Vu Nga Thi Thu, Holt Martin, Phan Huong Thi Thu, Le Huong Thi, La Lan Thi, Tran Gioi Minh, Doan Tung Thanh, Nguyen Trang Nhu Nguyen, de Wit John
Centre for Social Research in Health, UNSW Australia, Sydney 2032, NSW, Australia; Institute of Preventive Medicine and Public Health, Hanoi Medical University, No. 1 Ton That Tung Street, HaNoi, Vietnam.
Centre for Social Research in Health, UNSW Australia, Sydney 2032, NSW, Australia.
Drug Alcohol Depend. 2016 Jan 1;158:110-7. doi: 10.1016/j.drugalcdep.2015.11.016. Epub 2015 Nov 22.
Amphetamine-type-stimulants (ATS) use is associated with HIV-related sexual risk behaviours and is an emergent problem among men who have sex with men (MSM) in Vietnam. The purpose of this study is to describe ATS use patterns and understand the correlates of recent methamphetamine use from a socio-ecological perspective.
From September through December, 2014, 622 MSM were recruited in Hanoi and Ho Chi Minh City, Vietnam. We collected information on demographic characteristics, HIV testing behaviours, use of ATS and other recreational drugs (ever and recently), sexual sensation seeking, depressive mood, experienced and internalized stigma related to homosexuality, social involvement with other MSM, and perceptions of ATS use in MSM networks. We performed descriptive statistics to describe ATS use patterns and multivariate logistic regression to establish independent correlates of recent methamphetamine use.
Nearly one-third (30.4%) had ever used ATS, including 23.6% who had used methamphetamine, 4.3% who had used amphetamine ('speed') and 20.9% who had used ecstasy. 20.1% and 11.9% had ever used methamphetamine and ecstasy, respectively, during sex. Eighteen percent of methamphetamine users were classified as engaged in high-risk use. Recent methamphetamine use (in the last 3 months) was associated with participants perceiving more methamphetamine use in their MSM network, recent sex work, and higher sexual sensation seeking scores.
ATS use is relatively prevalent among MSM sampled in Vietnam's main cities. Interventions to address methamphetamine are warranted for MSM in Vietnam. Methamphetamine treatments are needed for high-risk users.
使用苯丙胺类兴奋剂（ATS）与艾滋病病毒相关的性风险行为有关，并且在越南男男性行为者（MSM）中是一个新出现的问题。本研究的目的是从社会生态角度描述ATS的使用模式，并了解近期甲基苯丙胺使用的相关因素。
2014年9月至12月，在越南河内和胡志明市招募了622名男男性行为者。我们收集了有关人口统计学特征、艾滋病病毒检测行为、ATS及其他娱乐性药物的使用情况（曾经和近期）、性感觉寻求、抑郁情绪、与同性恋相关的经历和内化耻辱感、与其他男男性行为者的社会交往以及对男男性行为者网络中ATS使用的认知等信息。我们进行描述性统计以描述ATS的使用模式，并进行多变量逻辑回归以确定近期甲基苯丙胺使用的独立相关因素。
近三分之一（30.4%）的人曾经使用过ATS，其中23.6%的人使用过甲基苯丙胺，4.3%的人使用过苯丙胺（“快克”），20.9%的人使用过摇头丸。分别有20.1%和11.9%的人在性行为期间曾经使用过甲基苯丙胺和摇头丸。18%的甲基苯丙胺使用者被归类为高风险使用者。近期甲基苯丙胺使用（过去3个月内）与参与者认为其男男性行为者网络中甲基苯丙胺使用更为普遍、近期从事性工作以及较高的性感觉寻求得分相关。
在越南主要城市抽样的男男性行为者中，ATS的使用相对普遍。越南的男男性行为者需要开展针对甲基苯丙胺的干预措施。高风险使用者需要接受甲基苯丙胺治疗。
