Links Between Childhood Abuse, Insidious Trauma, and Methamphetamine Use Across the Lifespan Among Gay, Bisexual, and Other Men Who Have Sex with Men: A Qualitative Analysis

J Homosex. 2023 Nov 10;70(13):3192-3212. doi: 10.1080/00918369.2022.2089075. Epub 2022 Jun 27.

Abstract

Developmental and lifespan examinations of methamphetamine use among gay, bisexual, and other men who have sex with men (GBM) remain limited. We used a feminist trauma framework to examine potential links between childhood trauma, trauma-related stressors, and methamphetamine use among GBM. From June 2018 to October 2018, semi-structured interviews (N = 33) were conducted with GBM across British Columbia. Interviews focused on sexual experiences, support services, and methamphetamine use. Using thematic analysis, two overarching trauma-related themes were identified: developmental and insidious trauma and coping with trauma-related stressors. GBM's methamphetamine use co-occurred with childhood experiences of family- and peer-perpetrated heterosexism, childhood sexual abuse, and intersecting forms of oppression/marginalization. These experiences manifested as internalized shame, interpersonal anxiety, and low self-esteem. In adulthood, participants reported difficulty managing emotions, low self-confidence, and loneliness. GBM reported using methamphetamine to manage negative emotions, life stressors, and overcome barriers to interpersonal connection. Findings indicate a need for trauma-informed interventions that address underlying issues and help GBM cultivate supportive relationships.

Keywords: Gay, bisexual, and other men who have sex with men (GBM); childhood sexual abuse; heterosexism; methamphetamine; party and play (PnP); qualitative research; trauma.

MeSH terms

  • Bisexuality / psychology
  • Child
  • Homosexuality, Male / psychology
  • Humans
  • Longevity
  • Male
  • Methamphetamine* / adverse effects
  • Sexual Behavior
  • Sexual and Gender Minorities*

Substances

  • Methamphetamine