控制快感和风险：使用 GHB 的性和性别多样化人群的性体验。
Controlling for pleasure and risk: The experiences of sexuality and gender diverse people who use GHB.
机构信息
The Kirby Institute, University of New South Wales Sydney, Wallace Wurth Building, High St, Kensington NSW 2052, Australia; ACON, 414 Elizabeth Street, Surry Hills, NSW 2010, Australia; National Centre for Clinical Research on Emerging Drugs, c/o the University of New South Wales, Sydney 2052, Australia.
The Kirby Institute, University of New South Wales Sydney, Wallace Wurth Building, High St, Kensington NSW 2052, Australia.
出版信息
Int J Drug Policy. 2022 Jul;105:103747. doi: 10.1016/j.drugpo.2022.103747. Epub 2022 May 25.
BACKGROUND
GHB is used among some sexuality and gender diverse populations at elevated rates, however little qualitative research has explored GHB use among these populations with regards to diverse contexts, settings, practices, and experiences of use. Internationally, harms relating to GHB overdose appear to be increasing. Research outlining consumers' experiences of GHB-related pleasures and their strategies to reduce harms may inform GHB education and intervention responses.
METHODS
N = 31 participants reporting three or more occasions of GHB use within the previous 12 months were recruited via digital advertising and snowball methods. Semi-structured interviews were conducted, data were transcribed and analysed in NVivo using a thematic framework analysis. Emergent themes were charted, and divergences and convergences were considered with regards to the sexuality and gender identities of participants.
RESULTS
Pleasures associated with GHB were described in relation to the sensation of the GHB high and experiences of intimacy, and connection. GHB was used to enhance socialising and sex in domestic, private, and commercial venues. Participants prioritised terminology of 'control' when describing their practices associated with GHB dosing, measuring, timing and peer moderation. Most participants reported personal experience of GHB overdose with loss of consciousness.
CONCLUSION
Participants' near-ubiquitous experience of GHB overdose highlights ongoing education needs around overdose prevention. Efforts must target people new to GHB use who appeared particularly susceptible to overdose. Inconsistencies in understandings around GHB overdose, the perceived severity of overdose and the differences between GHB and its precursors GBL and 1,4-BD, highlight potential focus areas of future education responses. Further research is required to better understand consumers' experiences of sexual violence in the context of GHB use.
背景
GHB 在一些性和性别多样化的人群中被大量使用，然而，很少有定性研究探讨过这些人群在不同的背景、环境、实践和使用经验中使用 GHB 的情况。在国际上，与 GHB 过量相关的危害似乎在增加。概述消费者在 GHB 相关愉悦方面的经验及其减少危害的策略的研究，可能为 GHB 教育和干预措施提供信息。
方法
通过数字广告和滚雪球的方法招募了 31 名在过去 12 个月内报告有三次或三次以上 GHB 使用经历的报告者。进行了半结构化访谈，使用 NVivo 中的主题框架分析对数据进行了转录和分析。记录了出现的主题，并考虑了参与者的性和性别认同方面的差异和趋同。
结果
与 GHB 快感相关的描述与 GHB 高的感觉和亲密、联系的体验有关。GHB 被用于增强家庭、私人和商业场所的社交和性。参与者在描述与 GHB 剂量、测量、时间和同伴调节相关的实践时，优先使用“控制”的术语。大多数参与者报告了个人 GHB 过量的经历，导致意识丧失。
结论
参与者普遍经历 GHB 过量，突出了持续需要进行有关过量预防的教育。必须针对新使用 GHB 的人开展工作，他们似乎特别容易过量。对 GHB 过量、对过量的严重程度的认识以及 GHB 与其前体 GBL 和 1,4-BD 之间的差异的不一致，突出了未来教育反应的潜在重点领域。需要进一步研究，以更好地了解在 GHB 使用背景下消费者在性暴力方面的经验。
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