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A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men

A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men
A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men
Assessments of gay and bisexual men’s substance use often obscures salient sociocultural and identity-related experiences related to how they use drugs. Latent class analysis was used to examine how patterns of substance use represent the social, economic and identity-related experiences of this population. Participants were sexually active gay and bisexual men (including other men who have sex with men), aged ≥ 16 years, living in Metro Vancouver (n = 774). LCA indicators included all substances used in the past six months self-reported by more than 30 men. Model selection was made with consideration to model parsimony, interpretability and optimisation of statistical criteria. Multinomial regression identified factors associated with class membership. A six-class solution was identified representing: ‘assorted drug use’ (4.5%); ‘club drug use’ (9.5%); ‘street drug use’ (12.1%); ‘sex drug use’ (11.4%); ‘conventional drug use’ (i.e. tobacco, alcohol, marijuana; 25.9%); and ‘limited drug use’ (36.7%). Factors associated with class membership included age, sexual orientation, annual income, occupation, income from drug sales, housing stability, group sex event participation, gay bars/clubs attendance, sensation seeking and escape motivation. These results highlight the need for programmes and policies that seek to lessen social disparities and account for social distinctions among this population.
1369-1058
1424-1439
Card, Kiffer G.
4bece098-5a9b-46cf-a64e-615f14acce73
Armstrong, Heather L.
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Carter, Allison
173bd86a-9315-49f6-82d1-9c802142aba9
Cui, Zishan
298721d1-0246-4602-9120-c626eec8b142
Wang, Lu
063e67d7-bb62-4d48-b2d7-ca02f2c65f22
Zhu, Julia
ace0838d-a3a1-4594-a8ed-9ee5d94dfb26
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
Moore, David M.
b3bb7f8f-4409-412e-959b-bcda959a8d2d
Hogg, Robert S.
3f71ad69-9c8a-4732-bb86-4aa0652e1f3f
Roth, Eric A.
4900d79c-ac00-475b-8bb9-e96243905ca7
Card, Kiffer G.
4bece098-5a9b-46cf-a64e-615f14acce73
Armstrong, Heather L.
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Carter, Allison
173bd86a-9315-49f6-82d1-9c802142aba9
Cui, Zishan
298721d1-0246-4602-9120-c626eec8b142
Wang, Lu
063e67d7-bb62-4d48-b2d7-ca02f2c65f22
Zhu, Julia
ace0838d-a3a1-4594-a8ed-9ee5d94dfb26
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
Moore, David M.
b3bb7f8f-4409-412e-959b-bcda959a8d2d
Hogg, Robert S.
3f71ad69-9c8a-4732-bb86-4aa0652e1f3f
Roth, Eric A.
4900d79c-ac00-475b-8bb9-e96243905ca7

Card, Kiffer G., Armstrong, Heather L., Carter, Allison, Cui, Zishan, Wang, Lu, Zhu, Julia, Lachowsky, Nathan J., Moore, David M., Hogg, Robert S. and Roth, Eric A. (2018) A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men. Culture, Health and Sexuality, 20 (12), 1424-1439. (doi:10.1080/13691058.2018.1439186).

Record type: Article

Abstract

Assessments of gay and bisexual men’s substance use often obscures salient sociocultural and identity-related experiences related to how they use drugs. Latent class analysis was used to examine how patterns of substance use represent the social, economic and identity-related experiences of this population. Participants were sexually active gay and bisexual men (including other men who have sex with men), aged ≥ 16 years, living in Metro Vancouver (n = 774). LCA indicators included all substances used in the past six months self-reported by more than 30 men. Model selection was made with consideration to model parsimony, interpretability and optimisation of statistical criteria. Multinomial regression identified factors associated with class membership. A six-class solution was identified representing: ‘assorted drug use’ (4.5%); ‘club drug use’ (9.5%); ‘street drug use’ (12.1%); ‘sex drug use’ (11.4%); ‘conventional drug use’ (i.e. tobacco, alcohol, marijuana; 25.9%); and ‘limited drug use’ (36.7%). Factors associated with class membership included age, sexual orientation, annual income, occupation, income from drug sales, housing stability, group sex event participation, gay bars/clubs attendance, sensation seeking and escape motivation. These results highlight the need for programmes and policies that seek to lessen social disparities and account for social distinctions among this population.

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More information

Accepted/In Press date: 7 February 2018
Published date: 28 March 2018

Identifiers

Local EPrints ID: 430088
URI: http://eprints.soton.ac.uk/id/eprint/430088
ISSN: 1369-1058
PURE UUID: 9d7219e9-1197-4383-bc7d-e0d63feb10ca
ORCID for Heather L. Armstrong: ORCID iD orcid.org/0000-0002-1071-8644

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Date deposited: 11 Apr 2019 16:30
Last modified: 17 Dec 2019 01:22

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Contributors

Author: Kiffer G. Card
Author: Allison Carter
Author: Zishan Cui
Author: Lu Wang
Author: Julia Zhu
Author: Nathan J. Lachowsky
Author: David M. Moore
Author: Robert S. Hogg
Author: Eric A. Roth

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