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Stigma as understood by key informants: A social ecological approach to gay and bisexual men's use of crystal methamphetamine for sex
- Source :
- International Journal of Drug Policy. 94:103229
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- This paper explores the perceptions of 35 key informants (KIs) in a range of relevant health and community sectors regarding the stigmatisation of GBM's crystal methamphetamine use and sexual practice with view to informing stigma reduction efforts. A modified social ecological model was used to guide analysis and interpretation. At the individual level, KI participants indicated that crystal methamphetamine was used by some GBM to reduce the effects of internalised stigma. At the network level, KIs thought that some drugs and types of use could attract more stigma and that this could erode support from GBM networks for men who use crystal. KIs felt that few "mainstream" organisations could provide appropriate services for GBM who use crystal and furthermore, that there was significant work to "undo" misperceptions of the harms of crystal use. At the policy level, mass media anti-drug campaigns were seen to be a significant generator of stigma with irrelevant and patronising messages that lacked useful information. Efforts to reduce stigma about crystal methamphetamine use amongst GBM must address individual, network, organisation and policy issues and be underpinned by understandings of social power in relation to sex, sexuality, drug use, infectious status and sexual minorities.
- Subjects :
- Male
Crystal methamphetamine
Sexual Behavior
media_common.quotation_subject
Social Stigma
030508 substance abuse
Medicine (miscellaneous)
Stigma (botany)
HIV Infections
Human sexuality
Methamphetamine
Sexual and Gender Minorities
03 medical and health sciences
0302 clinical medicine
Perception
Ecological psychology
Humans
Mainstream
030212 general & internal medicine
Homosexuality, Male
media_common
Mass media
business.industry
Health Policy
Pharmaceutical Preparations
Bisexuality
Social ecological model
0305 other medical science
Psychology
business
Social psychology
Subjects
Details
- ISSN :
- 09553959
- Volume :
- 94
- Database :
- OpenAIRE
- Journal :
- International Journal of Drug Policy
- Accession number :
- edsair.doi.dedup.....314d32079a90c073cad63b359a01e89b