"chem friendly": the institutional basis of "club-drug" use in a sample of urban gay men

In recent years, club-drug use among a segment of urban gay men has gained in popularity, contributing to a range of effects, including heightened sexual stimulation, increased sexual performance and endurance, but also, unsafe sexual practices, drug overdose, drug addiction and death. This article draws from a larger study of urban sexual careers and identifies two prominent forms of club-drug use: the first, to facilitate sexual performance; and the second, to facilitate community. The author argues that the basis of both patterns of drug use lie in adaptations to the institutional organization of urban gay sexual sociality.