Multivariate modeling of club drug use initiation among gay and bisexual men

Perry N. Halkitis, Joseph J. Palamar

Research output: Contribution to journalArticle

Abstract

This paper documents patterns and sequence of initiation of club drug use in a sample of 450 gay and bisexual men in New York City. Quantitative and qualitative baseline data from a yearlong longitudinal investigation conducted between 2001 and 2005 were analyzed. The study focused on the use of five club drugs - cocaine, GHB, ketamine, ecstasy, and methamphetamine - using self-reported indications of use for a period of 4 months prior to assessment. Patterns of club drug use among gay and bisexual demonstrated that poly-club-drug use is common, and that patterns of use can be differentiated along the lines of age, race/ethnicity, and sexual orientation, with those who are older, Black, and bisexual, reporting less club drug use. The majority of the men initiated use of the five club drugs as follows: (a) cocaine, (b) ecstasy, (c) ketamine, (d) methamphetamine, and (e) GHB. Variations in patterns were related to both age and level of poly-club-drug use. The sequencing and/or patterns of club drug use may be better explained by socialization processes in the gay community than by Gateway Theory, which has been traditionally used to explain patterns of drug use in the population. Future research should more closely examine the synergy of drug use combinations with an emphasis on measuring the extent to which the drugs are taken in synchronicity.

Original languageEnglish (US)
Pages (from-to)871-879
Number of pages9
JournalSubstance Use and Misuse
Volume43
Issue number7
DOIs
StatePublished - Jun 2008

Fingerprint

Drug Design
club
drug use
Pharmaceutical Preparations
drug
Methamphetamine
Ketamine
Cocaine
Sexual Minorities
sexual orientation
synergy
Socialization
socialization
indication
Drug Combinations
ethnicity
Sexual Behavior

Keywords

  • Club drugs
  • Cocaine
  • Drug initiation
  • Ecstasy
  • Gay and bisexual men
  • GHB
  • Ketamine
  • Methamphetamine
  • Sequences

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Multivariate modeling of club drug use initiation among gay and bisexual men. / Halkitis, Perry N.; Palamar, Joseph J.

In: Substance Use and Misuse, Vol. 43, No. 7, 06.2008, p. 871-879.

Research output: Contribution to journalArticle

Halkitis, Perry N. ; Palamar, Joseph J. / Multivariate modeling of club drug use initiation among gay and bisexual men. In: Substance Use and Misuse. 2008 ; Vol. 43, No. 7. pp. 871-879.
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