Asian American MSM, Club Drugs and Nightlife

描述（由申请人提供）：这个提议的为期42个月的定性更新项目（竞争延续）的重点是扩展我们正在进行的研究俱乐部药物，舞蹈事件和亚裔美国青年（CDA），特别关注与男性发生性关系的亚裔美国男性（AAMSM）。在CDA项目中，男同性恋者（与他们的异性恋同龄人相比）吸毒水平升高的模式使我们把重点放在这个亚群体上，作为一个特别关注的问题。虽然这个更新项目将建立在我们现有的研究基础上，并将具体比较药物使用模式和过程与CDA母项目，但拟议的项目是一个独立的努力，重点有重大变化。我们将重点研究以下问题：1.)在美国亚裔男性中，俱乐部吸毒的模式、变化和组合是什么？他们如何与CDA项目中更大的亚裔美国人样本进行比较？2)。在旧金山湾区的俱乐部/派对场景中，年轻的AAMSM吸毒的社会过程是什么？包括入会、动机、仪式和感知？3)。年轻的AAMSM俱乐部吸毒与HIV/性危险行为之间的关系是什么？4)。年轻的AAMSM使用俱乐部毒品的各种社会背景是什么？这些环境如何促成吸毒模式和危险行为？性和种族身份的建构与吸毒或性风险行为和信仰之间的关系是什么？我们将找到并采访240名年轻的AAMSM，年龄在18-30岁之间，在过去6个月内使用过一种或多种俱乐部毒品，三次或三次以上。样本将被细分为三分之一的外国出生和三分之二的美国出生的AAMSM。我们还根据旧金山湾区亚裔人口的整体民族构成，为受访者制定了灵活的招聘目标。然而，在对参与场景进行初步映射后，将修改采样框架以反映参与俱乐部场景的AAMSM人口。我们将主要使用定性方法，包括人种学观察、关键信息提供者和深入访谈。访谈将包括收集社会人口统计和关键定量数据的结构化问卷，以及提供详细叙述信息的开放式半结构化时间表。分析将由适合收集的各种类型数据的混合方法组成。这个项目很重要，因为亚裔美国男同性恋者是一个未被充分研究的人群，他们在吸毒和艾滋病毒/性传播感染方面都有很大的风险。该项目可以通过分析种族、性和毒品消费的交叉点以及强调文化、身份和社会背景来促进现有的研究，这些都是现有文献中未被充分研究的问题。

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.