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      Drug Use as Boundary Play: A Qualitative Exploration of Gay Circuit Parties

      research-article
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      Substance Use & Misuse
      Informa Healthcare

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          Abstract

          Research findings have revealed that gay circuit parties may be locations that are disproportionately responsible for the increasing rates of many STIs/HIV among gay/bisexual men. Theories have been put forth that this may be the case because circuit parties are locales of prevalent drug use and unsafe sex. To explore the relationship between these two phenomena, in-depth qualitative interviews were undertaken with 17 men who (1) have sex with other men, (2) attended gay circuit parties in Montréal, Canada, in 2007. These revealed that drugs (including alcohol) were used intentionally to engage in unsafe sex, and then to justify this behavior after the fact. This process we called boundary play.

          Résumé

          La consommation délibérée de drogues comme prélude à des pratiques sexuelles à risque : une exploration qualitative des gay circuit parties

          Les résultats de recherches actuels soutiennent que les « gays circuit parties » sont des environnements propices à la transmission des ITS et du VIH chez les hommes gays/bisexuels. Certains chercheurs ajoutent que la prise de drogues et les pratiques sexuelles à risque sont des comportements courants dans ces environnements. Afin d'explorer les relations entre ces deux comportements, 17 entrevues qualitatives ont été conduites auprès de 17 hommes, ayant des relations sexuelles avec d'autres hommes, et ayant participé en 2007 à des « gay circuit parties » à Montréal (Canada). Nos résultats montrent que les drogues ont été utilisées dans le but précis d'avoir des relations sexuelles à risque. Ce résultat de recherche est en contradiction avec le discours scientifique actuel qui sou-tient que la prise de drogues peut mener accidentellement à des pratiques sexuelles à risque.

          Resumen

          El uso deliberado de las drogas como un preludio a las conductas sexuales de riesgo: una exploración cualitativa de los “gay circuit parties”

          Los resultados de las investigaciones actuales sostienen que los “gay circuit parties” son entornos propicios para la transmisión de las ITS y del VIH entre hombres homosexuales/bisexuales. Algunos investigadores han sug-erido que el consumo de drogas y conductas sexuales de riesgo son comunes en estos ambientes. Para explorar la relatión entre estos dos comportamientos, 17 entrevistas cualitativas se llevaron a cabo con 17 hombres que tienen relaciones sexuales con hombres, y han participado en 2007 a “gay circuit parties” en Montreal (Canadá). Nue-stros resultados muestran que las drogas eran utilizadas para el propósito específico de tener relaciones sexuales sin protectión. Este resultado de la búsqueda está en contradictión con el discurso científico actual que sostiene que el consumo de drogas puede accidentalmente llevar a prácticas sexuales de riesgo.

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            The Circuit Party Men's Health Survey: findings and implications for gay and bisexual men.

            This study examined characteristics of gay and bisexual men who attend circuit parties, frequency of and motivations for attending parties, drug use and sexual behavior during circuit party weekends, and use of risk reduction materials available at parties. A cross-sectional survey was conducted among 295 gay and bisexual men from the San Francisco Bay Area who had attended a circuit party in the previous year. One fourth of the men reported a drug "overuse" incident in the previous year. Nearly all respondents reported use of drugs during circuit party weekends, including ecstasy (75%), ketamine (58%), crystal methamphetamine (36%), gamma hydroxybutyrate or gamma butyrolactone (25%), and Viagra (12%). Two thirds of the men reported having sex (oral or anal), 49% reported having anal sex, and 28% reported having unprotected anal sex during the 3-day period. An association was found between use of drugs and sexual risk behavior. Prevention materials were observed at party events by some men; however, relatively few men used the materials. Common motivations for attending the parties were "to listen to music and dance" and "to be with friends." Intensive, targeted health promotion efforts are needed for gay and bisexual men who attend circuit parties.
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              Club drugs and sex on drugs are associated with different motivations for gay circuit party attendance in men.

              Data were collected from 1169 gay circuit party patrons in three North American circuit parties in three geographical locations in 1999. Questionnaires obtained reasons for attending circuit parties and drugs used at circuit parties. Factor analyses of the 10 major reasons for attending parties indicated that there were two significant moderately correlated dimensions: a social and celebratory one to be with friends and dance, and a sensation-seeking one, to have sex and drugs. Drug and sex on drugs predictors of the social dimension accounted for only 3.8% of its variance and included alcohol, ecstasy (methylenedioxymethamphetamine), GHB (gamma-hydroxybutyrate), and having sex while on alcohol as significant predictors. Drug predictors for the sensation-seeking dimension accounted for four times the variance of the first dimension and included poppers, alcohol, ecstasy, Special K, and GHB, and having sex while on methamphetamines and on GHB. Unsafe sex was significantly associated with the sensation-seeking dimension but not the social dimension. While 63% checked > or = 3 of the social reasons for attendance, only 13% checked > or = 3 of the sensation-seeking reasons for attendance. Age was significantly inversely associated with the social dimension. These data suggest that while drug use is significantly associated with both the sensation-seeking and social dimensions of circuit party attendance, a greater number of drugs, sexual activity while on drugs, and unsafe sex are more closely associated with the sensation-seeking dimension of attendance.
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                Author and article information

                Contributors
                Journal
                Subst Use Misuse
                lsum
                Substance Use & Misuse
                Informa Healthcare
                1082-6084
                1532-2491
                November 2011
                21 June 2011
                : 46
                : 12
                : 1510-1522
                Affiliations
                School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
                Author notes
                Address correspondence to Patrick O'Byrne, School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5; E-mail: pjobyrne@ 123456uottawa.ca
                Article
                10.3109/10826084.2011.572329
                3174775
                21692603
                8283eb0e-f92b-4d40-9d43-067783ddbf36
                © 2011 Informa Healthcare USA, Inc.

                This is an open access article distributed under the Supplemental Terms and Conditions for iOpenAccess articles published in Informa Healthcare journals , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Health & Social care
                Health & Social care

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