Halkitis Perry N, Jerome Roy C
Center for Health, Identity, Behavior & Prevention Studies, Steinhardt School of Culture, Education and Human Development, New York University, United States.
Addict Behav. 2008 Jan;33(1):83-93. doi: 10.1016/j.addbeh.2007.07.015. Epub 2007 Aug 8.
We investigated the patterns and correlates of methamphetamine use among Black gay and bisexual men who participated in a large-scale study of club drug use, and sexual behavior in combination with club drug use in New York City. Almost half of the Black men (49%) in the sample indicated use of methamphetamine in the 4 months prior to assessment, a proportion somewhat lower than their White counterparts. In terms of the overall sample, the proportion of the Black men in the study was equivalent to the proportion of methamphetamine users who identified as Black. Black methamphetamine users tended not to reside in neighborhoods considered traditionally gay, were more likely to be HIV-positive, have lower educational attainment, and have lower levels of income than other methamphetamine users. In terms of frequency and reasons for use, Black methamphetamine users did not differ in any substantive way compared to other races and ethnicities. In addition, they did not differ along any key demographic lines from Black non-methamphetamine users. Poly-drug use was common among all Black men in the sample, with almost all methamphetamine users also reporting use of cocaine, but cocaine users not necessarily reporting methamphetamine use. Once a drug that was considered popular only among White gay men, methamphetamine use has been shown to transcend racial and ethnic lines. Because of the synergy that exists between use of the drug, the concentrated levels of HIV in the Black gay population, and the sexual disinhibition engendered with methamphetamine use, this drug presents a potentially mounting public health challenge.
我们调查了参与纽约市一项关于俱乐部毒品使用及与俱乐部毒品使用相关的性行为的大规模研究的黑人男同性恋者和双性恋者中甲基苯丙胺的使用模式及相关因素。样本中近一半的黑人男性（49%）表示在评估前的4个月内使用过甲基苯丙胺，这一比例略低于他们的白人同龄人。就整个样本而言，研究中黑人男性的比例与自认为是黑人的甲基苯丙胺使用者的比例相当。与其他甲基苯丙胺使用者相比，黑人甲基苯丙胺使用者往往不住在传统意义上的同性恋社区，更有可能感染艾滋病毒，受教育程度较低，收入水平也较低。在使用频率和原因方面，黑人甲基苯丙胺使用者与其他种族和族裔相比没有任何实质性差异。此外，他们与未使用甲基苯丙胺的黑人在任何关键人口统计学特征上也没有差异。样本中所有黑人男性都普遍存在多药滥用的情况，几乎所有甲基苯丙胺使用者也报告使用过可卡因，但可卡因使用者不一定报告使用过甲基苯丙胺。甲基苯丙胺曾被认为仅在白人男同性恋者中流行，而现在已显示其使用跨越了种族和族裔界限。由于该药物的使用、黑人男同性恋人群中艾滋病毒的高集中水平以及甲基苯丙胺使用所导致的性抑制之间存在协同作用，这种药物对公共卫生构成了潜在且日益严重的挑战。
