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Erschienen in: Prevention Science 1/2006

01.03.2006 | Original Article

Prevalence and Correlates of Substance Use Among Young Asian Pacific Islander Men Who Have Sex with Men

verfasst von: Don Operario, Kyung-Hee Choi, Priscilla Lee Chu, Willi McFarland, Gina M. Secura, Stephanie Behel, Duncan MacKellar, Linda Valleroy

Erschienen in: Prevention Science | Ausgabe 1/2006

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Abstract

We examined patterns of substance use among young Asian Pacific Islander (API) men who have sex with men (MSM). Participants (N = 496) were recruited from sampled venues and were interviewed on substance use, sexual behaviors, and attendance at MSM social venues. Substance use prevalence was highest for alcohol (94% lifetime, 89% past 6 months), marijuana (61% lifetime, 44% past 6 months), and methylenedioxymethamphetamine or ecstasy (58% lifetime, 47% past 6 months). During the past 6 months, 24% used an illicit substance weekly or more often, 51% used club drugs, and 44% used 3 or more illicit substances. Multivariate models identified common and unique correlates of frequent drug use, club drug use, and polydrug use. Associations between substance use and sexual risk behaviors also emerged. These findings suggest a need to improve substance use and HIV prevention intervention efforts for young API MSM.
Literatur
Zurück zum Zitat Bachman, J. G., Wallace, J. M., O’Malley, P. M., Johnston, L. D., Kurth, C. L., & Neighbors, H. W. (1991). Racial/ethnic differences in smoking, drinking, and illicit drug use among American high school seniors 1976–1989. American Journal of Public Health, 81, 372–377.PubMed Bachman, J. G., Wallace, J. M., O’Malley, P. M., Johnston, L. D., Kurth, C. L., & Neighbors, H. W. (1991). Racial/ethnic differences in smoking, drinking, and illicit drug use among American high school seniors 1976–1989. American Journal of Public Health, 81, 372–377.PubMed
Zurück zum Zitat Chen, M. S., & Hawks, B. L. (1995). A debunking of the myth of healthy Asian American and Pacific Islanders. American Journal of Health Promotion, 9, 261–268.PubMed Chen, M. S., & Hawks, B. L. (1995). A debunking of the myth of healthy Asian American and Pacific Islanders. American Journal of Health Promotion, 9, 261–268.PubMed
Zurück zum Zitat Chesney, M. A., Barrett, D. C., & Stall, R. (1998). Histories of substance use and risk behavior: Precursors to HIV seroconversion in homosexual men. American Journal of Public Health, 88, 113–116.PubMed Chesney, M. A., Barrett, D. C., & Stall, R. (1998). Histories of substance use and risk behavior: Precursors to HIV seroconversion in homosexual men. American Journal of Public Health, 88, 113–116.PubMed
Zurück zum Zitat Choi, K., Coates, T. J., Catania, J. A., Lew, S., & Chow, P. (1995). High HIV risk among gay Asian and Pacific Islander men in SF. AIDS, 9, 306–308.PubMed Choi, K., Coates, T. J., Catania, J. A., Lew, S., & Chow, P. (1995). High HIV risk among gay Asian and Pacific Islander men in SF. AIDS, 9, 306–308.PubMed
Zurück zum Zitat Choi, K., Kumekawa, E., Dang, Q., Kegeles, S. M., Hays, R. B., & Stall, R. (1999). Risk and protective factors affecting sexual behavior among young Asian and Pacific Islander men who have sex with men: Implications for HIV prevention. Journal of Sex Education and Therapy, 24, 47–55. Choi, K., Kumekawa, E., Dang, Q., Kegeles, S. M., Hays, R. B., & Stall, R. (1999). Risk and protective factors affecting sexual behavior among young Asian and Pacific Islander men who have sex with men: Implications for HIV prevention. Journal of Sex Education and Therapy, 24, 47–55.
Zurück zum Zitat Choi, K. H., Lew, S., Vittinghoff, E., Catania, J. A., Barrett, D. C., & Coates, T. J. (1996). The efficacy of brief group counseling in HIV risk reduction among homosexual Asian and Pacific Islander men. AIDS, 10, 81–87.PubMedCrossRef Choi, K. H., Lew, S., Vittinghoff, E., Catania, J. A., Barrett, D. C., & Coates, T. J. (1996). The efficacy of brief group counseling in HIV risk reduction among homosexual Asian and Pacific Islander men. AIDS, 10, 81–87.PubMedCrossRef
Zurück zum Zitat Choi, K. H., McFarland, W., Neilands, T. B., Nguyen, S., Louie, B., Secura, G. M., Behel, S., MacKellar, D., & Valleroy, L. (2004). An opportunity for prevention: Prevalence, incidence, and sexual risk for HIV among young Asian and Pacific Islander men who have sex with men, San Francisco. Sexually Transmitted Diseases 31, 475–480. Choi, K. H., McFarland, W., Neilands, T. B., Nguyen, S., Louie, B., Secura, G. M., Behel, S., MacKellar, D., & Valleroy, L. (2004). An opportunity for prevention: Prevalence, incidence, and sexual risk for HIV among young Asian and Pacific Islander men who have sex with men, San Francisco. Sexually Transmitted Diseases 31, 475–480.
