Objectives: To examine the impact of methamphetamine on the sexual behaviors of self-identified homosexual or bisexual men using qualitative data. Methods: Data for this study were drawn from a larger qualitative study examining emerging drug trends in the Metropolitan Atlanta area. Eighty-eight semi-structured interviews were conducted between the Fall of 1999 and the Spring of 2001. This subpopulation consists of 25 men who self-identify as bisexual or homosexual. Qualitative data were managed by QS NUD*IST while analysis was guided by grounded theory. Results: Findings show that men who identify as homosexual or bisexual report methamphetamine use as a conduit to increased sexual activity. In general, gay/bisexual men report heightened sexual awareness culminating in activities ranging from increased self and mutual masturbation to sexual practices involving poly-drug use (Ecstasy, GHB and Viagra). The interaction between methamphetamine use and sexual activity in the gay/bisexual community reportedly increases risk-taking behaviors in drug use and sexual practices. In contrast, the heterosexual male users were less likely to report a connection between increased sexual feelings and behaviors related to their methamphetamine use. Conclusions: Gay/bisexual men in this study reported engaging in high-risk sexual activities and drug-use practices, placing them at greater risk for contracting and spreading HIV and the hepatitis C virus (HCV). These results indicate that public health interventions for this population of users must acknowledge and address the connection between methamphetamine use and sexual practices.
Learning Objectives: 1. Participants will be able to articulate the relationship between the sexual behaviors of gay/bisexual men and methamphetamine use. 2. Participants will be able to discuss the subsequent risks and overall public health consequences of methamphetamine use.
Keywords: Substance Abuse, Sexual Risk Behavior
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.