Sex, drugs and social connectedness: wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
| Autor: | Adam Bourne, Graham Brown, Gosia Mikołajczak, William R. Leonard, Jayne Lucke, Gary W. Dowsett, Anthony Lyons, Jennifer Power |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Gerontology Social stigma Social connectedness Sexual Behavior media_common.quotation_subject Social Stigma Stigma (botany) HIV Infections Transgender Persons Drug Users Sexual and Gender Minorities Young Adult 03 medical and health sciences Social support 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) medicine Humans 030212 general & internal medicine Homosexuality Homosexuality Male Aged media_common Aged 80 and over 030505 public health Illicit Drugs business.industry Party and play Australia Public Health Environmental and Occupational Health Middle Aged medicine.disease Interpersonal ties Cross-Sectional Studies Infectious Diseases Female 0305 other medical science business |
| Zdroj: | Sexual Health. 15:135 |
| ISSN: | 1448-5028 |
| Popis: | Background This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access to social and support networks, which may in turn support wellbeing. Methods: A cross-sectional survey of Australian people living with HIV (PLHIV) was conducted. There were 714 participants (79.7%) who identified as GBM. Differences between party-and-play drug users and non-users were examined using bivariate and multinomial logistic regressions. Mediation analysis examined the indirect effect of drug use on wellbeing via social connectedness and support. Results: One in three participants (29.7%) reported party-and-play drug use within the past 12 months. Only 5% reported regular use. There were no differences between users and non-users on self-reported measures of general health, wellbeing or general social support. Compared with non-users, party-and-play drug users reported higher levels of resilience and lower levels of perceived HIV-related stigma. This was associated with spending more time with other people living with HIV and friends in the gay and lesbian community. Conclusions: While party-and-play drug use poses risks to the health of GBM, the social contexts in which these drugs are used may provide wellbeing benefits, particularly for HIV-positive GBM who may be subject to HIV-related stigma in other settings. Further research is needed to determine whether drug-use facilitates access to social networks or if people with more active social ties are more likely to engage in drug use. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|