Jerome Roy C, Halkitis Perry N, Siconolfi Daniel E
Department of Applied Psychology, Center for Health, Identity, Behavior & Prevention Studies, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York 10003, USA.
Subst Use Misuse. 2009;44(3):431-47. doi: 10.1080/10826080802345036.
This qualitative study funded by the National Institute on Drug Abuse examines phenomenological meanings surrounding motivations for club drug use in a sample of HIV seroconverted and seronegative gay and bisexual men. Grounded in the cognitive escape model (CEM), this study sought to clarify the synergistic relationship between club drug use, risky sexual behavior, and seroconversion. Sixteen seropositive participants were drawn from a large-scale (n = 450), longitudinal, mixed-method investigation of club drug use among gay and bisexual men in New York City from 2001-2004 and matched with 16 seronegative participants for race/ethnicity, most-frequently used substance, and educational level. Total sample size consisted of 32 participants. Sample size consisted of 13 (41%) Black/African-American, 12 (37.5%) White/Caucasian, 5 (15.5%) Hispanic/Latino, and 2 (6%) mixed/other race/ethnicity participants. Findings suggest behavioral outcomes of club drug use and HIV seroconversion result from complex interactions between physical, emotional, and social motivations.
这项由美国国家药物滥用研究所资助的定性研究，考察了一组HIV血清阳转者以及血清阴性的男同性恋者和双性恋男性使用俱乐部药物动机背后的现象学意义。基于认知逃避模型（CEM），本研究旨在阐明使用俱乐部药物、危险的性行为和血清阳转之间的协同关系。16名血清阳性参与者来自于2001年至2004年在纽约市开展的一项针对男同性恋者和双性恋男性使用俱乐部药物的大规模（n = 450）纵向混合方法调查，并按照种族/民族、最常使用的药物和教育水平与16名血清阴性参与者进行匹配。样本总数为32名参与者。其中包括13名（41%）黑人/非裔美国人、12名（37.5%）白人/高加索人、5名（15.5%）西班牙裔/拉丁裔和2名（6%）混合/其他种族/民族的参与者。研究结果表明，使用俱乐部药物及HIV血清阳转的行为结果是身体、情感和社会动机之间复杂相互作用的结果。
