Understanding the Service Needs and Preferences of Men Who Have Sex with Men Who Use Crystal Methamphetamine in British Columbia, Canada: a Qualitative Study

被引:8
作者
Fulcher, K. [1 ]
Berlin, G. [1 ,2 ]
Taylor, K. [3 ]
Wells, A. [1 ]
Nguyen, T. [4 ]
Moore, D. [4 ,5 ]
Hull, M. [4 ,5 ,6 ]
Lachowsky, N. J. [1 ,3 ,4 ]
机构
[1] Univ Victoria, Sch Publ Hlth & Social Policy, 3800 Finnerty Rd,HSD Bldg Room B202, Victoria, BC, Canada
[2] Ryerson Univ, Dept Psychol, Toronto, ON, Canada
[3] Univ Victoria, Canadian Inst Subst Use Res, Victoria, BC, Canada
[4] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[5] British Columbia Ctr Excellence, HIV AIDS, Vancouver, BC, Canada
[6] CIHR Canadian HIV Trials Network, Vancouver, BC, Canada
关键词
Men who have sex with men; Crystal methamphetamine; Chemsex; Substance use treatment; Mental health treatment; SUBSTANCE USE; PEER SUPPORT; BISEXUAL MEN; RISK BEHAVIOR; GAY MEN; CHEMSEX; ABUSE; CARE; INTERVENTIONS; PARTY;
D O I
10.1007/s11469-022-00848-4
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Gay, bisexual, and other men who have sex with men (gbMSM) use crystal methamphetamine at higher rates than the general population, often in a sexual context. Some require support for problematic methamphetamine use. Health services are available for this population, but little information is available on how gbMSM who use methamphetamine view these supports. We explored the perspectives of gbMSM who used methamphetamine regarding available and desired treatment, support services, and resources to inform improvements to these services in British Columbia, Canada. We conducted semi-structured interviews with 33 participants and used thematic analysis to identify participants' needs and preferences regarding treatment and services. Participants desired services that incorporated peers and providers with similar lived experience, tailored to their specific needs, including addressing overall mental health. The findings indicate that making culturally competent adjustments related to sexuality to provide gbMSM-specific treatment and integrating peer support would better serve gbMSM who use methamphetamine Mental health and substance use should be addressed simultaneously.
引用
收藏
页码:4163 / 4178
页数:16
相关论文
共 70 条
[1]  
Anderson C. A., 2014, PSYCHIAT QUART, V0887, P3741
[2]   Designing an "Ideal" Substance Use Disorder Treatment Center: Perspectives of People Who Have Utilized Medications for Opioid Use Disorder [J].
Andraka-Christou, Barbara ;
Randall-Kosich, Olivia ;
Totaram, Rachel .
QUALITATIVE HEALTH RESEARCH, 2021, 31 (03) :512-522
[3]  
[Anonymous], 2018, Tri-Council Policy Statement 2: Ethical Conduct for Research Involving Humans
[4]   Towards a continuum of care concerning chemsex issues [J].
Bakker, Ingrid ;
Knoops, Leon .
SEXUAL HEALTH, 2018, 15 (02) :173-175
[5]   Monitoring the Dissemination of Peer Support in the VA Healthcare System [J].
Barber, Jessica A. ;
Rosenheck, Robert A. ;
Armstrong, Moe ;
Resnick, Sandra G. .
COMMUNITY MENTAL HEALTH JOURNAL, 2008, 44 (06) :433-441
[6]   Continuity of care as experienced by mental health service users - a qualitative study [J].
Biringer, Eva ;
Hartveit, Miriam ;
Sundfor, Bengt ;
Ruud, Torleif ;
Borg, Marit .
BMC HEALTH SERVICES RESEARCH, 2017, 17
[7]   From silos to buckets: a qualitative study of how sexual health clinics address their clients' mental health needs [J].
Black, Stephanie ;
Salway, Travis ;
Dove, Naomi ;
Shoveller, Jean ;
Gilbert, Mark .
CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 2020, 111 (02) :220-228
[8]   Telehealth Treatment for Alcohol Misuse: Reviewing Telehealth Approaches to Increase Engagement and Reduce Risk of Alcohol-Related Hypertension [J].
Blalock, Dan V. ;
Calhoun, Patrick S. ;
Crowley, Matthew J. ;
Dedert, Eric A. .
CURRENT HYPERTENSION REPORTS, 2019, 21 (08)
[9]   Use of crystal methamphetamine among gay men in London [J].
Bolding, Graham ;
Hart, Graham ;
Sherr, Lorraine ;
Elford, Jonathan .
ADDICTION, 2006, 101 (11) :1622-1630
[10]  
Borg M., 2004, J MENT HEALTH, V13, P493, DOI [DOI 10.1080/09638230400006809, 10.1080/09638230400006809]