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"It [meth-sex] to me can still be that incredible heightened feeling of you exist. You belong. That somebody else is taking the time to share with you."

Neal Carnes

IUPUI

nealcarnes@yahoo.com

The Meanings Gay Men Attribute To Methamphetamine And Sex: A Qualitative Study

Introduction

"Gay men are guardians of the masculine impulse. To have anonymous sex in a dark alleyway is to pay homage to the dream of male freedom. The unknown stranger is a wandering pagan god. The alter, as in prehistory, is anywhere you kneel."

- Camille Paglia

Conclusion:

Dealing with HIV

Background

9 out 11 - HIV +

Confronting Addiction:

Gay men's meth use during sex is a social construct (Reback, 1997)

9.5% previous 6 month meth use (Stall et al., 2001)

13.5% past month meth use & 25.2% HIV prevalence (Schwarcz et al., 2007)

(NAIDA reports a lifetime use rate of 0.3% for general population meth use)

Meth & sex uniquely impacts gay men's syphilis rates (Shoptaw & Reback, 2007)

Gay men's community-acquired MRSA is highly influenced by meth & sex (Diep et al., 2008)

"What a meth I've made." Hawkman

Having "Sex for 12 Hours"

aka marathon sex

Belonging

makes cohesion possible...it binds gay men in a network

Methods & Sample

Love

Being in, Searching for and Falling out of

Risks

60-90 minute semi-structured, one-on-one interviews were transcribed and analyzed using

Interpretative Phenomenological Analysis (Smith 2003)

Human Subjects: IUPUI IRB Study # 1111007511

Super hero nicknames

Recruitment: snowball and advertising in Gay press

$30 gift card for participating

11 gay-identified men

20-57 years old

reported using meth during sex in the previous 90 days

9 White, 1 Black, 1 Latino

9 -38 years - 1st sex with a man

14-48 years - 1st meth use

"Probably 17"-48 - 1st meth use with sex

Benefits

What meanings do gay men attribute to their meth-sex experiences?

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