男男性行为者中的经济困难和药物使用。
Financial hardship and drug use among men who have sex with men.
机构信息
Department of Population Health, New York University School of Medicine, 227 East 30th Street, 6th Floor, New York, NY, 10016, USA.
Morgan State University School of Social Work, Baltimore, MD, USA.
出版信息
Subst Abuse Treat Prev Policy. 2018 May 24;13(1):19. doi: 10.1186/s13011-018-0159-0.
BACKGROUND
Little is known about the role of financial hardship as it relates to drug use, especially among men who have sex with men (MSM). As such, this study aimed to investigate potential associations between financial hardship status and drug use among MSM.
METHODS
We conducted a cross-sectional survey of 580 MSM in Paris recruited using a popular geosocial-networking smartphone application (GSN apps). Descriptive analyses and multivariate analyses were performed. A modified Poisson model was used to assess associations between financial hardship status and use of drugs (any drugs, tobacco, alcohol, marijuana, inhalant nitrites, and club drugs).
RESULTS
In our sample, 45.5% reported that it was somewhat, very, or extremely difficult to meet monthly payments of bills (high financial hardship). In multivariate analyses, a high level of financial hardship was significantly associated with an increased likelihood of reporting use of any substance use (adjusted risk ratio [aRR] = 1.15; 95% CI = 1.05-1.27), as well as use of tobacco (aRR = 1.45; 95% CI = 1.19-1.78), marijuana (aRR = 1.48; 95% CI =1.03-2.13), and inhalant nitrites (aRR = 1.24; 95% CI = 1.03-1.50).
CONCLUSIONS
Financial hardship was associated with drug use among MSM, suggesting the need for interventions to reduce the burden of financial hardship in this population.
背景
关于经济困难与吸毒之间的关系，我们知之甚少，尤其是在男男性行为者（MSM）群体中。因此，本研究旨在调查 MSM 中经济困难状况与吸毒之间的潜在关联。
方法
我们对巴黎 580 名 MSM 进行了横断面调查，这些参与者是通过一款流行的基于地理位置的社交网络智能手机应用程序（GSN 应用程序）招募的。我们进行了描述性分析和多变量分析。采用修正泊松模型评估经济困难状况与吸毒（任何毒品、烟草、酒精、大麻、吸入性亚硝酸酯和摇头丸）之间的关联。
结果
在我们的样本中，45.5%的人报告说，支付账单有些、非常或极其困难（高经济困难）。在多变量分析中，高水平的经济困难与报告使用任何物质的可能性增加显著相关（调整后的风险比[aRR] = 1.15；95%置信区间 [CI] = 1.05-1.27），以及使用烟草（aRR = 1.45；95% CI = 1.19-1.78）、大麻（aRR = 1.48；95% CI =1.03-2.13）和吸入性亚硝酸酯（aRR = 1.24；95% CI = 1.03-1.50）。
结论
经济困难与 MSM 的吸毒行为有关，这表明需要采取干预措施来减轻该人群的经济困难负担。
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