Zurück zum Zitat Chow, J. (2002). Asian American and Pacific Islander mental health and substance abuse agencies. Administration and Policy in Mental Health, 30, 79–86.PubMedCrossRef Chow, J. (2002). Asian American and Pacific Islander mental health and substance abuse agencies. Administration and Policy in Mental Health, 30, 79–86.PubMedCrossRef
Zurück zum Zitat Colfax, G. N., Mansergh, G., Guzman, R., Vittinghoff, E., Marks, G., Rader, M., & Buchbinder, S. (2001). Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: A venue-based comparison. Journal of Acquired Immune Deficiency Syndromes, 28, 373–379.PubMed Colfax, G. N., Mansergh, G., Guzman, R., Vittinghoff, E., Marks, G., Rader, M., & Buchbinder, S. (2001). Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: A venue-based comparison. Journal of Acquired Immune Deficiency Syndromes, 28, 373–379.PubMed
Zurück zum Zitat Crosby, G. M., Stall, R. D., Paul, J. P., & Barrett, D. C. (1998). Alcohol and drug use patterns have declined between generations of younger gay–bisexual men in San Francisco. Drug and Alcohol Dependence, 52, 177–182.PubMedCrossRef Crosby, G. M., Stall, R. D., Paul, J. P., & Barrett, D. C. (1998). Alcohol and drug use patterns have declined between generations of younger gay–bisexual men in San Francisco. Drug and Alcohol Dependence, 52, 177–182.PubMedCrossRef
Zurück zum Zitat Ellickson, P. L., & Morton, S. C. (1999). Identifying adolescents at risk for hard drug use: Racial/ethnic variations. Journal of Adolescent Health, 25, 382–395.PubMedCrossRef Ellickson, P. L., & Morton, S. C. (1999). Identifying adolescents at risk for hard drug use: Racial/ethnic variations. Journal of Adolescent Health, 25, 382–395.PubMedCrossRef
Zurück zum Zitat Greenwood, G. L., White, E. W., Page-Shafer, K., Bein, E., Osmond, D. H., Paul, J., & Stall, R. D. (2001). Correlates of heavy substance use among young gay and bisexual men: The San Francisco Young Men's Health Study. Drug and Alcohol Dependence, 61, 105–112.PubMedCrossRef Greenwood, G. L., White, E. W., Page-Shafer, K., Bein, E., Osmond, D. H., Paul, J., & Stall, R. D. (2001). Correlates of heavy substance use among young gay and bisexual men: The San Francisco Young Men's Health Study. Drug and Alcohol Dependence, 61, 105–112.PubMedCrossRef
Zurück zum Zitat Harachi, T. W., Catalano, R. F., Kim, S., & Choi, Y. (2001). Etiology and prevention of substance use among Asian American youth. Prevention Science, 2, 57–65.PubMedCrossRef Harachi, T. W., Catalano, R. F., Kim, S., & Choi, Y. (2001). Etiology and prevention of substance use among Asian American youth. Prevention Science, 2, 57–65.PubMedCrossRef
Zurück zum Zitat Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York: Wiley. Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York: Wiley.
Zurück zum Zitat Klingle, R. (2000). Substance use, intervention needs, and risk and protective factor profiles among Native Hawaiian, Filipino, Japanese, Chinese and Caucasian Adolescents in Hawaii. Paper presented at the annual meeting of the American Public Health Association, Boston, MA. Klingle, R. (2000). Substance use, intervention needs, and risk and protective factor profiles among Native Hawaiian, Filipino, Japanese, Chinese and Caucasian Adolescents in Hawaii. Paper presented at the annual meeting of the American Public Health Association, Boston, MA.
