Kecojevic Aleksandar, Corliss Heather L, Lankenau Stephen E
San Diego State University (SDSU) Graduate School of Public Health, Division of Health Promotion and Behavioral Science, 9245 Sky Park Court, Suite 100, San Diego, CA 92123, United States.
San Diego State University (SDSU) Graduate School of Public Health, Division of Health Promotion and Behavioral Science, 9245 Sky Park Court, Suite 100, San Diego, CA 92123, United States.
Int J Drug Policy. 2015 Aug;26(8):764-71. doi: 10.1016/j.drugpo.2015.03.010. Epub 2015 Apr 7.
Prescription drug misuse (i.e. opioids, tranquilizers and stimulants) has become the fastest growing area of substance abuse among young adults. Limited studies focus on prescription drug misuse among young men who have sex with men (YMSM, aged 18-29 years). Furthermore, little is known about YMSM's motivations for misuse. The purpose of this study was to explore personal motivations for prescription drug misuse among YMSM, including the possible connection between misuse and sexual behaviors.
As part of a larger mixed methods study of 191 YMSM recruited in Philadelphia during 2012-2013, we conducted semi-structured qualitative interviews with 25 of these participants to gather additional contextual information about their prescription drug misuse. We conducted thematic analysis of qualitative data.
While our results corroborated previous literature on motives for misuse of prescription drugs, our data yielded some distinct motivations specific among YMSM. These motives included social/recreational motives, facilitating sex with other men (including motives such as use of opioids for less painful anal receptive sex), and psychological motives such as depression, stress management, coping with everyday hardships (opioids and tranquilizers) or feeling more energized (stimulants). Prescription drugs were commonly misused within the broader contexts of participants' polysubstance use, adding to the significance of this problem.
Our findings offer insights into YMSM's motivations for prescription drug misuse, and point to the importance of recognizing and addressing them. While substance use is likely related to various psychosocial issues impacting YMSM, it also may lead to significant health consequences. Results support the need to include prescription drugs and polysubstance use in harm reduction messages and treatment approaches aimed at substance using YMSM.
处方药滥用（即阿片类药物、镇静剂和兴奋剂）已成为年轻成年人中物质滥用增长最快的领域。有限的研究关注男男性行为者（年龄在18 - 29岁的YMSM）中的处方药滥用情况。此外，对于YMSM滥用药物的动机知之甚少。本研究的目的是探讨YMSM滥用处方药的个人动机，包括滥用与性行为之间可能存在的联系。
作为2012 - 2013年在费城招募的191名YMSM的一项更大规模混合方法研究的一部分，我们对其中25名参与者进行了半结构化定性访谈，以收集有关他们处方药滥用的更多背景信息。我们对定性数据进行了主题分析。
虽然我们的结果证实了先前关于处方药滥用动机的文献，但我们的数据产生了一些YMSM特有的不同动机。这些动机包括社交/娱乐动机、促进与其他男性发生性行为（包括使用阿片类药物以进行疼痛较轻的肛交等动机）以及心理动机，如抑郁、压力管理、应对日常困难（阿片类药物和镇静剂）或感觉更有活力（兴奋剂）。处方药通常在参与者多种物质使用的更广泛背景下被滥用，这增加了这个问题的重要性。
我们的研究结果为YMSM滥用处方药的动机提供了见解，并指出了认识和解决这些动机的重要性。虽然物质使用可能与影响YMSM的各种心理社会问题有关，但它也可能导致重大的健康后果。结果支持在针对使用物质的YMSM的减少伤害信息和治疗方法中纳入处方药和多种物质使用的必要性。
