McElrath Karen
School of Sociology and Social Policy, Belfast, Ireland.
Subst Use Misuse. 2005;40(9-10):1461-77. doi: 10.1081/JA-200066814.
This study examines the relationship between MDMA (Ecstasy), sexual behavior, and sexual risk taking. The sample consisted of 98 current and former users of MDMA. Several strategies were utilized to recruit respondents and data were collected through in-depth interviews during 1997 and 1998. The majority of respondents had used MDMA during the 6-month period prior to the interview and a large percentage had consumed the drug on 100 occasions or more. Most respondents reported feelings of emotional closeness while consuming MDMA but without the desire for penetrative sex. Others, however, reported that MDMA increased sexual arousal and some respondents (in particular, gay and bisexual females) had used MDMA specifically for sexual enhancement. Sexual risk taking (e.g., having multiple partners, engaging in sex without a condom) was prevalent among respondents who did engage in sexual activity during MDMA episodes. Explanations for the findings are offered and implications for prevention/intervention are discussed.
本研究探讨了摇头丸（迷幻药）、性行为与性冒险行为之间的关系。样本包括98名摇头丸的当前使用者和曾经使用者。采用了多种策略来招募受访者，并在1997年至1998年期间通过深入访谈收集数据。大多数受访者在访谈前的6个月内使用过摇头丸，并且很大一部分人服用该药物达100次或更多次。大多数受访者表示在服用摇头丸时有情感亲密感，但没有进行插入式性行为的欲望。然而，其他人报告说摇头丸会增强性唤起，一些受访者（特别是男同性恋和双性恋女性）专门为了增强性功能而使用摇头丸。在服用摇头丸期间进行性活动的受访者中，性冒险行为（例如，有多个性伴侣、不使用避孕套进行性行为）很普遍。文中给出了对研究结果的解释，并讨论了预防/干预的意义。
