Motivations for opioid and stimulant use among drug using black sexual minority men: A life course perspective
| Autor: | Sophia Allen, Omeid Heidari, Gregory M. Lucas, Jessica Cooper, Derek T. Dangerfield |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Adult Male Substance-Related Disorders Sexual Behavior Psychological intervention HIV Infections Toxicology Article Men who have sex with men 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Medicine Humans Pharmacology (medical) 030212 general & internal medicine Medical prescription Homosexuality Male Child Pharmacology Motivation business.industry Middle Aged medicine.disease Mental health Sexual minority Black or African American Analgesics Opioid Psychiatry and Mental health Sexual Partners Sexual abuse Pharmaceutical Preparations Baltimore Life course approach Central Nervous System Stimulants business 030217 neurology & neurosurgery |
| Zdroj: | Drug Alcohol Depend |
| ISSN: | 1879-0046 |
| Popis: | Introduction HIV-related disparities persist among U.S. Black sexual minority men (BSMM). Generational differences in drug use trends and the HIV/AIDS epidemic have created different risk trajectories for BSMM. This study explored age-related differences in the profiles, motivations, and contexts of opioid and stimulant use among drug using BSMM. Methods Participants were recruited using active and passive strategies and in-depth qualitative interviews were conducted among 30 BSMM in Baltimore, MD from December 2018 to March 2019. Exploratory drug testing was conducted to confirm drug use and identify the presence of synthetic materials. Thematic analysis was conducted guided by Life Course theoretical domains. Results Participants’ ages ranged from 25−63 (mean age 41, SD = 12.4); 40 % were under age 35, 60 % were age 35 and older. Most (86.7 %) were living with HIV. Older BSMM attributed drug use initiation to social trends and sexual partners; younger men shared that prescription painkiller use led to misuse to address emotional pain. Across age groups, childhood sexual abuse and other major events along the life course increased BSMM’s drug use as a coping strategy. Discussion and Conclusion HIV and drug use interventions should support BSMM through targeted mental health services and trauma-informed healthcare models. |
| Databáze: | OpenAIRE |
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