Zurück zum Zitat Koesters, S. C., Rogers, P. D., & Rajasingham, C. R. (2002). MDMA (‘ecstasy’) and other ‘club drugs’: The new epidemic. Pediatric Clinics of North America, 49, 415–433.PubMedCrossRef Koesters, S. C., Rogers, P. D., & Rajasingham, C. R. (2002). MDMA (‘ecstasy’) and other ‘club drugs’: The new epidemic. Pediatric Clinics of North America, 49, 415–433.PubMedCrossRef
Zurück zum Zitat MacKellar, D., Valleroy, L., Karon, J., Lemp, G., & Janssen, R. (1996). The Young Men's Survey: Methods for estimating HIV seroprevalence and risk factors among young men who have sex with men. Public Health Reports, 111, 138–144.PubMed MacKellar, D., Valleroy, L., Karon, J., Lemp, G., & Janssen, R. (1996). The Young Men's Survey: Methods for estimating HIV seroprevalence and risk factors among young men who have sex with men. Public Health Reports, 111, 138–144.PubMed
Zurück zum Zitat Maddahian, E., Newcomb, M. D., & Bentler, P. M. (1985). Single and multiple patterns of adolescent substance use: Longitudinal comparisons of four ethnic groups. Journal of Drug Education, 15, 311–326.PubMed Maddahian, E., Newcomb, M. D., & Bentler, P. M. (1985). Single and multiple patterns of adolescent substance use: Longitudinal comparisons of four ethnic groups. Journal of Drug Education, 15, 311–326.PubMed
Zurück zum Zitat Mattison, A. M., Ross, M. W., Wolfson, T., Franklin, D., & HNRC Group (2001). Circuit party attendance, club drug use, and unsafe sex in gay men. Journal of Substance Abuse, 13, 119–126.PubMedCrossRef Mattison, A. M., Ross, M. W., Wolfson, T., Franklin, D., & HNRC Group (2001). Circuit party attendance, club drug use, and unsafe sex in gay men. Journal of Substance Abuse, 13, 119–126.PubMedCrossRef
Zurück zum Zitat National Asian Pacific American Families Against Substance Abuse (2001). Asian American Pacific Islander Substance Abuse Needs Assessment Project. Report conducted by NAPAFASA, Los Angeles, CA. National Asian Pacific American Families Against Substance Abuse (2001). Asian American Pacific Islander Substance Abuse Needs Assessment Project. Report conducted by NAPAFASA, Los Angeles, CA.
Zurück zum Zitat National Institute on Drug Abuse (2000). NIDA notes: Research on club drugs. Washington, DC: National Institute on Drug Abuse, Community Research Branch. National Institute on Drug Abuse (2000). NIDA notes: Research on club drugs. Washington, DC: National Institute on Drug Abuse, Community Research Branch.
Zurück zum Zitat Nemoto, T., Aoki, B., Huang, K., Morris, A., Nguyen, H., & Wong, W. (1999). Drug use behaviors among Asian drug users in San Francisco. Addictive Behaviors, 24, 823–838.PubMedCrossRef Nemoto, T., Aoki, B., Huang, K., Morris, A., Nguyen, H., & Wong, W. (1999). Drug use behaviors among Asian drug users in San Francisco. Addictive Behaviors, 24, 823–838.PubMedCrossRef
Zurück zum Zitat Nemoto, T., Operario, D., & Soma, T. (2002). Risk behaviors of Filipino methamphetamine users in San Francisco: Implications for prevention and treatment of drug use and HIV. Public Health Reports, 117, S30–S38.PubMed Nemoto, T., Operario, D., & Soma, T. (2002). Risk behaviors of Filipino methamphetamine users in San Francisco: Implications for prevention and treatment of drug use and HIV. Public Health Reports, 117, S30–S38.PubMed
Zurück zum Zitat Nemoto, T., Operario, D., Soma, T., Bao, D., Vajrabukka, A., & Crisostomo, V. (2003). HIV risk and prevention among Asian/Pacific Islander men who have sex with men: Listen to our stories. AIDS Education and Prevention, 15, 7–20.PubMedCrossRef Nemoto, T., Operario, D., Soma, T., Bao, D., Vajrabukka, A., & Crisostomo, V. (2003). HIV risk and prevention among Asian/Pacific Islander men who have sex with men: Listen to our stories. AIDS Education and Prevention, 15, 7–20.PubMedCrossRef
Zurück zum Zitat Oetting, E. R., Deffenbacher, J. L., Taylor, M. J., Luther, N., Beauvais, F., & Edwards, R. W. (2000). Methamphetamine use by high school students: Recent trends, gender and ethnicity differences, and use of other drugs. Journal of Child and Adolescent Substance Abuse, 10, 33–50.CrossRef Oetting, E. R., Deffenbacher, J. L., Taylor, M. J., Luther, N., Beauvais, F., & Edwards, R. W. (2000). Methamphetamine use by high school students: Recent trends, gender and ethnicity differences, and use of other drugs. Journal of Child and Adolescent Substance Abuse, 10, 33–50.CrossRef
