Theodore Peter S, Durán Ron E, Antoni Michael H
Clinical Psychology PhD Program, California School of Professional Psychology (CSPP) at Alliant International University, 1000 S. Fremont Avenue, Unit 5, Alhambra, Los Angeles, CA, USA,
AIDS Behav. 2014 Nov;18(11):2178-86. doi: 10.1007/s10461-014-0779-y.
Research connecting club drug use to risky sex among gay/bisexual men (GBM) contains methodological issues that have limited knowledge about the relative risks of distinct drugs. This paper reports drug use and sexual behavior data from 197 GBM who frequented at least one party venue within 3 months of participating. Alarming rates of drug use and unprotected anal intercourse (UAI) with casual sex-partners were reported in connection with time spent at a bar, club or circuit party. Structural equation modeling revealed that use of methamphetamine, gammahydroxybutrate (GHB), and/or ketamine (K), but not use of ecstasy, at a party venue helped explain likelihood of UAI with a casual sex-partner while under the influence of a drug during/following time partying (β = 0.41, p < .01). Findings suggest use of methamphetamine, GHB and/or K at party venues increases risk for subsequent UAI with casual sex-partners. Study implications, limitations, and recommendations for future research are discussed.
将俱乐部毒品使用与男同性恋者/双性恋男性（GBM）的危险性行为联系起来的研究存在方法学问题，这些问题限制了我们对不同毒品相对风险的了解。本文报告了197名GBM的毒品使用和性行为数据，这些人在参与研究的3个月内至少去过一个派对场所。报告显示，与在酒吧、俱乐部或巡回派对上度过的时间相关，毒品使用和与临时性伴侣发生无保护肛交（UAI）的比例令人担忧。结构方程模型显示，在派对场所使用甲基苯丙胺、γ-羟基丁酸（GHB）和/或氯胺酮（K），而非使用摇头丸，有助于解释在派对期间/之后受毒品影响时与临时性伴侣发生UAI的可能性（β = 0.41，p <.01）。研究结果表明，在派对场所使用甲基苯丙胺、GHB和/或K会增加随后与临时性伴侣发生UAI的风险。本文还讨论了研究的意义、局限性以及对未来研究的建议。
