Tag: Substance Abuse

Sexual Agreements & Substance Abuse among Gay Couples

Researchers have been trying to understand how gay male couples’ relationships, including their sexual agreements, affect their risk of getting HIV.

According to studies, gay men and other men who have sex with men are disproportionately affected by HIV. They account for nearly two-thirds of HIV cases among men in the U.S. Also, between one-third and two-thirds of men who have sex with men acquire HIV while in a same-sex relationship, according to a recent article published in AIDS and Behavior.

According to “A Cause for Concern: Male Couples’ Sexual Agreements and Their Use of Substances with Sex,” studies have found that gay men who use illegal substances, like ecstasy, and controlled substances, like alcohol, are at an increased risk for acquiring HIV. Some of these men are also more likely to engage in high-risk sexual behavior with men who have sex with men, such as unprotected anal intercourse, and some have used substances during sex. Many of these men consider some substances “sex drugs,” it said, because they either prolong or enhance the sexual experience.

The study’s researchers decided to also figure out how sexual agreements are associated with gay male couples who use substances with sex. They define a sexual agreement as “an explicit understanding between two partners about which sexual and other behaviors are permitted to occur within, and if relevant, outside of their relationship.”

The researchers recruited U.S. men who have sex with men using a Facebook advertisement. They looked for men who were either in a relationship, married or engaged, and they narrowed their focus to 275 HIV negative concordant couples who participated in an online survey.

The study found that 87 percent of the couples practiced high-risk behavior, and about one-third had sex outside of their relationship. Fifty-nine percent consented to a sexual agreement. A majority who agreed said it was closed, but a little over a third said it was an open agreement. A small percent were not okay with the agreement at all.

The findings also indicated that the couples having an established sexual agreement were more likely to use a variety of substances with sex particularly within their relationships. Couples who had broken their agreement were more likely to engage in the use of marijuana or amyl nitrates when having sex.

Researchers believe more studies need to look into these relationships and agreements further. Also, HIV prevention efforts, which have focused on individual gay men and communities, need to focus prevention intervention among gay male couples, especially those who use substances with sex.

Dr. M. Mirza, LGBT Health Wellness – 2014

Are LGBT Students More Likely to Abuse Substances?

Members of the LGBT community typically report a higher level of psychological discomfort and complications in their lives. America may be accepting of sexual minorities in some areas, but not completely across the board. Many, including heterosexuals, turn to drugs to cope with the difficult situations they are presented. Two studies (Substance use of lesbian, gay, bisexual and heterosexual college students and Neighborhood-level LGBT hate crimes and current illicit drug use among sexual minority youth) have recently been published, confirming that LGBT college and high school students typically report higher levels of drug use.

Substance use of lesbian, gay, bisexual and heterosexual college students compared how self-identifying lesbian, gay, and bisexual (LGB) college students and heterosexual use alcohol, tobacco and other drug and alcohol. What they found was that LGB students were more likely to drink in excess. Bisexual college students on the other hand had greater odds of using other illicit substances, with bisexual women reporting the highest.

Drinking and tobacco use already run rampant in Universities. College is an exciting time with new opportunities for socialization and people want to be part of the fun. However, the pressures of campus life and school work combined with the anxieties of leaving home can be depressing for many; especially LGBT communities who report higher levels of discrimination. In Neighborhood-level LGBT hate crimes and current illicit drug use among sexual minority youth, they found cities with high reports of hate crimes towards sexual minority youth also have higher rates of consumption of illicit substances. This proven connection between physical and substance abuse should be raising alarms.

That is not the only contributing factor. Members of sexual minorities also report feeling a greater sense of loneliness and disconnection than their straight counterparts. It’s one thing to feel discomfort moving away from home, but to have nobody to turn to can magnify these emotions. Being lonely is depressing and people that are depressed are more likely to drink. These issues aren’t limited to college life either. LGBT youths in high school, while not as great, report similarly regarding substance abuse.

The problem, as studies seem to show, look more like a social issue than biological. Sexual preference is not something people can be told to make, so adjustments really need to be made towards the treatment of gay communities if these numbers are to be lowered. LGBT groups in colleges are definitely a beneficiary to their members, providing people to confide in for their members but is that really enough? The ideology that we should be treated differently because we have different preferences in the bedroom needs to be erased from society. Nobody should worry about being physically abused just as nobody should need to feel alone.

Dr. M. Mirza, LGBT Health Wellness – 2014