A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men
| dc.contributor.author | Card, Kiffer George | |
| dc.contributor.author | Armstrong, Heather | |
| dc.contributor.author | Carter, Allison | |
| dc.contributor.author | Cui, Zishan | |
| dc.contributor.author | Wang, Lu | |
| dc.contributor.author | Zhu, Julia | |
| dc.contributor.author | Lachowsky, Nathan | |
| dc.contributor.author | Moore, David M. | |
| dc.contributor.author | Hogg, Robert S. | |
| dc.contributor.author | Roth, Eric A. | |
| dc.date.accessioned | 2024-03-20T16:01:33Z | |
| dc.date.available | 2024-03-20T16:01:33Z | |
| dc.date.issued | 2018 | |
| dc.description.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. | |
| dc.description.reviewstatus | Reviewed | |
| dc.description.scholarlevel | Faculty | |
| dc.description.sponsorship | The Momentum Health Study is funded through the National Institute on Drug Abuse [grant number R01DA031055-01A1] and the Canadian Institutes for Health Research [grant numbers MOP-107544, MOP-143342, PJT-15139]. Nathan Lachowsky was supported by a CANFAR/CTN Postdoctoral Fellowship Award. David Moore and Nathan Lachowsky are supported by Scholar Awards from the Michael Smith Foundation for Health Research [grant numbers 5209, 16863]. Heather Armstrong is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research [grant number MFE-152443]. | |
| dc.identifier.citation | Card, K. G., Armstrong, H. L., Carter, A., Cui, Z., Wang, L., Zhu, J., Lachowsky, N. J., Moore, D., Hogg, R. S., & Roth, E. A. (2018). A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men. Culture, Health & Sexuality, 20(12), 1424–1439. https://doi.org/10.1080/13691058.2018.1439186 | |
| dc.identifier.uri | https://doi.org/10.1080/13691058.2018.1439186 | |
| dc.identifier.uri | https://hdl.handle.net/1828/16235 | |
| dc.language.iso | en | |
| dc.publisher | Culture, Health & Sexuality | |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | en |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject.department | School of Public Health and Social Policy | |
| dc.subject.department | Department of Anthropology | |
| dc.title | A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men | |
| dc.type | Postprint |