Zurück zum Zitat Ostrow, D. G. (2000). The role of drugs in the sexual lives of men who have sex with men: Continuing barriers to researching this question. AIDS and Behavior, 4, 205–219.CrossRef Ostrow, D. G. (2000). The role of drugs in the sexual lives of men who have sex with men: Continuing barriers to researching this question. AIDS and Behavior, 4, 205–219.CrossRef
Zurück zum Zitat Price, R. K., Risk, N. K., Wong, M. M., & Kungle, R. S. (2002). Substance use and abuse by Asian Americans and Pacific Islanders: Preliminary results from four national epidemiologic studies. Public Health Reports, 117, S39–S50.PubMed Price, R. K., Risk, N. K., Wong, M. M., & Kungle, R. S. (2002). Substance use and abuse by Asian Americans and Pacific Islanders: Preliminary results from four national epidemiologic studies. Public Health Reports, 117, S39–S50.PubMed
Zurück zum Zitat Reback, C. J. (1997). The social construction of a gay drug: Methamphetamine use among gay and bisexual males in Los Angeles. Report commissioned by the City of Los Angeles, AIDS Coordinator. Reback, C. J. (1997). The social construction of a gay drug: Methamphetamine use among gay and bisexual males in Los Angeles. Report commissioned by the City of Los Angeles, AIDS Coordinator.
Zurück zum Zitat Ross, M. W., Mattison, A. M., & Franklin, D. R. (2003). Club drugs and sex on drugs are associated with different motivations for gay circuit party attendance in men. Substance Use and Misuse, 38, 1173–1183.PubMedCrossRef Ross, M. W., Mattison, A. M., & Franklin, D. R. (2003). Club drugs and sex on drugs are associated with different motivations for gay circuit party attendance in men. Substance Use and Misuse, 38, 1173–1183.PubMedCrossRef
Zurück zum Zitat Ross, M. W., & Williams, M. L. (2001). Sexual behavior and illicit drug use. Annual Review of Sex Research, 12, 290–310.PubMed Ross, M. W., & Williams, M. L. (2001). Sexual behavior and illicit drug use. Annual Review of Sex Research, 12, 290–310.PubMed
Zurück zum Zitat Srinivasan, S., & Guillermo, T. (2000). Toward improved health: Disaggregating Asian American and Native Hawaiian/Pacific Islander data. American Journal of Public Health, 90, 1731–1734.PubMedCrossRef Srinivasan, S., & Guillermo, T. (2000). Toward improved health: Disaggregating Asian American and Native Hawaiian/Pacific Islander data. American Journal of Public Health, 90, 1731–1734.PubMedCrossRef
Zurück zum Zitat Stall, R., Paul, J. P., Greenwood, G., Pollack, L. M., Bein, E., Crosby, G. M., Mills, T. C., Binson, D., Coates, T. J., & Catania, J. A. (2001). Alcohol use, drug use and alcohol-related problems among men who have sex with men: The Urban Men's Health Study. Addiction, 96, 1589–1601.PubMedCrossRef Stall, R., Paul, J. P., Greenwood, G., Pollack, L. M., Bein, E., Crosby, G. M., Mills, T. C., Binson, D., Coates, T. J., & Catania, J. A. (2001). Alcohol use, drug use and alcohol-related problems among men who have sex with men: The Urban Men's Health Study. Addiction, 96, 1589–1601.PubMedCrossRef
Zurück zum Zitat Stall, R., & Purcell, D. W. (2000). Intertwining epidemics: A review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS and Behavior, 4, 181–192.CrossRef Stall, R., & Purcell, D. W. (2000). Intertwining epidemics: A review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS and Behavior, 4, 181–192.CrossRef
Zurück zum Zitat Stueve, A., O’Donnell, L., Duran, R., San Doval, A., Geier, J., & the Community Intervention Trial for Youth Study Team (2002). Being high and taking sexual risks: Findings from a multisite survey of urban young men who have sex with men. AIDS Education and Prevention, 14, 482–495.PubMedCrossRef Stueve, A., O’Donnell, L., Duran, R., San Doval, A., Geier, J., & the Community Intervention Trial for Youth Study Team (2002). Being high and taking sexual risks: Findings from a multisite survey of urban young men who have sex with men. AIDS Education and Prevention, 14, 482–495.PubMedCrossRef
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2002). Results from the 2001 National Household Survey on Drug Abuse: Volumes 1 & 2, Summary of National Findings. Rockville, MD: Office of Applied Studies. Substance Abuse and Mental Health Services Administration (2002). Results from the 2001 National Household Survey on Drug Abuse: Volumes 1 & 2, Summary of National Findings. Rockville, MD: Office of Applied Studies.
