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Mapping a psychosocial syndemic among methamphetamine‐using sexual minority men living with HIV.

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Title: Mapping a psychosocial syndemic among methamphetamine‐using sexual minority men living with HIV.
Authors: Gómez, Walter (AUTHOR), Lee, Jasper S. (AUTHOR), Organista, Kurt C. (AUTHOR), Carrico, Adam W. (AUTHOR)
Source: Drug & Alcohol Review. Nov2024, Vol. 43 Issue 7, p1913-1928. 16p.
Subjects: Sexual minority men, Psychosocial factors, Affect (Psychology), Mental depression, Syndemics
Abstract: Introduction: While research with sexual minority men (SMM) has focused on disparities related to HIV, substance use and mental health, synergistic psychosocial pathways driving these epidemics remain underexplored. We used syndemic theory to assess how psychosocial factors sustain methamphetamine use and hinder recovery efforts for SMM living with HIV. Methods: A triangulation of network analyses and constructivist grounded theory approaches is utilised to elucidate pathways through which psychosocial factors influence methamphetamine use among this population. Survey data (N = 129) are used for quantitative analyses and a purposive sub‐sample (n = 24) was recruited for semi‐structured interviews for qualitative analyses. Findings: The network analysis revealed two statistically significant bivariate associations: between post‐traumatic stress disorder and depression symptoms (b = 0.37, SD = 0.07, 95% confidence interval [0.23, 0.49]) and between depression symptoms and negative affect (b = 0.26, SD = 0.07, 95% confidence interval [0.12, 0.38]). Findings from the constructivist grounded theory analysis supplement the network analysis by offering a nuanced take on how negative affect, post‐traumatic stress disorder, and depression symptoms operate synergistically to promote methamphetamine use and impede recovery efforts. Discussion and Conclusions: Participants relay experiences of using methamphetamine to cope with these psychosocial factors through avoidance, escapism, mood elevation, and numbing of emotions. Findings suggest that centring these psychosocial factors may inform more effective, holistic interventions for this high‐priority population. [ABSTRACT FROM AUTHOR]
Copyright of Drug & Alcohol Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Mapping a psychosocial syndemic among methamphetamine‐using sexual minority men living with HIV.
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  Data: <searchLink fieldCode="AR" term="%22Gómez%2C+Walter%22">Gómez, Walter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Jasper+S%2E%22">Lee, Jasper S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Organista%2C+Kurt+C%2E%22">Organista, Kurt C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carrico%2C+Adam+W%2E%22">Carrico, Adam W.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Drug+%26+Alcohol+Review%22">Drug & Alcohol Review</searchLink>. Nov2024, Vol. 43 Issue 7, p1913-1928. 16p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Sexual+minority+men%22">Sexual minority men</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Affect+%28Psychology%29%22">Affect (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Syndemics%22">Syndemics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: While research with sexual minority men (SMM) has focused on disparities related to HIV, substance use and mental health, synergistic psychosocial pathways driving these epidemics remain underexplored. We used syndemic theory to assess how psychosocial factors sustain methamphetamine use and hinder recovery efforts for SMM living with HIV. Methods: A triangulation of network analyses and constructivist grounded theory approaches is utilised to elucidate pathways through which psychosocial factors influence methamphetamine use among this population. Survey data (N = 129) are used for quantitative analyses and a purposive sub‐sample (n = 24) was recruited for semi‐structured interviews for qualitative analyses. Findings: The network analysis revealed two statistically significant bivariate associations: between post‐traumatic stress disorder and depression symptoms (b = 0.37, SD = 0.07, 95% confidence interval [0.23, 0.49]) and between depression symptoms and negative affect (b = 0.26, SD = 0.07, 95% confidence interval [0.12, 0.38]). Findings from the constructivist grounded theory analysis supplement the network analysis by offering a nuanced take on how negative affect, post‐traumatic stress disorder, and depression symptoms operate synergistically to promote methamphetamine use and impede recovery efforts. Discussion and Conclusions: Participants relay experiences of using methamphetamine to cope with these psychosocial factors through avoidance, escapism, mood elevation, and numbing of emotions. Findings suggest that centring these psychosocial factors may inform more effective, holistic interventions for this high‐priority population. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Drug & Alcohol Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/dar.13941
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        Text: English
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      – SubjectFull: Affect (Psychology)
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              M: 11
              Text: Nov2024
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