Palamar Joseph J, Kiang Mathew V, Storholm Erik D, Halkitis Perry N
Center for Health, Identity, Behavior & Prevention Studies, The Steinhardt School of Culture, Education, and Human Development, New York University, 726 Broadway, Suite 525, New York, NY 10003, USA.
Psychol Sex. 2014 Apr 1;5(2):143-160. doi: 10.1080/19419899.2012.679363.
Club drug use is often associated with unsafe sexual practices and use remains prevalent among gay and bisexual men. Although epidemiological studies commonly report the risk of engaging in unsafe sex due to the effects of particular club drugs, there remain gaps in the literature regarding the specific sexual effects of such substances and the context for their use in this population. We examined secondary data derived from interviews with 198 club drug using gay and bisexual males in New York City and qualitatively describe subjective sexual effects of five drugs: ecstasy, GHB, ketamine, powder cocaine and methamphetamine. Differences and commonalities across the five drugs were examined. Results suggest that each drug tends to provide: 1) unique sexual effects, 2) its own form of disinhibition, and 3) atypical sexual choices, often described as "lower sexual standards." Differences across drugs emerged with regard to social, sensual and sexual enhancement, sexual interest, and impotence. Although some common perceived sexual effects exist across drugs, the wide variation in these effects suggests different levels of risk and may further suggest varying motivations for using each substance. This study seeks to educate public health officials regarding the sexual effects of club drug use in this population.
使用俱乐部毒品往往与不安全的性行为相关，且在男同性恋者和双性恋男性中使用情况仍然普遍。尽管流行病学研究通常报告了由于特定俱乐部毒品的影响而从事不安全性行为的风险，但关于此类物质的特定性影响以及在该人群中使用的背景，文献中仍存在空白。我们研究了对纽约市198名使用俱乐部毒品的男同性恋者和双性恋男性进行访谈所获得的二手数据，并定性描述了摇头丸、γ-羟基丁酸、氯胺酮、粉末可卡因和甲基苯丙胺这五种毒品的主观性影响。研究了这五种毒品之间的差异和共性。结果表明，每种毒品往往会带来：1）独特的性影响，2）其自身形式的抑制解除，以及3）非典型的性选择，通常被描述为“较低的性标准”。在社交、感官和性增强、性兴趣以及阳痿方面，不同毒品之间出现了差异。尽管不同毒品之间存在一些共同的感知性影响，但这些影响的广泛差异表明了不同程度的风险，也可能进一步表明使用每种物质的不同动机。本研究旨在让公共卫生官员了解该人群中使用俱乐部毒品的性影响。
