Iniatn to Methamphetame Use For Young Gay and Bisexual Men - PMC

Contents:

• METH HAS VASTATED THE GAY MUNY FOR S. A NEW TREATMENT OFFERS HOPE.
• FORMER SAN FRANCIS METH LORD SPEAKS OUT ABOUT DG ADDICTN THE GAY MUNY
• WHAT IS IT ABOUT GAY MEN AND CRYSTAL METH?
• INIATN TO METHAMPHETAME USE FOR YOUNG GAY AND BISEXUAL MEN
• EXPLANATNS FOR METHAMPHETAME E AMONG GAY AND BISEXUAL MEN NEW YORK CY
• GAY MEN ARE DYG FROM A CRISIS WE’RE NOT TALKG ABOUT
• EXPLORG FLUENC ON METHAMPHETAME E AMONG BLACK GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN ATLANTA: A FOC GROUP STUDY
• METHAMPHETAME TREATMENT OUT AMONG GAY MEN ATTENDG A LGBTI-SPECIFIC TREATMENT SERVICE SYDNEY, ATRALIA
• THE CRISIS OF METH ADDICTN AMONG GAY MEN

METH HAS VASTATED THE GAY MUNY FOR S. A NEW TREATMENT OFFERS HOPE.

Rearch published JAMA September documented a spike after the first wave of ernment shutdowns the e of meth, e, fentanyl and hero among those diagnosed wh or at risk of substance e and the gay munyMeth has st a heavy cloud over the gay muny particular for s. The Natnal Survey on Dg Use and Health timated that 2015, past-year meth e prevalence was more than four tim higher among gay men pared to straight men — at 4.

FORMER SAN FRANCIS METH LORD SPEAKS OUT ABOUT DG ADDICTN THE GAY MUNY

Rearch also suggts that for people who are livg wh HIV, like Roger, meth exacerbat the vis's harm to the, who said he first started takg meth at gay "circu" parti, said his e of the dg led him to stop gog to the doctor and qu takg his HIV treatment a ago. Wh a year, he had spiraled to meth and 'G' addictn, sabotagg his artistic reer and beg one of the top suppliers of illic dgs to San Francis’s largely gay “party and play” subculture.

WHAT IS IT ABOUT GAY MEN AND CRYSTAL METH?

'G' is short for GHB (gamma-hydroxybutyrate) or GBL (gamma butyrolactone), which are monly known as 'date rape dgs' but are ed recreatnally parts of the gay muny. Acrdg to data llected by the Natnal Survey on Dg Use and Health, om 2015 to 2017, the percentage of gay men surveyed who reported g meth the prev year was twice as high as straight his memoir, “Tweakerworld, ” which is beg released Tuday, Yamas scrib the experience of livg the dg-fueled “party and play” subculture unflchg, gory tail om the unique perspective of both a one-time addict and dg aler. For many gay men, though, meth is first posed to them as a form of sexual enhancement or a way to extend the party, wh some men reportg that they first tried meth whout even knowg what was.

INIATN TO METHAMPHETAME USE FOR YOUNG GAY AND BISEXUAL MEN

As a gay man g of age the early 2000’s, of urse would make sense that a fairly short time-ame I would cross paths wh the darkns known as crystal meth. While I had been drkg, smokg pot, and dabblg psychelics and other dgs sce high school, I disvered meth when llege through the gay club scene. Comg om a tumultuo, reprsed, and trmatizg fay life, sudnly beg an acceptg space wh other gay men who enuraged me to be ee, feel good, and not hi my sexual feelgs was like a dream e te.

I believe that the batn of meth’s extremely physilly addictg quali, along wh the unique feelgs that a gay man grows up wh terms of how he feels about himself, sets up a perfect marriage between gay men and meth e, and explas why the dg is so rampant our muny. I’ve seen gay men lose their mds, kill themselv, go to jail, steal or hurt others, and I’m humbled to acknowledge how close to ath I probably me my age. and homosexuaky are two different thgs, tst me i love ck, haha, But thye hyersexuak state om all stims n lead to MSM(men who have sex wh men.

Alhol and dg e among some gay and bisexual men n be a reactn to homophobia, discrimatn, or vlence they experienced due to their sexual orientatn and n ntribute to other mental health and physil problems.

