Institute for Scientific Analysis, Alameda, CA, USA.
Qual Health Res. 2011 May;21(5):625-41. doi: 10.1177/1049732310385825. Epub 2010 Oct 15.
Research on drug use among gay and bisexual men has primarily focused on examining the link between drug use- most notably, methamphetamine-sexual practices, and risk of HIV transmission. Drawing on in-depth qualitative data from 40 interviews with gay and bisexual Asian American men, we examine perceptions and meanings associated with cocaine use in the San Francisco Bay Area gay community. We found that the participants, in contrast to their negative perceptions of methamphetamine use, believed that cocaine enhanced sociability and was acceptable for use in most social situations. Furthermore, participants perceived little connection between cocaine use and risky sexual practices, emphasizing the drug's safety relative to other illicit substances. Based on these findings, we suggest that an increase in the favorability of cocaine use might be an unintended consequence of methamphetamine prevention campaigns targeting the gay community, with their emphasis on the harmful effects of drug use, unsafe sex, and HIV risk.
对男同性恋和双性恋男性的药物使用研究主要集中在研究药物使用——尤其是冰毒——与性行为之间的联系，以及与艾滋病毒传播的风险。本研究基于对 40 名美国亚裔男同性恋者的深入定性访谈，我们考察了旧金山湾区男同性恋群体中与可卡因使用相关的认知和意义。我们发现，与他们对冰毒使用的负面看法相反，参与者认为可卡因可以增强社交性，并且在大多数社交场合都可以接受使用。此外，参与者认为可卡因使用与危险的性行为之间没有联系，强调了与其他非法物质相比，这种药物的安全性。基于这些发现，我们认为，针对同性恋群体的冰毒预防运动强调药物使用、不安全的性行为和艾滋病毒风险的有害影响，可能会导致可卡因使用的有利度增加，这是一个意想不到的后果。
