“我觉得大麻是唯一不会要了我命的毒品”：曾被监禁的与男性发生性关系的黑人男性对大麻使用的看法。
"I feel like marijuana is the only drug that wouldn't kill me": perceptions of cannabis use in previously incarcerated Black men who have sex with other men.
机构信息
University of Chicago, 5801 S Ellis Ave, Chicago, IL, 60637, USA.
Chicago Center for HIV Elimination, 1525 E. 55th St. Suite 205, Chicago, IL, 60637, USA.
出版信息
Harm Reduct J. 2023 Feb 3;20(1):13. doi: 10.1186/s12954-023-00744-7.
BACKGROUND
Fragmented state laws have impacted cannabis uptake and perceptions in the USA. Little research has explored the attitudes, beliefs, and social network influences of young Black men who have sex with men (BMSM) who have experienced incarceration and use cannabis. While problematic cannabis use is not well defined and understudied, scholars have found that a person's social network can mediate problematic substance use and reduce recidivism rates by providing both tangible and emotional support. This analysis examines how social networks contribute to cannabis perceptions and use among BMSM with criminal legal system involvement in Chicago, IL, and Houston TX.
METHODS
Researchers conducted interviews with 25 cis gender Black men informed by life course theory, with a focus on the role of social networks, incarceration, and other life experiences in substance use. All interviews were audio-recorded, de-identified, and transcribed; participants were compensated $50. A deductive-inductive thematic analysis was used to analyze all qualitative data collected.
RESULTS
Twelve BMSM in Chicago and 13 BMSM in Houston (M = 26.6 years old, SD = 3.7) were interviewed. A majority identified as gay (56%), with 12 participants (48%) reporting having a high school diploma or equivalent; their average age of first substance use was 15.2 (SD = 2.9). Participants perceived cannabis usage to be categorically distinct from other intoxicating substance usage, with many describing it as not harmful and potentially beneficial. Three themes shaped their choices and attitudes regarding cannabis and "hard" drugs-social networks, need fulfillment, and knowledge of risk.
CONCLUSION
Participant descriptions of cannabis use emphasize their drug-use behavior as being produced by agent decision-making and risk assessment. Future work should expand on how these decisions are made, and how social networks can be leveraged to encourage non-harmful drug consumption behaviors.
背景
美国各州法律支离破碎，影响了大麻的使用和认知。很少有研究探讨过有入狱经历且使用大麻的年轻黑人男男性行为者（BMSM）的态度、信念和社交网络影响。虽然有问题的大麻使用尚未得到明确界定和充分研究，但学者们发现，一个人的社交网络可以通过提供有形和情感支持来调解有问题的物质使用并降低累犯率。本分析研究了芝加哥和休斯顿的 BMSM 如何通过社会网络来感知和使用大麻，这些人曾涉及刑事司法系统。
方法
研究人员根据生命历程理论对 25 名顺性别黑人男性进行了访谈，重点关注社交网络、监禁和其他生活经历在物质使用中的作用。所有访谈均进行录音、匿名处理并转录；参与者获得 50 美元报酬。采用演绎归纳主题分析法分析所有收集到的定性数据。
结果
在芝加哥有 12 名 BMSM 和在休斯顿有 13 名 BMSM（M=26.6 岁，SD=3.7）接受了采访。大多数受访者认为自己是同性恋（56%），其中 12 名参与者（48%）报告拥有高中文凭或同等学历；他们首次使用物质的平均年龄为 15.2 岁（SD=2.9）。参与者认为大麻的使用与其他致醉物质的使用有明显区别，许多人认为大麻没有危害，甚至可能有益。有三个主题塑造了他们对大麻和“硬”毒品的选择和态度：社交网络、需求满足和风险知识。
结论
参与者对大麻使用的描述强调了他们的药物使用行为是由主体决策和风险评估产生的。未来的研究应该扩展这些决策是如何做出的，以及如何利用社交网络鼓励无害的药物消费行为。
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