Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Qld 4001, Australia.
Addict Behav. 2010 Jun;35(6):616-9. doi: 10.1016/j.addbeh.2010.01.006. Epub 2010 Feb 1.
Substance-related expectancies are associated with substance use and post-substance use thoughts, feelings and behaviours. The expectancies held by specific cultural or sub-cultural groups have rarely been investigated. This research maps expectancies specific to gay and other men who have sex with men (MSM) and their relationship with substance patterns and behaviours following use, including sexual practices (e.g., unprotected anal intercourse). This study describes the development of a measure of such beliefs for cannabis, the Cannabis Expectancy Questionnaire for Men who have Sex with Men (CEQ-MSM).
Items selected through a focus group and interviews were piloted on 180 self-identified gay or other MSM via an online questionnaire.
Factor analysis revealed six distinct substance reinforcement domains ("Enhanced sexual experience", "Sexual negotiation", "Cognitive impairment", "Social and emotional facilitation", "Enhanced sexual desire", and "Sexual inhibition"). The scale was associated with consumption patterns of cannabis, and in a crucial test of discriminant validity not with the consumption of alcohol or stimulants.
The CEQ-MSM represents a reliable and valid measure of outcome expectancies, related to cannabis among MSM. Future applications of the CEQ-MSM in health promotion, clinical settings and research may contribute to reducing harm associated with substance use among MSM, including HIV transmission.
物质相关的期望与物质使用以及使用后的想法、感受和行为有关。特定文化或亚文化群体持有的期望很少被调查。本研究绘制了特定于男同性恋者和其他与男性发生性关系的男性（MSM）的期望，并研究了他们与使用后物质模式和行为的关系，包括性行为（例如，无保护的肛交）。本研究描述了一种针对大麻的此类信念的测量方法，即男同性恋者和其他与男性发生性关系的男性大麻期望问卷（CEQ-MSM）。
通过焦点小组和访谈选择的项目通过在线问卷在 180 名自我认同的男同性恋者或其他 MSM 中进行了试点。
因子分析揭示了六个不同的物质强化领域（“增强性体验”、“性协商”、“认知障碍”、“社会和情感促进”、“增强性欲望”和“性抑制”）。该量表与大麻的消费模式相关，在对区分效度的重要测试中，与酒精或兴奋剂的消费无关。
CEQ-MSM 代表了一种可靠和有效的结果期望测量方法，与 MSM 中的大麻有关。CEQ-MSM 在健康促进、临床环境和研究中的未来应用可能有助于减少与 MSM 物质使用相关的危害，包括 HIV 传播。
