Party and Play

Out in Time ◽  
2019 ◽  
pp. 147-164
Author(s):  
Perry N. Halkitis
Keyword(s):  
Drug Use ◽  
Gay Men ◽  
Sexually Transmitted ◽  
Alcohol And Drug Use ◽  
Gay Community ◽  
Self Worth ◽  
Mental Health Difficulties ◽  
American Society ◽  
Alcohol And Other Drugs ◽  
Physical Challenges

Substance use, often in combination with sex, referred to as “party and play (PNP),” defines lives of gay men across generations and across all stages of life. Alcohol and drug use among gay men is precipitated by psychosocial burdens such as loneliness and diminished self-worth, the mental health difficulties experienced within the population, and the physical challenges associated with sex itself. The reliance on drug use is catalyzed by the homophobia of American society, but is also normalized within the community itself. The use of alcohol and other drugs also is intimately linked to the expectations of masculinity within the gay population, the drive for physical and sexual perfection, and the racism and discrimination experienced by gay men both within and outside the gay community. Ultimately, drugs serve as facilitators for the fantastical sex sought by many gay men and thus use of noninjection drugs that are hypersexualizing, such as methamphetamine and inhalant nitrates, has been implicated in the ongoing presence of HIV and other sexually transmitted infections (STIs) in the gay population.

scholarly journals Good gay men don’t get “Messy”: Injecting drug use and gay community

2005 ◽  
Vol 2 (1) ◽  
pp. 22-36 ◽  
Author(s):  
Gary W. Dowsett ◽  
David Wain ◽  
Deborah Keys
Keyword(s):  
Drug Use ◽  
Gay Men ◽  
Injecting Drug Use ◽  
Gay Community

Gay Men Don't Get "Messy": Injecting Drug Use and Gay Community

2005 ◽  
Vol 2 (1) ◽  
pp. 23-39 ◽  
Author(s):  
Gary W. Dowset ◽  
Deborah Keys ◽  
David Wain
Keyword(s):  
Drug Use ◽  
Gay Men ◽  
Injecting Drug Use ◽  
Gay Community

scholarly journals Alcohol and drug use, partner PrEP use and STI prevalence among people with HIV

2019 ◽  
Vol 96 (3) ◽  
pp. 184-188
Author(s):  
J Carlo Hojilla ◽  
Julia Marcus ◽  
Jonathan E Volk ◽  
Wendy Leyden ◽  
C Bradley Hare ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Drug Use ◽  
High Yield ◽  
Alcohol Intervention ◽  
Sexually Transmitted ◽  
Alcohol And Drug Use ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Sex With Men ◽  
Hiv Negative

ObjectivesPeople with HIV (PWH) have a high burden of bacterial sexually transmitted infections (STIs). We examined the relationship of alcohol and drug use and partner pre-exposure prophylaxis (PrEP) use to STI prevalence in a cohort of PWH with a history of unhealthy alcohol use.MethodsWe analysed data from a primary care-based alcohol intervention study at Kaiser Permanente Northern California (KPNC). Participants were recruited between April 2013 and May 2015 and were followed for up to 24 months. We linked participant responses to questions from the 24 month follow-up interview, including alcohol and drug use and partner PrEP use, with STI test results (ie, syphilis, chlamydia, gonorrhoea) in the KPNC electronic health record. Prevalence ratios (PR) were estimated using Poisson models fitted with robust variance estimators to evaluate the association of substance use and partner use of PrEP with STIs.ResultsIn the analytic sample (n=465), the median age was 52 years (IQR 45–59); 67% were white; 95% were men who have sex with men. Thirty-two per cent of participants had HIV-positive partners only; 31% had HIV-negative partners with at least one on PrEP in the previous year and 37% had HIV-negative partners without any on PrEP. Twenty-three per cent reported alcohol and drug use prior to sex in the last 6 months. Eight per cent of participants had an STI. Partner PrEP use (adjusted PR (aPR) 2.99 (95% CI 1.11 to 8.08)) was independently associated with higher STI prevalence. Participants who reported use of alcohol (aPR 1.53 (0.61 to 3.83)), drugs (aPR 1.97 (0.71 to 5.51)) or both (aPR 1.93 (0.75 to 4.97)) prior to sex had a higher STI prevalence.ConclusionsThe higher prevalence of STIs among PWH with unhealthy alcohol use who have partners on PrEP suggests that this subgroup may be a high-yield focus for targeted outreach, STI screening and sexual health counselling.

scholarly journals Risk behaviour among Aboriginal and Torres Strait Islander gay men: comparisons with other gay men in Australia

Sexual Health ◽  
2006 ◽  
Vol 3 (3) ◽  
pp. 163 ◽  
Author(s):  
Chris G. Lawrence ◽  
Patrick Rawstorne ◽  
Peter Hull ◽  
Andrew E. Grulich ◽  
Scott Cameron ◽  
...  
Keyword(s):  
Drug Use ◽  
Gay Men ◽  
Torres Strait Islander ◽  
Illicit Drugs ◽  
Risk Behaviour ◽  
Anal Intercourse ◽  
Cross Sectional ◽  
Gay Community ◽  
Increased Risk ◽  
Torres Strait

