Asian American MSM, Club Drugs and Nightlife

描述（由申请人提供）：这个拟议的42个月，定性更新项目（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（与异性恋同龄人相比）吸毒水平升高的模式使我们将重点放在这一亚群中，作为特别关注的问题之一。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单独的奋进，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？2.）的情况。什么是俱乐部药物使用的社会过程，包括启动，动机，仪式，并在旧金山弗朗西斯科湾区的俱乐部/派对场景中的年轻AAMSM的看法？3.）第三章青少年AAMSM俱乐部药物使用和艾滋病毒/性风险行为之间的关系是什么？4.）年轻的AAMSM使用俱乐部药物的各种社会背景是什么，以及这些如何有助于药物使用和危险行为的模式。性和种族认同的构建与吸毒或性风险做法和信仰之间的关系是什么？ 我们将找到并采访240名年龄在18-30岁之间的年轻AAMSM，他们在过去6个月内使用过一种或多种俱乐部药物，三次或更多次。样本将被细分为1/3外国出生和2/3美国出生的AAMSM。我们还根据旧金山弗朗西斯科亚裔美国人的种族构成，为受访者制定了灵活的招聘目标。然而，在场景中参与的初始映射之后，将修改采样帧以反映俱乐部场景中涉及的AAMSM的人口。我们将主要使用定性方法，包括人种学观察，关键线人和深入访谈。访谈将包括一个结构化的问卷，以收集社会人口和关键的定量数据，以及一个开放式的，半结构化的时间表，以提供详细的叙述信息。分析将包括适用于所收集的各类数据的混合方法。这个项目是重要的，因为亚裔美国男男性接触者是一个研究不足的人群，一个可能是在吸毒和艾滋病毒/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点及其对文化，身份和社会背景的强调-所有现存文献中未充分研究的问题-为现有的研究做出贡献。 公共卫生相关性：这个定性研究项目将提供急需的经验信息的程度和社会背景下的俱乐部药物使用的年轻亚裔美国男性谁与男性发生性关系（MSM）。从这个项目的结果将提供有关他们的药物使用，他们的身份作为年轻的亚裔美国男子，他们的性身份，性行为和暴露于艾滋病毒的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：从事药物滥用和艾滋病毒治疗、预防和干预项目的人员;社会科学家;临床医生和来自更广泛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.