在同性恋,双性恋和酷儿男性中探索Anabolic Androgenic Steroid的使用情况
Eric Kutscher1,2, Arslaan Arshed2,3, Richard E Greene2,3
1Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
JAMA network open
|May 14, 2024
概括
同性恋,双性恋和同性恋男性使用的类固醇 (AAS) 是由复杂的因素驱动的,通常会导致健康问题. 由于AAS戒断的医疗支持不足,许多人制定了自我管理的降低伤害策略.
科学领域:
- 男人的健康 男人的健康
- 性健康 性的健康
- 使用物质使用物质使用.
背景情况:
- 类固醇类固醇 (AAS) 经常被性少数群体男性使用.
- 在这个人群中使用AAS对身体和心理健康的后果尚未完全理解.
- 了解使用AAS的同性恋,双性恋和奇异 cisgender男性的动机和医疗需求至关重要.
研究的目的:
- 为了调查AAS在同性恋,双性恋和异性恋 cisgender男性使用背后的原因.
- 探索有关AAS使用的这一人口群体的特定医疗保健需求.
- 了解他们与医疗保健从业人员关于AAS使用的经验.
主要方法:
- 一项使用自我管理问卷和半结构面试的定性研究.
- 参与者通过临床中心和在线平台招募.
- 数据分析涉及对转录的采访进行反射主题分析.
主要成果:
- 通过12名参与者实现了主题和,主要是30至40岁的同性恋,白人,非西班牙裔男性.
- 关键主题包括AAS使用的多因素动机,密集的个人研究,经历过的身体和情感伤害,基于社区的减少伤害以及对医疗保健提供者的丧.
- 显著比例 (58%) 查肌肉失调呈阳性,这表明AAS使用,肌肉失调和潜在的AAS使用障碍之间存在联系.
结论:
- 在 cisgender 同性恋,双性恋和奇异男性中使用 AAS 与复杂的激励因素有关,包括潜在的 AAS 使用障碍和肌肉形症.
- 参与者经历了伤害,但由于专注于戒烟的医疗支持不足,他们开发了自己的伤害减轻技术.
- 需要进一步研究从业者教育,社区主导的降低伤害,以及非刑事化对医疗保健结果的影响.
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