打破兴奋剂使用与高危性行为之间的联系：一项定性研究。
Breaking the bond between stimulant use and risky sex: a qualitative study.
机构信息
Great Cities Institute, University of Chicago, Chicago, Illinois 60607, USA.
出版信息
Subst Abus. 2010 Oct;31(4):224-30. doi: 10.1080/08897077.2010.514240.
Abstract
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.
摘要
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。
相似文献
1
Breaking the bond between stimulant use and risky sex: a qualitative study.打破兴奋剂使用与高危性行为之间的联系：一项定性研究。
Subst Abus. 2010 Oct;31(4):224-30. doi: 10.1080/08897077.2010.514240.
2
Reasons for stimulant use among Latino gay men in San Francisco: a comparison between methamphetamine and cocaine users.旧金山拉丁裔男同性恋者使用兴奋剂的原因：甲基苯丙胺使用者与可卡因使用者的比较。
J Urban Health. 2005 Mar;82(1 Suppl 1):i71-8. doi: 10.1093/jurban/jti026. Epub 2005 Feb 28.
3
Stimulant expectancy questionnaire for men who have sex with men: A measure of substance-related beliefs.男性性少数群体兴奋剂预期问卷：一种与物质相关信念的测量工具。
Health Promot J Austr. 2020 Apr;31(2):309-319. doi: 10.1002/hpja.271. Epub 2019 Jul 3.
4
Results of a pilot study to reduce methamphetamine use and sexual risk behaviors among methamphetamine-using men who have sex with men (MSM) not currently in treatment.一项减少非治疗中使用冰毒的男男性行为者（MSM）冰毒使用和性风险行为的初步研究结果。
J Psychoactive Drugs. 2012 Nov-Dec;44(5):351-8. doi: 10.1080/02791072.2012.736794.
5
Motivations associated with methamphetamine use among HIV+ men who have sex with men.与男男性行为的艾滋病毒阳性者使用甲基苯丙胺相关的动机。
J Subst Abuse Treat. 2002 Apr;22(3):149-56. doi: 10.1016/s0740-5472(02)00223-4.
6
Illicit drug use in sexual settings ('chemsex') and HIV/STI transmission risk behaviour among gay men in South London: findings from a qualitative study.伦敦南部男同性恋者在性活动中使用违禁药物（“化学性行为”）及艾滋病毒/性传播感染传播风险行为：一项定性研究的结果
Sex Transm Infect. 2015 Dec;91(8):564-8. doi: 10.1136/sextrans-2015-052052. Epub 2015 Jul 9.
7
Substance use and sexual risk behavior in HIV-positive men who have sex with men: an episode-level analysis.HIV 阳性男男性行为者中的物质使用与性风险行为：基于事件水平的分析。
AIDS Behav. 2013 Jun;17(5):1883-7. doi: 10.1007/s10461-012-0167-4.
8
Sexual risk behavior of HIV-positive methamphetamine-using men who have sex with men: the role of partner serostatus and partner type.感染艾滋病毒且使用甲基苯丙胺的男男性行为者的性风险行为：性伴侣血清学状态和性伴侣类型的作用。
Arch Sex Behav. 2006 Aug;35(4):461-71. doi: 10.1007/s10508-006-9045-3. Epub 2006 Aug 15.
9
Rapid assessment of drug-related HIV risk among men who have sex with men in three South African cities.对南非三个城市中男男性行为者的药物相关艾滋病毒风险进行快速评估。
Drug Alcohol Depend. 2008 May 1;95(1-2):45-53. doi: 10.1016/j.drugalcdep.2007.12.005. Epub 2008 Feb 1.
10
Associations between Sociodemographic Characteristics and Sexual Risk Behaviors among Methamphetamine-using Men who Have Sex with Men.使用甲基苯丙胺的男男性行为者的社会人口学特征与性风险行为之间的关联。
Subst Use Misuse. 2018 Sep 19;53(11):1826-1833. doi: 10.1080/10826084.2018.1436566. Epub 2018 Feb 12.
引用本文的文献
1
Neurofunctional changes related to methamphetamine and sexual cues in methamphetamine dependence from short- to long-term abstinence.从短期到长期戒断期间，与甲基苯丙胺和性线索相关的神经功能变化与甲基苯丙胺依赖有关。
Addict Biol. 2024 Jun;29(6):e13405. doi: 10.1111/adb.13405.
2
Stimulant Use Associated With Psychosocial Factors, HIV Risk, and Concurrent Hazardous Alcohol Use Among US Adults: Exploratory Cross-Sectional Questionnaire Study.美国成年人中兴奋剂使用与心理社会因素、艾滋病毒风险及同时存在的危险饮酒之间的关联：探索性横断面问卷调查研究
JMIR Form Res. 2023 Aug 17;7:e45717. doi: 10.2196/45717.
3
Health characteristics associated with chemsex among men who have sex with men: Results from a cross-sectional clinic survey in Norway.与男男性行为者的化学性行为相关的健康特征：来自挪威一项横断面诊所调查的结果。
PLoS One. 2022 Oct 5;17(10):e0275618. doi: 10.1371/journal.pone.0275618. eCollection 2022.
4
Psychological and Interpersonal Factors Associated with Sexualized Drug Use Among Men Who Have Sex with Men: A Mixed-Methods Systematic Review.与男男性行为者性化药物使用相关的心理和人际因素：混合方法系统综述。
Arch Sex Behav. 2021 Feb;50(2):427-460. doi: 10.1007/s10508-020-01741-8. Epub 2020 Oct 27.
