Attitudes of Gay, Bisexual, and Other Men Who Have Sex with Men (GBM) toward Their Use of Amphetamine-Type Stimulants and Relation to Reducing Use in Three Canadian Cities.

Autor:	Yuen AW; University of British Columbia, Vancouver, BC, Canada., Sang JM; British Columbia Centre on Substance Use, Vancouver, BC, Canada., Wang L; British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada., Barath J; British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada., Lachowsky NJ; University of Victoria, Victoria, BC, Canada.; Community-Based Research Centre, Vancouver, BC, Canada., Lal A; British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada., Elefante J; University of British Columbia, Vancouver, BC, Canada., Hart TA; Toronto Metropolitan University, Toronto, ON, Canada.; University of Toronto, ON, Canada., Skakoon-Sparling S; Toronto Metropolitan University, Toronto, ON, Canada., Grey C; Western University, London, ON, Canada., Grace D; University of Toronto, ON, Canada., Cox J; McGill University, Montreal, QC, Canada.; Research Institute of the McGill University Health Centre, Montréal, QC, Canada., Lambert G; Research Institute of the McGill University Health Centre, Montréal, QC, Canada.; Institut national de santé publique du Québec, Montréal, QC, Canada., Noor SW; Toronto Metropolitan University, Toronto, ON, Canada.; Louisiana State University Shreveport, Shreveport, Louisiana, USA., Apelian H; McGill University, Montreal, QC, Canada.; Research Institute of the McGill University Health Centre, Montréal, QC, Canada., Parlette A; Toronto Metropolitan University, Toronto, ON, Canada., Card KG; British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.; University of Victoria, Victoria, BC, Canada.; Simon Fraser University, Burnaby, BC, Canada., Hull MW; University of British Columbia, Vancouver, BC, Canada.; British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada., Jollimore J; Community-Based Research Centre, Vancouver, BC, Canada., Moore DM; University of British Columbia, Vancouver, BC, Canada.
Jazyk:	angličtina
Zdroj:	Substance use & misuse [Subst Use Misuse] 2024; Vol. 59 (2), pp. 278-290. Date of Electronic Publication: 2023 Dec 28.
DOI:	10.1080/10826084.2023.2269577
Abstrakt:	Background: We explored attitudes of gay, bisexual, and other men who have sex with men (GBM) toward their amphetamine-use and associations with reduced use over time. Methods: We recruited sexually-active GBM aged 16+ years in Montreal, Toronto, and Vancouver, Canada, from 02-2017 to 08-2019, with follow-up visits every 6-12 months until November 2020. Among participants who reported past-six-month (P6M) amphetamine-use at enrollment, we used logistic regression to identify demographic, psychological, social, mental health, other substance-use, and behavioral factors associated with reporting needing help reducing their substance-use. We used mixed-effects logistic regression to model reduced P6M amphetamine-use with perceived problematic-use as our primary explanatory variable. Results: We enrolled 2,449 GBM across sites. 15.5-24.7% reported P6M amphetamine-use at enrollment and 82.6 - 85.7% reported needing no help or only a little help in reducing their substance use. Reporting needing a lot/of help or completely needing help in reducing substance-use was associated with group sex participation (AOR = 2.35, 95%CI:1.25-4.44), greater anxiety symptomatology (AOR = 2.11, 95%CI:1.16-3.83), greater financial strain (AOR = 1.35, 95%CI:1.21-1.50), and greater Escape Motive scores (AOR = 1.07, 95%CI:1.03-1.10). Reductions in P6M amphetamine-use were less likely among GBM who perceived their amphetamine-use as problematic (AOR = 0.17 95% CI 0.10 - 0.29). Conclusions: Most amphetamine-using GBM did not feel they needed help reducing their substance use, and many reported reduced amphetamine-use at subsequent visits. Those who perceived their use as problematic were less likely to reduce their use. Further interventions to assist GBM in reducing their use are needed to assist those who perceive their use as problematic.
Databáze:	MEDLINE
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