Substance Use Lbian, Gay, and Bisexual Populatns: An Update on Empiril Rearch and Implitns for Treatment - PMC

Contents:

• MDMA ("ECSTASY") ABE AND HIGH-RISK SEXUAL BEHAVRS AMONG 169 GAY AND BISEXUAL MEN
• MDMA (“ECSTASY”) ABE AND HIGH-RISK SEXUAL BEHAVRS AMONG 169 GAY AND BISEXUAL MEN
• SUBSTANCE USE LBIAN, GAY, AND BISEXUAL POPULATNS: AN UPDATE ON EMPIRIL REARCH AND IMPLITNS FOR TREATMENT
• MDMA (‘ECSTASY’) E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY
• MDMA (‘ECSTASY’) E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY
• MDMA ('ECSTASY') E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY
• MDMA (‘ECSTASY’) E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY
• MDMA ('ECSTASY') E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY

MDMA ("ECSTASY") ABE AND HIGH-RISK SEXUAL BEHAVRS AMONG 169 GAY AND BISEXUAL MEN

The thors explored the associatn between abe of 3, 4-methylenedxymethamphetame (MDMA, or "Ecstasy") and high-risk sexual behavrs among gay and bisexual men. An anonymo qutnnaire was pleted by 169 gay and bisexual men at three New York Cy dance clubs. MDMA abe, and s strong associatn wh high-risk sexual behavrs, appears to reprent important unexplored public health problems among some gay or bisexual men.

OBJECTIVE: The thors explored the associatn between abe of 3, 4-methylenedxymethamphetame (MDMA, or “Ecstasy”) and high-risk sexual behavrs among gay and bisexual An anonymo qutnnaire was pleted by 169 gay and bisexual men at three New York Cy dance clubs.

CONCLUSIONS: MDMA abe, and s strong associatn wh high-risk sexual behavrs, appears to reprent important unexplored public health problems among some gay or bisexual men.

MDMA (“ECSTASY”) ABE AND HIGH-RISK SEXUAL BEHAVRS AMONG 169 GAY AND BISEXUAL MEN

Klzman_MDMA (Ecstasy) Abe and High-Risk Sexual Behavrs Among 169 Gay and Bisexual.

SUBSTANCE USE LBIAN, GAY, AND BISEXUAL POPULATNS: AN UPDATE ON EMPIRIL REARCH AND IMPLITNS FOR TREATMENT

The event follows the overdose aths of two black gay men the Wt Hollywood apartment of Democratic donor Ed Buck, who was acced last fall of jectg fatal dos of crystal methamphetame to victims for his own sexual gratifitn.

There are “fluencers on Instagram wh a hundred thoand followers, and they’re dog crystal meth on the si, and no one unrstands or even knows that and everyone’s sred to talk about , ” he Puy, who has been sober for eight years, said that, like many young gay men who e to Wt Hollywood, he had not been tght about gay sex and was ashamed by . This means reckong wh the fact that one of the early of psychelics volved explic attempts to “cure” homosexualy and “transvtism” (Cavnar, 2018).

MDMA (‘ECSTASY’) E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY

“Homosexualy” and “genr inty disorr” have sce been legimized as mental illns the DSM, but the legacy of pathologizg queer inti persists. Can psychelics “cure” gay people? Journal of Homosexualy, 66(5), 571–589.

Guil for psychologil practice wh lbian, gay, and bisexual clients. Others, however, reported that MDMA creased sexual aroal and some rponnts ( particular, gay and bisexual femal) had ed MDMA specifilly for sexual enhancement.

MDMA (‘ECSTASY’) E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY

The behavur and the sexual choic of gay and bisexual men g club dgs at circu parti has been examed [9, 25]. In one study [25], 295 gay or bisexual men were screened.

MDMA ('ECSTASY') E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY

The Circu Party Men’s Health Survey: fdgs and implitns for gay and bisexual men. Dg e and sexual risk behavur among gay and bisexual men who attend circu parti: A venue-based parison.

However, rearch to date is most often ncerned wh the sex-related dg e of lbian, gay, bisexual, transgenr and queer (LGBTQ) populatns, and particularly men who have sex wh men (MSM) engagg ‘chemsex’. Recent evince shows that MDMA and other psychelics uld rce symptoms associated wh racial trma (14, 37) and moralizatn among gay male long-term AIDS survivors (38).

MDMA (‘ECSTASY’) E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY

This batn of ‘sexual aroal’ (Henry, 1992) wh nrognive fics and psychiatric symptoms may put people at creased risk of havg unsafe reports suggt that MDMA e is particularly prevalent the gay muny (Signorile, 1997). Ined, a prr study we found that among 169 gay and bisexual men reced om three dance clubs New York Cy, 34% had ed MDMA the past month.

Sce this sample was reced om gay clubs where MDMA e may be hight, the fdgs may be limed their generalizabily. Unprotected sex such suatns is of particular risk for transmissn of e of other dgs has also been related to high-risk sexual behavr (Dolezal et al., 1997, Dolezal et al., 2000, Leigh and Stall, 1993, Mulry et al., 1994) and HIV seronversn (Chney et al., 1998), and gay men have been found to have higher rat of dg and alhol e than heterosexual men (Ostrow et al., 1990, Stall and Wiley, 1988).

Moreover, attus toward unsafe sex among gay/bisexual men have been changg as monstrated by creasg rat of HIV fectn, part due to the advent of improved treatments such as protease hibors for HIV (Kelly et al., 1998). For example, San Francis, among a sample of young gay and bisexual men aged 18–29, 19% were HIV posive, although 25% of the fected men did not know that they were fected (Hays et al., 1997).

MDMA ('ECSTASY') E, AND S ASSOCIATN WH HIGH RISK BEHAVRS, MENTAL HEALTH, AND OTHER FACTORS AMONG GAY/BISEXUAL MEN NEW YORK CY

In short, MDMA ers rema a group whose characteristics have not yet been systematilly studied, and may nstute a ‘hidn populatn’ at risk for HIV transmissn or other rearch has shown that e of other substanc among men who have sex wh men (MSMs) is associated wh a variety of psychosocial factors, cludg negative affect, anti-gay discrimatn and greater gay bar attendance (McKirnan and Peterson, 1989). Moreover, published reports have not examed the relatnship between substance e among gay men and factors such as domtic vlence, how open participants are revealg their sexual preferenc, and how much they participate the gay sought to explore several rearch qutns.

How mon is MDMA e a large probabily sample of gay men? What are the characteristics of MDMA ers terms of socmographic variabl; high risk sexual behavrs; and psychosocial problems such as mental distrs; domtic vlence; disclosure of sexual orientatn to others, and gree of volvement the gay muny? Our analys foc on gay men livg New York Cy, which prr rearch has intified as havg the hight rate of MDMA e by MSM among the four ci wh the largt populatns of MSM (Stall et al., 2001).