RESUMEN
We examined the role of drug use and addiction in same-sex sexuality among non-gay-identifying African American men who have sex with men or with both men and women (MSM/MSMW). Between July 2005 and February 2006, we conducted seven focus groups with 46 predominately low socioeconomic status African American MSM/MSMW. A total of 29 men self-identified as HIV-infected and 17 self-identified as uninfected. Focus group transcripts were analyzed using consensual qualitative research techniques. Alcohol, crack cocaine, and crystal methamphetamine were the primary drugs mentioned by participants. Drug use was identified as playing a central role in same-sex sexuality for many African American MSM/MSMW. Participants described alcohol use and drug transactions, use, and addiction as motivating sex with men, allowing and rationalizing same-sex activity and unprotected sex, and facilitating access to male sex partners. Some of those in treatment for substance abuse indicated that a readiness to admit their same-sex activity and come to terms with their homosexuality/bisexuality was necessary for recovery. Because successful engagement of non-gay-identifying African American MSM/MSMW is essential to the reduction of HIV transmission and substance abuse in Black communities, findings call for drug treatment approaches that acknowledge and accept diverse sexuality in clients. Service providers and policy-makers may be guided by these findings toward building cultural competency among direct service staff. Future research should examine interrelated dynamics of sexual activity, identity, and drug use as they evolve within individual African American MSM/MSMW and compare the frequency with which sex, condom use, and substance use co-occur with male versus female partners.
Asunto(s)
Bisexualidad/estadística & datos numéricos , Negro o Afroamericano/estadística & datos numéricos , Homosexualidad Masculina/estadística & datos numéricos , Asunción de Riesgos , Autoimagen , Conducta Sexual/psicología , Trastornos Relacionados con Sustancias/epidemiología , Adulto , Femenino , Infecciones por VIH/epidemiología , Humanos , Masculino , Motivación , Factores Socioeconómicos , Encuestas y CuestionariosRESUMEN
In assessing the situation revealed by the survey, we concluded that in general when sufficient numbers of founders were available and attention paid to the animals general and specific needs, including preventative medicine, the captive populations have done reasonably well. Is is obvious that some small groups, such as the small African antelope and the duikers, need highly specialised care and there is a great deal of work still to be done on their husbandry. The mountain or alpine species have been fairly successful with the goats showing the greatest adaptability. We feel there are grounds for optimism for the future of such animals as the Rocky mountain goat, the Japanese serow and even the Blue sheep. Of those species whose captive future is still in doubt, particularly those which are threatened in the wild, our researches indicate that concentrated efforts should be made to obtain sufficient founder stock to establish self-sustaining populations as a hedge against total disaster in the wild. We felt that the evidence was strong that any of the ungulate species reviewed could be successfully maintained in captivity given the right circumstances. Basically, the husbandry procedures of all the reporting zoos were similar, although, of course, each zoo had its own variations. In some cases these measurably affected the success of the animal population. In the last 20 to 25 years inter-zoo co-operation and sharing of information has greatly expanded. Nevertheless we would now urge that even more emphasis should be put on the exchange of information to provide each zoo with up- to-date data which would ensure that all zoos are kept abreast with the 'state of the art. With such a spirit of co-operation the prospect of managing species as total captive populations appears to be practical and promising.