Expectancies of sexual “escape” and sexual risk among drug- and alcohol-involved gay and bisexual men

Journal of substance abuse Pub Date : 2001-09-01 DOI:10.1016/S0899-3289(01)00063-3

David J McKirnan , Peter A Vanable , David G Ostrow , Brent Hope

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引用次数: 188

Abstract

Purpose: We tested the hypotheses that sexual risk would relate to gay/bisexual men's patterns of combining alcohol or drugs with sex, their motivation to use drugs to cognitively “escape” awareness of HIV risk, and their use of bars as social and sexual settings. Methods: We conducted extensive interviews among African–American (n=139) and White (n=112) gay and bisexual men who were attending a behavioral intervention for safer sex results. Those who frequently combined drugs with sex reported higher rates of sexual risk and Hepatitis B infection than did men who infrequently combined substances with sex, or who combined only alcohol with sex. Sexual risk was pronounced among more frequent drug users who also reported strong expectancies that alcohol or drugs facilitate sex and cognitively escape from awareness of HIV risk. Frequenting bars per se was not an important factor in sexual risk. Implications: Men who use alcohol or drugs to enhance sexuality and escape self-awareness of HIV risk have a significantly diminished capacity to avoid sexual risk.

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吸毒和酗酒的同性恋和双性恋男性对性“逃避”和性风险的预期

目的:我们检验了以下假设:性风险与男同性恋/双性恋男性将酒精或药物与性结合的模式、他们使用药物以认知上“逃避”对艾滋病毒风险的认识以及他们将酒吧作为社交和性场所有关。方法:我们对参加行为干预以获得安全性行为结果的非裔美国人(n=139)和白人(n=112)男同性恋和双性恋男性进行了广泛的访谈。那些经常将药物与性行为结合在一起的男性比那些不经常将药物与性行为结合在一起的男性或仅将酒精与性行为结合在一起的男性报告了更高的性风险和乙型肝炎感染率。性风险在更频繁的吸毒者中更为明显，他们还报告强烈预期酒精或毒品会促进性行为，并在认知上逃避对艾滋病毒风险的认识。频繁出入酒吧本身并不是性风险的重要因素。含义:使用酒精或药物来增强性行为和逃避对艾滋病毒风险的自我意识的男子避免性风险的能力大大降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of substance abuse

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