在使用类固醇类固醇的cisgender同性恋,双性恋和奇异男性中减少伤害的技术:一种定性研究
Eric Kutscher1, Arslaan Arshed2,3, Richard E Greene2,3
1Icahn School of Medicine at Mount Sinai, New York, NY, USA. Eric.Kutscher@mountsinai.org.
Harm reduction journal
|November 10, 2024
概括
使用类固醇类固醇 (AAS) 的同性恋,双性恋和同性恋男性采用基于社区的减害策略. 这些方法包括安全采购,骑自行车,无菌注射,自我监测和特定药物,优先考虑健康而不是禁欲.
科学领域:
- * * 公共卫生 公共卫生
- *男人的健康问题
- * 药物使用研究研究
背景情况:
- * 类固醇类固醇 (AAS) 是合成衍生物,被同性恋,双性恋和酷尔 (GBQ) 男人用作增强性能的药物.
- * AAS的广泛使用带来了严重的健康风险和使用障碍的可能性,但缺乏确定的医疗保健标准,通常只关注禁欲.
- *社区主导的降低伤害策略在AAS用户中很普遍,以减轻相关的伤害.
研究的目的:
- * 分析使用AAS的GBQ男性使用的降害技术.
- *将这些技术分类在初级,二级和三级伤害预防的框架内.
主要方法:
- *从半结构面试中获得的定性数据的亚分析,这些半结构面试中,GBQ男性使用了AAS≥8周.
- *参与者通过从纽约市的临床场所,LGBTQ+场所和社交媒体的方便和雪球采样来招募.
- *对采访数据进行反思性的专题分析,重点关注通过预防框架重新分析的降低伤害策略.
主要成果:
- * GBQ男性报告使用多种减少危害的技术,在12次采访中实现了主题和.
- * 初级预防包括避免口服类固醇,避免同时使用物质,可信的AAS采购,类固醇循环和无菌注射实践.
- *二次预防包括患者指导的实验室测试 (血红素,肝/功能,胆固醇,PSA,) 和自我监测血压.
- *三级预防包括献血和非处方使用药物,如芳酶抑制剂,SERM,阿司匹林,他类药物,ARB,克洛米芬和hCG.
结论:
- *GBQ男性经常追求降低AAS使用危害的策略,与仅禁欲的方法分开.
- * 许多已识别的降低危害的技术表明了临床推理和更广泛应用的潜力.
- *需要进一步研究,以确定这些干预措施对AAS用户的具体健康影响.
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