Great Cities Institute, University of Chicago, Chicago, Illinois 60607, USA.
Subst Abus. 2010 Oct;31(4):224-30. doi: 10.1080/08897077.2010.514240.
Stimulant-using men who have sex with men (MSM) are at increased risk for human immunodeficiency virus (HIV) transmission, and are more likely to practice unprotected anal sex than MSM who do not use methamphetamine and/or crack cocaine. In this paper the authors report on interviews with stimulant-using men who have sex with men who have participated in Crystal Meth Anonymous and other 12-step groups, focusing on those who did not have unprotected anal intercourse during a 6-month follow-up period and their reasons for doing so. The authors find 4 common themes cited: a diminished sexual drive; exclusive sex with a primary partner; greater sense of responsibility/commitment to safer sex; and most commonly of the four, an overall healthier sex life. Participants' use of terms such as "healthy," "enjoyable," and "fulfilling" to describe sex not on stimulants, and avoidance of these terms for sex on stimulants, suggests a distinct dimension of sexual experience.
性活跃的男男性行为者（MSM）感染人类免疫缺陷病毒（HIV）的风险增加，与不使用苯丙胺和/或快克可卡因的 MSM 相比，他们更有可能进行无保护的肛交。在本文中，作者报告了对参加 Crystal Meth Anonymous 和其他 12 步团体的性活跃的男男性行为者进行的访谈，重点关注在 6 个月的随访期间没有进行无保护肛交的参与者及其原因。作者发现了 4 个共同的主题：性欲减退；与主要伴侣进行排他性性行为；对安全性行为的责任感/承诺感增强；以及在这 4 个主题中最常见的是，整体更健康的性生活。参与者用“健康”、“愉快”和“充实”等词来描述非兴奋剂性行为，而避免用这些词来描述兴奋剂性行为，这表明性体验有一个明显的维度。
