Grov Christian, Bimbi David S, Nanin José E, Parsons Jeffrey T
Graduate Center of the City University of New York, NY 10021, USA.
J Drug Educ. 2006;36(2):105-23. doi: 10.2190/1G84-ENA1-UAD5-U8VJ.
Reported rates of recreational drug use among gay and bisexual men are currently rising. Although there has been much empirical research documenting current trends in drug use among gay and bisexual men, little research has empirically contrasted differential rates across urban epicenters, while even less has addressed racial or ethnic variation (between and within cities). This knowledge is essential both for the development of effective culturally-sensitive health education prevention/services and for understanding drug use prevalence among urban epicenters. Using the men's data gathered from large-scale gay, lesbian, and bisexual (GLB) community events in New York and Los Angeles in the fall of 2003 and spring of 2004 (N = 2,335), this study explored racial and ethnic variance in the use of methamphetamine, cocaine, MDMA/ecstasy (methylenedioxy-methamphetamine), ketamine, GHB (gamma-hydroxy-butyrate), marijuana, and nitrate inhalants (poppers) among gay and bisexual men both between and within cities (NYC and LA). Levels of recent drug use were fairly consistent between New York City and Los Angeles; however there was some between and within city racial and ethnic variance. In particular, Asian/Pacific Islander men were among those least likely to report use of some drugs. Findings suggest substance use in the gay community permeates geographic boundaries in addition to some racial and ethnic boundaries such that interventions targeting drug-using gay and bisexual men should appropriately attend to racial and ethnic diversity within communities.
据报道,男同性恋者和双性恋男性中消遣性药物使用的比例目前正在上升。尽管已有大量实证研究记录了男同性恋者和双性恋男性目前的药物使用趋势,但很少有研究从实证角度对比不同城市中心地区的差异率,而涉及种族或族裔差异(城市之间及城市内部)的研究更少。这些知识对于制定有效的、具有文化敏感性的健康教育预防措施/服务以及了解城市中心地区的药物使用流行情况都至关重要。本研究利用2003年秋季和2004年春季在纽约和洛杉矶从大规模男同性恋、女同性恋和双性恋(GLB)社区活动中收集的男性数据(N = 2335),探讨了男同性恋者和双性恋男性在城市之间及城市内部(纽约市和洛杉矶)使用甲基苯丙胺、可卡因、摇头丸/迷魂药(亚甲基二氧甲基苯丙胺)、氯胺酮、γ-羟基丁酸(GHB)、大麻和硝酸吸入剂(Poppers)的种族和族裔差异。纽约市和洛杉矶近期的药物使用水平相当一致;然而,在城市之间及城市内部存在一些种族和族裔差异。特别是,亚太岛民男性是报告使用某些药物可能性最小的群体之一。研究结果表明,除了一些种族和族裔界限外,男同性恋社区的药物使用还跨越了地理界限,因此针对吸毒的男同性恋者和双性恋男性的干预措施应适当关注社区内的种族和族裔多样性。