MDMA and STD/HIV Risk among Hidden Networks of Ecstasy-using Young Adults

使用摇头丸的年轻人的隐藏网络中的 MDMA 和 STD/HIV 风险

• 批准号: 7633492
• 负责人: Jean J Schensul
• 金额: $ 1.09万
• 依托单位: INSTITUTE FOR COMMUNITY RESEARCH
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-05 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7633492
• 关键词: AIDS prevention; Accounting; Acquired Immunodeficiency Syndrome; Address; Adolescent; African American; Age; Alcohol or Other Drugs use; Alcohols; American; Area; Arousal; Behavior; Behavioral; Belief; Central City; Classification; Cocaine; Code; Communities; Complex; Condition; Consumption; Contracts; Country; Coupled; Data; Data Analyses; Decision Making; Decision Modeling; Depth; Disinhibition; Drug usage; Economics; Equation; Ethnic Origin; Ethnography; Event; Exposure to; Female; Focus Groups; Funding; Group Purchasing; Guidelines; HIV; HIV Infections; Hallucinogens; Individual; Injection of therapeutic agent; Intervention; Interview; Journals; Latino; Lead; Life; Life Experience; Link; Logic; Marijuana; Mescaline; Methamphetamine; Methodology; Minority; Multiple Partners; Music; National Institute of Drug Abuse; Numbers; Outcome; Output; Participant; Pathway interactions; Pattern; Peer Review; Performance; Pharmaceutical Preparations; Policy Maker; Prevention; Preventive Intervention; Procedures; Process; Provider; Psychotropic Drugs; Public Health; Publishing; Purpose; Qualitative Research; Range; Rate; Reading; Recording of previous events; Reporting; Research; Research Personnel; Risk; Risk Behaviors; Risk-Taking; Role; Safe Sex; Sample Size; Sampling; Sampling Studies; Scientist; Services; Sex Behavior; Sexuality; Social Environment; Social status; Solutions; Sorting - Cell Movement; Target Populations; Techniques; Testing; Text; Time; Unsafe Sex; Urban Population; Woman; Work; Youth; age group; aged; avoidance behavior; base; case-based; comparative; condoms; contextual factors; cyclophosphamide/doxorubicin/vincristine protocol; data modeling; day; demographics; ecstasy; expectation; improved; innovation; interest; intimate behavior; male; metropolitan; novel strategies; prevent; protective behavior; sex; sex risk; social; sociologist; theories; therapy design; transmission process; trend; young adult

This three-year qualitative study entitled, "MDMA and STD/HIV risk among hidden networks of ecstasy-using young adults," will investigate the interaction of ecstasy and sexual risk-taking among vulnerable young adults (ages 18-25) in the Hartford, CT region where STD/HIV rates are highest in the state and MDMA distribution and use are widespread. Aims are: (1) Identify cultural scenarios (contextual conditions, behavioral sequences and explanatory themes) that link MDMA and sexual risk through focus groups with 50 youth in the target population; (2) document the role of MDMA in relation to risky sex through in depth- interviews on drug histories and recent events involving unprotected and protected penetrative sex, with and without MDMA use, with 120 participants (50% male and female, and equally divided by ethnicity (Latino, African American and Euro-American); (3) utilize thematic, Qualitative Comparative Analysis and Ethnographic Decision Modeling to analyze the events and determine the unique contribution of MDMA to unprotected sex and the decision making that results in this outcome; (4) compare cultural scenarios against interpersonal scripts to demonstrate the importance of adding real-life solutions to existing cultural repertoires involving MDMA and sexual risk-taking; and (5) conduct focus groups with youth, service providers, media and other youth cultural opinion leaders, educators and policy makers based on study results to identify multilevel intervention approaches. The study is guided by scripting theory. The unique combination of qualitative analytic methodologies employed in this study addresses problems confronted by quantitative researchers, whose findings have thus far been inconclusive with respect to establishing causal links between substances including alcohol, marijuana and MDMA, and unprotected sex and other sexual risks. Using set theory and Boolean logic, Qualitative Comparative Analysis offers equations that isolate the unique contributions of single drugs such as MDMA to sexual risks in the context of other drug use and other contributing factors. The study also addresses the limitations of scripting studies which assume behavioral patterns based on cultural scenarios and fail to explore the full range of people's lived experience and practices. By doing so, this study promises to find new approaches to preventing the specific circumstances under which MDMA and sexual risk-taking occur. The proposal thus addresses directly the public health concern that MDMA (with and without other drugs) may increase sexual risk behaviors that facilitate transmission of STDs/HIV; it also addresses as yet unsolved methodological problems associated with determining the relationships between substance use and risky sex, which has implications for other public health approaches to this problem.

这项为期三年的定性研究题为“摇头丸使用隐藏网络中的摇头丸和性病/艾滋病毒风险” 年轻人”，将调查弱势年轻人中狂喜与性冒险之间的相互作用 康涅狄格州哈特福德地区的成年人（18-25 岁），该州 STD/HIV 发病率和摇头丸发病率最高 分布和使用十分广泛。目标是：(1) 确定文化场景（背景条件、 行为序列和解释主题）通过焦点小组将 MDMA 与性风险联系起来 50 目标人群中的年轻人； (2) 通过深入记录 MDMA 在危险性行为中的作用： 关于吸毒史和最近发生的涉及无保护和受保护的插入式性行为的采访，以及 不使用 MDMA，共有 120 名参与者（男性和女性各占 50%，按种族各占一半（拉丁裔、 非裔美国人和欧美人）； (3) 利用主题、定性比较分析和 民族志决策模型可分析事件并确定 MDMA 对 无保护的性行为以及导致这一结果的决策； (4) 比较文化情景 人际脚本展示了在现有文化中添加现实生活解决方案的重要性 涉及摇头丸和性冒险的曲目； (5) 与青年、服务人员开展焦点小组 基于研究的提供商、媒体和其他青年文化意见领袖、教育工作者和政策制定者 结果以确定多层次干预方法。该研究以脚本理论为指导。独特的 本研究中采用的定性分析方法的组合解决了所面临的问题 定量研究人员的研究结果迄今为止在建立因果关系方面尚无定论 酒精、大麻和摇头丸等物质与无保护性行为和其他性行为之间的联系 风险。使用集合论和布尔逻辑，定性比较分析提供了隔离 在使用其他药物和其他药物的情况下，MDMA 等单一药物对性风险的独特贡献 影响因素。该研究还解决了脚本研究的局限性，脚本研究假设行为 基于文化场景的模式，未能全面探索人们的生活体验和 做法。通过这样做，这项研究有望找到预防特定情况的新方法 在这种情况下，摇头丸和性冒险就会发生。因此，该提案直接涉及公共卫生 担心 MDMA（无论是否含有其他药物）可能会增加性风险行为，从而促进 性传播疾病/艾滋病毒的传播；它还解决了与以下问题相关的尚未解决的方法学问题： 确定物质使用和危险性行为之间的关系，这对其他公众有影响 健康方法来解决这个问题。