Sherman Susan G, Gann Donald, German Danielle, Sirirojn Bangorn, Thompson Nicholas, Aramrattana Apinun, Celentano David
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Drug Alcohol Rev. 2008 May;27(3):263-9. doi: 10.1080/09595230801956520.
Methamphetamine (MA) has become the leading drug of abuse in northern Thailand over the past several years, particularly among youth. The current qualitative study explores the relationship between sexual behaviours and MA.
Between March 2002 and January 2003, 48 in-depth interviews with young MA users aged 15-2 years in Chiang Mai. Interviews were transcribed verbatim in Thai and translated into English. Data were analysed inductively using the constant comparative method common to grounded theory methods. Atlas-ti was used for data management. The current analysis was stratified by gender.
Participants were 44% male and the median age was 20 years. At the time of the interviews, 70% were not using MA. A typology of experiences with and feelings about MA's relationship to sexual activity emerged: (1) enhanced libido--individuals who found that MA enhances their sexual experiences (n = 13); (2) decreased libido or no effect--individuals who found that MA detracted from sexual desire (n = 22); and (3) virgins (n = 13).
Participants reported several distinct patterns of relationship between MA and sex. Tailored interventions are needed that address specific patterns of sexual behaviors among youth in order to promote sustainable safer sex behaviours in this population.
在过去几年里，甲基苯丙胺（MA）已成为泰国北部主要的滥用药物，尤其是在年轻人中。当前的定性研究探讨了性行为与甲基苯丙胺之间的关系。
在2002年3月至2003年1月期间，对清迈15至22岁的年轻甲基苯丙胺使用者进行了48次深入访谈。访谈内容逐字记录为泰语并翻译成英语。使用扎根理论方法中常见的持续比较法对数据进行归纳分析。使用Atlas-ti进行数据管理。当前的分析按性别分层。
参与者中44%为男性，中位年龄为20岁。在访谈时，70%的人未使用甲基苯丙胺。出现了一种关于甲基苯丙胺与性活动关系的经历和感受类型：（1）性欲增强——发现甲基苯丙胺能增强性体验的个体（n = 13）；（2）性欲降低或无影响——发现甲基苯丙胺会降低性欲的个体（n = 22）；以及（3）处女（n = 13）。
参与者报告了甲基苯丙胺与性之间几种不同的关系模式。需要制定针对性的干预措施，以解决年轻人中特定的性行为模式，从而在这一人群中促进可持续的更安全性行为。