Zurück zum Zitat Thiede, H., Valleroy, L. A., MacKellar, D. A., Celentano, D. D., Ford, W. L., Hagan, H., Koblin, B. A., LaLota, M., McFarland, W., Shehan, D. A., Torian, L. V., & Young Men's Survey Study Group (2003). Regional patterns and correlates of substance use among young men who have sex with men in 7 US urban areas. American Journal of Public Health, 93, 1915–1921.PubMed Thiede, H., Valleroy, L. A., MacKellar, D. A., Celentano, D. D., Ford, W. L., Hagan, H., Koblin, B. A., LaLota, M., McFarland, W., Shehan, D. A., Torian, L. V., & Young Men's Survey Study Group (2003). Regional patterns and correlates of substance use among young men who have sex with men in 7 US urban areas. American Journal of Public Health, 93, 1915–1921.PubMed
Zurück zum Zitat Tong, T., & Boyer, E. W. (2002). Club drugs, smart drugs, raves, and circuit parties: An overview of the club scene. Pediatric Emergency Care, 18, 216–218.PubMedCrossRef Tong, T., & Boyer, E. W. (2002). Club drugs, smart drugs, raves, and circuit parties: An overview of the club scene. Pediatric Emergency Care, 18, 216–218.PubMedCrossRef
Zurück zum Zitat Valleroy, L. A., MacKellar, D. A., Karon, J. M., Rosen, D. H., McFarland, W., Shehan, D. A., Stoyanoff, S. R., LaLota, M., Celentano, D. D., Koblin, B. A., Thiede, H., Katz, M. H., Torian, L. V., Janssen, R. S., & the Young Men's Study Group (2000). HIV prevalence and associated risks in young men who have sex with men. JAMA, 284, 198–204.PubMedCrossRef Valleroy, L. A., MacKellar, D. A., Karon, J. M., Rosen, D. H., McFarland, W., Shehan, D. A., Stoyanoff, S. R., LaLota, M., Celentano, D. D., Koblin, B. A., Thiede, H., Katz, M. H., Torian, L. V., Janssen, R. S., & the Young Men's Study Group (2000). HIV prevalence and associated risks in young men who have sex with men. JAMA, 284, 198–204.PubMedCrossRef
Zurück zum Zitat Wong, M., & Austin, G. (2000). Alcohol and other drug use among adolescent Asian Americans and Pacific Islanders in California. Paper presented at the annual meeting of the American Public Health Association, Boston, MA. Wong, M., & Austin, G. (2000). Alcohol and other drug use among adolescent Asian Americans and Pacific Islanders in California. Paper presented at the annual meeting of the American Public Health Association, Boston, MA.
Zurück zum Zitat Woody, G. E., Donnell, D., Seage, G. R., Metzger, D., Marmor, M., Koblin, B. A., Buchbinder, S., Gross, M., Stone, B., & Judson, F. N. (1999). Non-injection substance use correlates with risky sex among men having sex with men: Data from HIVNET. Drug and Alcohol Dependence, 53, 197–205.PubMedCrossRef Woody, G. E., Donnell, D., Seage, G. R., Metzger, D., Marmor, M., Koblin, B. A., Buchbinder, S., Gross, M., Stone, B., & Judson, F. N. (1999). Non-injection substance use correlates with risky sex among men having sex with men: Data from HIVNET. Drug and Alcohol Dependence, 53, 197–205.PubMedCrossRef
Zurück zum Zitat Zane, N., & Kim, J. H. (1994). Substance use and abuse. In N. Zane, D. T. Takeuchi, & K. Young (Eds.), Confronting critical health issues of Asian and Pacific Islander Americans (pp. 316–343). San Francisco, CA: Sage. Zane, N., & Kim, J. H. (1994). Substance use and abuse. In N. Zane, D. T. Takeuchi, & K. Young (Eds.), Confronting critical health issues of Asian and Pacific Islander Americans (pp. 316–343). San Francisco, CA: Sage.
Metadaten
Titel
Prevalence and Correlates of Substance Use Among Young Asian Pacific Islander Men Who Have Sex with Men
verfasst von
Don Operario
Kyung-Hee Choi
Priscilla Lee Chu
Willi McFarland
Gina M. Secura
Stephanie Behel
Duncan MacKellar
Linda Valleroy
Publikationsdatum
01.03.2006
Verlag
Springer US
Erschienen in
Prevention Science / Ausgabe 1/2006
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-005-0018-x

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