School of Social Work, Boston University, Boston, Massachusetts 02215, USA.
Subst Use Misuse. 2011;46(4):452-9. doi: 10.3109/10826084.2010.502208. Epub 2010 Aug 24.
This article describes the association between substance use, sexual identity, and seeing a health care provider on a regular basis for 257 men who have sex with men (MSM). Data from in-person interviews were gathered from MSM who resided in Massachusetts between 2003 and 2007. A logistic regression analysis that controlled for demographic characteristics, health insurance status, HIV/AIDS status, drug use, and social support revealed that MSM who identified as heterosexual, compared with those who identified as gay or bisexual, were 60% less likely to access a health care provider on a regular basis. Further, the likelihood of seeing a provider regularly was 54% lower for MSM who had used illegal drugs in the past 30 days and 32% higher for MSM who had more social support. Study limitations and implications are discussed.
本文描述了 257 名男男性行为者（MSM）的物质使用、性认同与定期看医生之间的关系。这些数据来自于 2003 年至 2007 年间居住在马萨诸塞州的 MSM 的面访。通过控制人口统计学特征、健康保险状况、HIV/AIDS 状况、药物使用和社会支持的逻辑回归分析表明，与同性恋或双性恋者相比，认同异性恋的 MSM 定期看医生的可能性低 60%。此外，过去 30 天内使用过非法药物的 MSM 定期看医生的可能性低 54%，而社会支持更多的 MSM 定期看医生的可能性高 32%。讨论了研究的局限性和意义。
