Power Jennifer, Mikołajczak Gosia, Bourne Adam, Brown Graham, Leonard William, Lyons Anthony, Dowsett Gary W, Lucke Jayne
Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Vic. 3086, Australia.
Sex Health. 2018 Apr;15(2):135-143. doi: 10.1071/SH17151.
Background This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access to social and support networks, which may in turn support wellbeing.
A cross-sectional survey of Australian people living with HIV (PLHIV) was conducted. There were 714 participants (79.7%) who identified as GBM. Differences between party-and-play drug users and non-users were examined using bivariate and multinomial logistic regressions. Mediation analysis examined the indirect effect of drug use on wellbeing via social connectedness and support.
One in three participants (29.7%) reported party-and-play drug use within the past 12 months. Only 5% reported regular use. There were no differences between users and non-users on self-reported measures of general health, wellbeing or general social support. Compared with non-users, party-and-play drug users reported higher levels of resilience and lower levels of perceived HIV-related stigma. This was associated with spending more time with other people living with HIV and friends in the gay and lesbian community.
While party-and-play drug use poses risks to the health of GBM, the social contexts in which these drugs are used may provide wellbeing benefits, particularly for HIV-positive GBM who may be subject to HIV-related stigma in other settings. Further research is needed to determine whether drug-use facilitates access to social networks or if people with more active social ties are more likely to engage in drug use.
背景 本文探讨了包括冰毒在内的派对与性行为合用药物的使用与澳大利亚艾滋病毒呈阳性的男同性恋者和双性恋者（GBM）的健康状况之间的关联。本研究考虑在社交或基于性的环境中使用药物是否有助于进入社交和支持网络，而这反过来可能会支持健康状况。
对澳大利亚艾滋病毒感染者（PLHIV）进行了一项横断面调查。有714名参与者（79.7%）将自己认定为GBM。使用双变量和多项逻辑回归分析了派对与性行为合用药物使用者和非使用者之间的差异。中介分析研究了药物使用通过社会联系和支持对健康状况产生的间接影响。
三分之一的参与者（29.7%）报告在过去12个月内有派对与性行为合用药物的使用情况。只有5%的人报告经常使用。在自我报告的总体健康、健康状况或总体社会支持指标上，使用者和非使用者之间没有差异。与非使用者相比，派对与性行为合用药物使用者报告的恢复力水平更高，与艾滋病毒相关的耻辱感更低。这与在同性恋社区中与其他艾滋病毒感染者和朋友相处的时间更多有关。
虽然派对与性行为合用药物的使用对GBM的健康构成风险，但使用这些药物的社会环境可能会带来健康益处，特别是对于那些在其他环境中可能会受到与艾滋病毒相关耻辱感影响的艾滋病毒呈阳性的GBM。需要进一步研究以确定药物使用是否有助于进入社交网络，或者社交联系更活跃的人是否更有可能使用药物。