EXPLANATNS FOR METHAMPHETAME E AMONG GAY AND BISEXUAL MEN NEW YORK CY

For some gay and bisexual men, alhol and illegal dg e, pecially methamphetam (meth), amyl nrat (poppers), and dgs ed to treat erectile dysfunctn (when a man has a hard time keepg an erectn durg sex), also ntribute to a higher chance of gettg HIV and other STDs. 18 The parti are beg very popular gay culture bee facilat the teractn wh other MSM and often lowers hibn for oteric sex (eg, fistg) that n crease the risk for HIV and other STIs. 22 From 2011 to 2015, HIV diagnos remaed stable among all Hispanics and Latos; while HIV diagnos creased by 14% among Hispanic women/Latas the creased by 19% among young Hispanic/Lato gay and bisexual men aged 13 to 24.

26Internalized Homophobia, Stigma, and IntyThe relatnships between ternalized homophobia, stigma, and inty wh sexual risk behavrs and dg e have been tablished among sexual mori and vary by age and ethnicy. The Mory Strs Mol is a nceptual amework, which is based on the factors that subsequently lead to health dispari cludg discrimatn stigma, homophobia, pg mechanisms, and stctural vlence, and negative attus toward the self. In a 2005–2006 study among MSM Los Angel, New York, and San Francis, rat for ternalized homophobia was higher among black and Lato MSM pared to whe MSM (P <.

30 In an ethnilly reprentative sample of MSM New York Cy, Lato participants reported more dg e the past month pared to whe participants and gay-related stigma was posively associated wh the number of high-risk sex acts.

GAY MEN ARE DYG FROM A CRISIS WE’RE NOT TALKG ABOUT

31 That same study termed signifint associatns between intifitn wh the gay muny and high-risk sex and sex unr the fluence of alhol and dgs. 32 Among Lato MSM and transgenr women om Chigo and San Francis whout muny volvement AIDS and GLBT anizatns, homosexual and racial stigmata were associated wh sex unr the fluence of alhol and dgs; the associatns were not termed among those wh muny volvement. Also, this data nnot be ed to asss the factors associated wh sexual mory inty given that the measur were not llected although the lerature dit that Hispanic MSM, those who ed meth reported lower Hispanicism, higher attachment to the gay muny, and history of suici attempts pared to those who did not e meth.

For self-intified Lato sexual and genr mori, muny volvement AIDS and GLBT anizatns rc the associatn between homosexual and racial stigmata and sexual risk behavr, 33 hence creasg visibily of lol anizatns and clive events is remend. Internalised homophobia is differentially associated wh sexual risk behavur by race/ethnicy and HIV serostat among substance-g men who have sex wh men the Uned Stat. Qualative terview data om Project Ta, a formative vtigatn of methamphetame e among gay and bisexual men New York Cy, were ed to explore the reasons men e methamphetame.

EXPLORG FLUENC ON METHAMPHETAME E AMONG BLACK GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN ATLANTA: A FOC GROUP STUDY

Deprsn ratgs, reported sexual risk behavrs, and methamphetame e: latent growth curve mols of posive change among gay and bisexual men an outpatient treatment program. An uncharted terrory of sexualized dg e: explorg the dynamics of chemsex among young and adolcent MSM cludg self-intified gay men urban Dhaka, Banglash. Mangia ns a work of muny health centers Los ANGELES — I me of age as a gay man Greenwich Village durg the late 1980s when the AIDS epimic was ragg.

METHAMPHETAME TREATMENT OUT AMONG GAY MEN ATTENDG A LGBTI-SPECIFIC TREATMENT SERVICE SYDNEY, ATRALIA

But took far too many aths to get, the gay muny is facg another crisis that we’re not talkg about and that elected officials are once aga ignorg.

THE CRISIS OF METH ADDICTN AMONG GAY MEN

Growg up gay and beg forced to keep that a secret for fear of fay rejectn or neighborhood bullyg n create huge securi and issu wh bt iend was rejected by his fay for beg gay and was beaten the streets of his hometown Mexi. In realy, ’s g untls are many unrlyg reasons gay men start g meth — and those reasons mt be ’s an unfortunate realy that certa sid practic and beliefs are upheld wh gay male culture that put all of danger of adoptg risky behavrs. Pl, while society is signifintly more acceptg than was even 10 years ago, many gay men still stggle wh discrimatn, vlence and our own ternalized homophobia, which means dgs n be an pe for many.