Objectives: To determine any differences in HIV-risk and drug-use behaviour among Aboriginal and Torres Strait Islander gay men and other gay men in Australia. Methods: The Gay Community Periodic Survey is a repeated cross-sectional prevalence study of the sexual and drug use behaviours of Australian gay men conducted since 1996. Responses from Aboriginal and Torres Strait Islander (ATSI) gay men were compared with those from non-ATSI gay men for the years 2000–2004. Results: Of 34 708 responses collected in major Australian cities over a 6-year period, 1208 identified as Aboriginal or Torres Strait Islander. There was little difference between ATSI and non-ATSI men in the reported prevalence of HIV, though ATSI gay men were more likely than non-ATSI gay men to engage in unprotected anal intercourse with casual partners and to inject illicit drugs but were more likely to have been recently tested for HIV. Conclusions: These ATSI gay men were at increased risk of HIV and other blood-borne viruses, though this may be due to differences in socio-economic status as much as cultural background. These findings indicate the continued need for targeted sexual and injecting-drug-use health interventions among this population.

OCCUPATION, JOB CHARACTERISTICS, AND THE USE OF ALCOHOL AND OTHER DRUGS

2003 ◽  
Vol 31 (4) ◽  
pp. 395-412 ◽  
Author(s):  
Zhiwei Zhang ◽  
William E. Snizek
Keyword(s):  
Drug Use ◽  
Household Survey ◽  
Organizational Stress ◽  
Full Time ◽  
Data Set ◽  
Alcohol And Drug Use ◽  
Department Of Labor ◽  
Negative Effect ◽  
National Household Survey ◽  
Alcohol And Other Drugs

This study uses detailed information from the Department of Labor (O'NET 98) concerning the characteristics and content of 1,122 occupations, and combines these data with information on alcohol and drug use collected by the Substance Abuse and Mental Health Services Administration in their 1997 National Household Survey on Drug Abuse (NHSDA). Using a merged data set, based on 7,477 full-time workers, weighted logistic regression analyses were used to examine the relationships between eight occupational and job dimensions and workers' current and prior use of alcohol and drugs. Results show that steady employment or job security has the most pronounced negative effect on alcohol and drug use, while characteristics such as the pace of activity, job independence, and skills utilization to include feelings of accomplishment have little or no effect on employees' alcohol and drug use. Furthermore, the etiology of cocaine use appears quite different from that of alcohol and other types of drug use: all else being equal, employees' odds of using cocaine, when working in an occupation with greater job variety, decrease by 64 percent. However, employees in occupations with greater job autonomy are about 4 times more likely to use cocaine than are employees in jobs with less autonomy. These findings suggest that occupational conditions have a discernible influence on alcohol and drug use among employees, albeit in more complex ways than those suggested by much of the organizational stress and occupational subcultural literature.

The role of drugs during group sex among gay men in Australia

Sexual Health ◽  
2009 ◽  
Vol 6 (4) ◽  
pp. 310 ◽  
Author(s):  
Garrett Prestage ◽  
Jeffrey Grierson ◽  
Jack Bradley ◽  
Michael Hurley ◽  
Jeff Hudson
Keyword(s):  
Drug Use ◽  
Confidence Interval ◽  
Sexual Risk ◽  
Gay Men ◽  
Odds Ratio ◽  
Sexual Experience ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Gay Community ◽  
Group Sex

Background: Drug use has been associated with risk behaviour among gay men. We examined the use of drugs and sexual risk behaviour among homosexually-active men who engaged in group sex in Australia. Methods: We used an anonymous, self-complete survey about participants’ most recent occasion of group sex with other men and in-depth interviews with a small number of these survey participants. The 746 men who reported having engaged in group sex within the previous 6 months were included in these analyses. Results: Among 746 men who engaged in group sex within the previous 6 months, 63.0% reported using illicit drugs at the group sex encounter. Men commonly reported using drugs specifically to enhance their sexual experience and to intensify the pleasure of that experience. After controlling for each drug type and other risk factors, only use of methamphetamine (odds ratio = 1.74, confidence interval = 1.06–2.88, P = 0.030) and having more than five drinks (odds ratio = 2.41, confidence interval = 1.34–4.33, P = 0.003) were independently associated with unprotected anal intercourse with non-HIV seroconcordant partners in multivariate analysis. Conclusion: Methamphetamine and heavy alcohol use are associated with increased sexual risk behaviour among men who engage in group sex. Within more ‘adventurous’ gay community subcultures, drug use is often for the explicit purpose of enhancing the sexual experience and this complex relationship may be key to understanding HIV risk among these men.

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