Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
miodrag kajgana - alcohol, party drugs and hiv
1. Abuse of party drugs and/or
alcohol as a factor of increased
vulnerability of HIV infection
among young MSM population.
Miodrag Kajgana, Branko Kostić,
Nikola Avramović
Team Three, Serbia
3. Methodology
* A poll has been done of 40 young MSM from Belgrade, age
bracket 18-30, but the tested sample was too small to be
considered representative.
* The respondents have been reached through field work at the
Disease Clinic in Belgrade/HIV and AIDS Ambulance, hot spot (
“Ušće”park), through personal contact and social networks
(Facebook, Gayromeo).
* For 12 respondents we knew in advance that they were HIV+
(9+3).
4. * The poll included three key questions:
(1) during a four week period how often do you consume alcohol/
party drugs,
(2) how often do you have sexual intercourse after consuming
alcohol/party drugs,
(3) do you use a condom when having sex under the influence of
alcohol/party drugs
* In the research data concerning marijuana use as a party drug
was not done (our interest was based on synthetic party drugs, for
example extasy).
* In the research data concerning sexual practice strictly under
the influence of alcohol and/or party drugs was used.
* The Respondents have been intervued (no questionnaries have
been filled out). All interviews have been done in a friendly and
informal atmosphere.
5. Results
Table 1.a. Number of days of consumption of alcohol and/or party
drugs among young MSM-S where the HIV status is unknown.
Number of HIV-
days of alcohol and/or party drugs Alcohol Party drugs
consumption of TOTAL
alcohol and/or
N % N N
party drugs
0-2 2 7,14 1 1
3-4 7 25,00 5 4
5-6 15 53,57 12 7
7-8 3 10,71 3 1
More than 8 1 3,57 1 0
TOTAL 28 99,99 22 13
6. 1) In a subpopulation of young MSM-S where the HIV status is
unknown in a four-week :
* 15 uses alcohol and/or party drugs 5-6 times/day
* 12 uses alcohol 5-6 times/day
* 7 uses party drugs 5-6 times/day during a four-week period
7. Table 1.b. . Number of days of consumption of alcohol and/or party drugs among young
HIV+ MSM-s
Number of HIV-
days of alcohol and/or party drugs Alcohol Party drugs
consumption of TOTAL
alcohol and/or
party drugs N % N N
0-2 4 33,33 3 1
3-4 7 58,33 7 2
5-6 1 8,33 1 0
7-8 0 0,00 0 0
More than 8 0 0,00 0 0
TOTAL 12 99,99 11 3
8. 2) In a subpopulation of young MSM-S where the HIV status is
known (HIV+) in a four-week period:
* 7 uses alcohol and/or party drugs 3-4 times/day
*7 uses alcohol 3-4 times/day
* 2 uses party drugs 3-4 times/day
9. Table 2. a Number of sexual intercourses under the influence of alcohol and/or
party drugs in a subpopulation of young MSM-S where the HIV status is
unknown
Number of sexual inercourses alcohol and/or Alcohol Party
party drugs drugs
TOTAL number of sexual 47 27 15
intercourses
Number of sexual 27 16 7
intercourses with condom
Number of sexual 20 11 8
intercourses without condom
10. 1) In a tested sample of subpopulation of young MSM-S where
the HIV status is unknown:
* under the influence of alcohol and/or party drugs 47 sexual
intercourses have been reported, from which 27 were under the
influence of alcohol and 15 under the influence of party drugs;
* from the total number of reported sexual intercourses(47) under
the influence of alcohol and/or party drugs, safe sex
(condom)was practiced by 27 respondents, and 20 had unsafe sex
(without a condom)
* Under the influence of alcohol safe sex (condom) was reported
by 16 respondents, and 11 reported unsafe sex(without condom);
*under the influence of party drugs pod dejistvom party droga 7
reported safe sex, and 8 reported unsafe sex.
11. Table 2. ba Number of sexual intercourses under the influence of alcohol and/
or party drugs in a subpopulation of young HIV + MSM
number of sexual intercourses alcohol and/or Alcohol Party drugs
party drugs
TOTAL number of sexual 32 16 11
intercourses
Number of sexual intercourses 17 10 3
with condom
Number of sexual intercourses 15 6 8
without condom
12. 2) In a tested sample of subpopulation of young HIV+ MSM-S:
*under the influence of alcohol and/or party drugs 32 sexual
intercourses have been reported, from which 16 were under the
influence of alcohol and 11 under the influence of party drugs;
* from the total number of reported sexual intercourses(32) under
the influence of alcohol and/or party drugs, safe sex
(condom)was practiced by 17 respondents, and 15 had unsafe sex
(without a condom);
* Under the influence of alcohol safe sex (condom) was reported
by 10 respondents, and 6 reported unsafe sex(without condom);
* under the influence of party drugs pod dejistvom party droga 3
reported safe sex, and 8 reported unsafe sex.
13. Discussion
Based on the information gathered from the testing of the small
sample, it is obvious that a widespread practice of alcohol and/or
party drugs consumption among the young MSM population
exists. What is fascinating is the fact that a relatively large
number of sexual intercourses under the influence of alcohol and/
or party drugs exists, and especially that unprotected sex makes
up a significant number in both subpopulations. The greatest
concern is the fact that this phenomena occurs in the HIV+MSM
population.
14. Conclusion
Based on the research of the small sample of the two
subpopulations of young MSM HIV+, in Belgrade, and those
whose HIV status was unknown, we can make the following
conclusions:
* both subpopulations have a widespread practice of alcohol or
party drugs;
* in both subpopulations a certain percentage of those who use
both alcohol and party drugs exists;
* both subpopulations under the influence of alcohol and/or party
drugs are extremely sexually active;
* the share of unprotected, unsafe sex, from the total number of
sexual intercourses, under the influence of alcohol and/or party
drugs, is extremely high.
15. Recommendations
1) a continuous implementation of the need assesement
primarily from the demand aspect in health care (prevention area)
in the young MSM population
2) a multi-sector approach from the creation aspect (a)
programme- curriculum of health education for young MSM, (2)
creation of specific informative-educational-communicative
materials intended for young MSM , tested throught (example)
fokus groups;
16. 3) From the aspect of the civil society organizations (Non-
Govt.Agencies) which work with the LGBT/MSM population:
creating specific programes for promoting healthy lifestyles;
4) from the primary health care aspectsa aspekta primarne: (a)
sensitization of health care workers for working with the MSM
population, (b) education of health care workers to recognize the
consumption of alcohol and/or party drugs especially in the
young MSM subpopulation, (c) education of health care workers
how to promote healthy lifestyles in the MSM population.