The CASTRO study: Unsafe sexual behaviors and illicit drug use among gay and bisexual men who use anabolic steroids.

作者: Eric J. Ip , Shadi Doroudgar , Bijal Shah‐Manek , Mitchell J. Barnett , Michael J. Tenerowicz

DOI: 10.1111/AJAD.12865

关键词:

摘要: BACKGROUND AND OBJECTIVES The majority of anabolic androgenic steroid (AAS) studies have focused on the general male population. Approximately 15% gay or bisexual men are seropositive for HIV and many AASs administered via injection. Thus, AAS use among likely poses a greater risk spreading infectious disease. Gay who were compared with non-users regarding self-reported seropositivity hepatitis B C, sexual behaviors injection practices, illicit drug alcohol use, psychiatric disorders. METHODS CASTRO (Castro Anabolic Steroid Research Observation) study was 108-item cross-sectional survey 153 exercise. Data collection occurred outside four gyms in San Francisco Castro District. RESULTS lifetime prevalence 21.6%. users did not differ but reported higher rates male-male condomless anal sex past year (84.8 vs 60.8%, p < .01) than non-users. More used ecstasy methamphetamines (39.4 16.7%, p < .01 18.2 5.0%, p = .01, respectively) DISCUSSION CONCLUSIONS more to engage unsafe drugs relative Multiple factors place at risks diseases. SCIENTIFIC SIGNIFICANT Our suggests increased disease AAS. (Am J Addict 2019;XX:1-10).

参考文章(33)
Gen Kanayama, James I. Hudson, James DeLuca, Stephanie Isaacs, Aaron Baggish, Rory Weiner, Shalender Bhasin, Harrison G. Pope, Prolonged hypogonadism in males following withdrawal from anabolic-androgenic steroids: an under-recognized problem. Addiction. ,vol. 110, pp. 823- 831 ,(2015) , 10.1111/ADD.12850
Joost W. Vanhommerig, Femke A. E. Lambers, Janke Schinkel, Ronald B. Geskus, Joop E. Arends, Thijs J. W. van de Laar, Fanny N. Lauw, Kees Brinkman, Luuk Gras, Bart J. A. Rijnders, Jan T. M. van der Meer, Maria Prins, J.T.M. van der Meer, R. Molenkamp, M. Mutschelknauss, H.E. Nobel, H.W. Reesink, J. Schinkel, M. van der Valk, G.E.L. van den Berk, K. Brinkman, D. Kwa, N. van der Meche, A. Toonen, D. Vos, M. van Broekhuizen, F.N. Lauw, J.W. Mulder, J.E. Arends, A. van Kessel, I. de Kroon, A. Boonstra, M.E. van der Ende, S. Hullegie, B.J.A. Rijnders, T.J.W. van de Laar, L. Gras, C. Smit, F.A.E. Lambers, M. Prins, J.W. Vanhommerig, W. van der Veldt, , Risk Factors for Sexual Transmission of Hepatitis C Virus Among Human Immunodeficiency Virus-Infected Men Who Have Sex With Men: A Case-Control Study. Open Forum Infectious Diseases. ,vol. 2, ,(2015) , 10.1093/OFID/OFV115
Eric J. Ip, Michael A. Yadao, Bijal M. Shah, Bonnie Lau, Infectious disease, injection practices, and risky sexual behavior among anabolic steroid users. Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 28, pp. 294- 299 ,(2016) , 10.1080/09540121.2015.1090539
Steffanie A. Strathdee, Jamila K. Stockman, Epidemiology of HIV Among Injecting and Non-injecting Drug Users: Current Trends and Implications for Interventions Current Hiv\/aids Reports. ,vol. 7, pp. 99- 106 ,(2010) , 10.1007/S11904-010-0043-7
S. J. Midgley, N. Heather, D. Best, D. Henderson, S. McCarthy, J. B. Davies, Risk behaviours for HIV and hepatitis infection among anabolic-androgenic steroid users. Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 12, pp. 163- 170 ,(2000) , 10.1080/09540120050001832
Graham Bolding, Lorraine Sherr, Jonathan Elford, Use of anabolic steroids and associated health risks among gay men attending London gyms. Addiction. ,vol. 97, pp. 195- 203 ,(2002) , 10.1046/J.1360-0443.2002.00031.X
Susan D. Cochran, Vickie M. Mays, J. Greer Sullivan, Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology. ,vol. 71, pp. 53- 61 ,(2003) , 10.1037//0022-006X.71.1.53
Dominic Sagoe, Helge Molde, Cecilie S. Andreassen, Torbjørn Torsheim, Ståle Pallesen, The global epidemiology of anabolic-androgenic steroid use: a meta-analysis and meta-regression analysis. Annals of Epidemiology. ,vol. 24, pp. 383- 398 ,(2014) , 10.1016/J.ANNEPIDEM.2014.01.009
Gen Kanayama, James I. Hudson, Harrison G. Pope, Features of Men with Anabolic-Androgenic Steroid Dependence: A Comparison With Nondependent AAS Users and With AAS Nonusers Drug and Alcohol Dependence. ,vol. 102, pp. 130- 137 ,(2009) , 10.1016/J.DRUGALCDEP.2009.02.008
David J. Mckirnan, Peggy L. Peterson, Psychosocial and cultural factors in alcohol and drug abuse: an analysis of a homosexual community. Addictive Behaviors. ,vol. 14, pp. 555- 563 ,(1989) , 10.1016/0306-4603(89)90076-2