5
Drug-taking in a socio-sexual context enhances vulnerability for addiction in male rats.社会性行为中的药物摄入会增加雄性大鼠对成瘾的易感性。
Neuropsychopharmacology. 2019 Feb;44(3):503-513. doi: 10.1038/s41386-018-0235-1. Epub 2018 Oct 6.
6
A Study of the Longitudinal Patterns of Stimulant and Amyl Nitrite Use and Sexual Behavior Pre- and Post-HIV Seroconversion Among MSM.男男性行为者在 HIV 血清转换前后使用兴奋剂和亚硝酸戊酯的纵向模式及性行为研究。
AIDS Behav. 2018 Apr;22(4):1395-1409. doi: 10.1007/s10461-017-2008-y.
7
Maladaptive Sexual Behavior Following Concurrent Methamphetamine and Sexual Experience in Male Rats is Associated with Altered Neural Activity in Frontal Cortex.雄性大鼠同时经历甲基苯丙胺和性体验后出现的适应不良性行为与额叶皮质神经活动改变有关。
Neuropsychopharmacology. 2017 Sep;42(10):2011-2020. doi: 10.1038/npp.2017.1. Epub 2017 Jan 4.
8
Alcohol and drug use during unprotected anal intercourse among gay and bisexual men in Scotland: what are the implications for HIV prevention?苏格兰男同性恋和双性恋者无保护肛交时的酒精和药物使用：对 HIV 预防有何影响？
Sex Transm Infect. 2014 Mar;90(2):125-32. doi: 10.1136/sextrans-2013-051195. Epub 2013 Dec 17.
9
Intimate Strangers? Social Networks in HIV Prevention Groups for Drug Users.亲密的陌生人？吸毒者艾滋病毒预防群体中的社交网络
J Groups Addict Recover. 2013 Apr 1;8(2):129-148. doi: 10.1080/1556035X.2013.764207.
10
Text messaging reduces HIV risk behaviors among methamphetamine-using men who have sex with men.短信可减少与男性同性性行为的甲基苯丙胺使用男性的 HIV 危险行为。
AIDS Behav. 2012 Oct;16(7):1993-2002. doi: 10.1007/s10461-012-0200-7.
本文引用的文献
1
Depression ratings, reported sexual risk behaviors, and methamphetamine use: latent growth curve models of positive change among gay and bisexual men in an outpatient treatment program.抑郁评分、报告的性风险行为及甲基苯丙胺使用情况：门诊治疗项目中男同性恋者和双性恋男性积极变化的潜在增长曲线模型
Exp Clin Psychopharmacol. 2007 Jun;15(3):301-7. doi: 10.1037/1064-1297.15.3.301.
2
'Tweaking 12-Step': the potential role of 12-Step self-help group involvement in methamphetamine recovery.“调整十二步疗法”：十二步自助小组参与在甲基苯丙胺戒毒康复中的潜在作用
Addiction. 2007 Apr;102 Suppl 1:121-9. doi: 10.1111/j.1360-0443.2007.01773.x.
3
The relationship between methamphetamine and popper use and risk of HIV seroconversion in the multicenter AIDS cohort study.在多中心艾滋病队列研究中，甲基苯丙胺和Poppers使用与HIV血清转化风险之间的关系。
J Acquir Immune Defic Syndr. 2007 May 1;45(1):85-92. doi: 10.1097/QAI.0b013e3180417c99.
4
Stimulant-induced enhanced sexual desire as a potential contributing factor in HIV transmission.兴奋剂诱发的性欲增强作为艾滋病病毒传播的一个潜在促成因素。
Am J Psychiatry. 2007 Jan;164(1):157-60. doi: 10.1176/ajp.2007.164.1.157.
5
Stimulant use and HIV risk behavior: the influence of peer support group participation.
AIDS Educ Prev. 2006 Oct;18(5):461-73. doi: 10.1521/aeap.2006.18.5.461.
6
Crystal methamphetamine and sexual sociality in an urban gay subculture: an elective affinity.城市同性恋亚文化中的冰毒与性社交：一种选择性亲和关系。
Cult Health Sex. 2006 Jul-Aug;8(4):317-33. doi: 10.1080/13691050600783320.
7
Sexual compulsivity in a sample of HIV-positive methamphetamine-using gay and bisexual men.一组感染艾滋病毒且使用甲基苯丙胺的男同性恋者和双性恋者中的性强迫行为。
AIDS Behav. 2006 Sep;10(5):587-98. doi: 10.1007/s10461-006-9127-1. Epub 2006 Jun 6.
8
Sexual behavior patterns of methamphetamine-using gay and bisexual men.使用甲基苯丙胺的男同性恋者和双性恋男性的性行为模式。
Subst Use Misuse. 2005;40(5):703-19. doi: 10.1081/ja-200055393.
9
Behavioral treatment approaches for methamphetamine dependence and HIV-related sexual risk behaviors among urban gay and bisexual men.针对城市男同性恋者和双性恋男性中甲基苯丙胺成瘾及与艾滋病相关的性风险行为的行为治疗方法。
Drug Alcohol Depend. 2005 May 9;78(2):125-34. doi: 10.1016/j.drugalcdep.2004.10.004. Epub 2004 Nov 28.
10
Drug and sexual risk in four men who have sex with men populations: evidence for a sustained HIV epidemic in New York City.与男性发生性行为的四类人群中的药物与性风险：纽约市存在持续的艾滋病毒流行的证据
J Urban Health. 2005 Mar;82(1 Suppl 1):i9-17. doi: 10.1093/jurban/jti019. Epub 2005 Feb 28.
Zotero 插件