compare with the larger Asian American sample in the CDA project? 2.) What are the social processes of club drug use, including initiation, motivation, rituals, and perceptions among young AAMSM in the club/party scenes in the San Francisco Bay Area? 3.) What is the relationship between young AAMSM club-drug use and HIV/sexual risk behaviors? 4.) What are the various social contexts in which young AAMSM use club drugs and how do these contribute to patterns of drug use and risky behavior 5.) What is the relationship between constructions of sexual and ethnic identities and drug-use or sexual-risk practices and beliefs? We will locate and interview 240 young AAMSM, age 18-30, who have used one or more club drugs, three or more times in the previous 6 months. The sample will be subdivided into 1/3 foreign-born and 2/3 American-born AAMSM. We have also established flexible recruitment targets for respondents on the basis of the ethnonational composition of the San Francisco Bay Area Asian American population as a whole. However, after an initial mapping of participation in the scene, the sampling frame will be modified to reflect the population of AAMSM involved in the club scene. We will use primarily qualitative methods, including ethnographic observation, and key-informant and in-depth interviewing. Interviews will include a structured questionnaire to gather sociodemographic and key quantitative data, and an open-ended, semi-structured schedule to provide detailed narrative information. Analysis will consist of mixed methods appropriate to the various types of data collected. This project is important because Asian American MSM are an understudied population, and one that may be at great risk for both drug use and for HIV/sexually transmitted infections. The project can contribute to existing research through its analysis of intersections of ethnicity, sexuality, and drug consumption and its emphases on culture, identity, and social context - all understudied issues in the extant literature. PUBLIC HEALTH RELEVANCE: This qualitative research project will provide much-needed empirical information about the extent and social context of club drug use by young Asian American men who have sex with men (MSM). Findings from this project will provide information regarding the relationships between their drug use, their identities as young Asian American men, and their sexual identities, sexual practices, and risks of exposure to HIV. This study's findings will be published in forms appropriate for the following audiences: people who work in drug abuse and HIV treatment, prevention and intervention programs; social scientists; and clinicians and other representatives from the broader biomedical community.