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AIDS and Behavior

, Volume 9, Issue 1, pp 63–72 | Cite as

Post-Circuit Blues: Motivations and Consequences of Crystal Meth Use Among Gay Men in Miami

  • Steven P. KurtzEmail author
Article

Abstract

Miami, Florida was at the vanguard of the rise of circuit parties and attendant club drug use—especially ecstasy, GHB, and ketamine—in the 1990s. Crystal methamphetamine, a drug of abuse among gay men for some years on the West coast, gradually moved east toward the end of the decade and recently became prevalent in Miami. This paper reports the results of focus group research into the motivations and consequences of crystal use among gay men in this new setting. Loneliness, fears about physical attractiveness due to aging and illness, and desires to lose sexual inhibitions were common motivations for using the drug. Continued use of crystal was often described as the cause of lost friendships, employment and long-term relationships, as well as sexual behaviors that put men at risk for HIV and other sexually transmitted infections. Implications for drug and sexual risk prevention interventions are discussed.

Keywords

methamphetamine drug use gay men HIV risk behavior 

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References

  1. Albin, G. (1995). To live and die in South Beach. Out, 73–77, 125–128.Google Scholar
  2. Beck, J., and Rosenbaum, M. (1994). Pursuit of Ecstasy: The MDMA Experience. Albany, NY: State University of New York Press.Google Scholar
  3. Brecht, M., O’Brien, A., von Mayrhauser, C., and Anglin, M. D. (2004). Methamphetamine use behaviors and gender differences. Addictive Behaviors, 29, 89–106.CrossRefPubMedGoogle Scholar
  4. Brown, E. (2002, April 29). Crystal Ball. New York Magazine. Retrieved on March 12, 2003, from http://www.newyorkmetro.com/nymetro/urban/gay/features/5948/index.html.
  5. Centers for Disease Control and Prevention, National Center for HIV, STD and TB Prevention and Divisions of HIV/AIDS Prevention (2002). HIV/AIDS surveillance report: Year-end edition, 13, 2–44.Google Scholar
  6. Charmaz, K. (2000). Grounded theory: Objectivist and constructivist methods. In N. K. Denzin and Y. S. Lincoln (Eds.), Handbook of Qualitative Research (2nd ed., pp. 509–535). Thousand Oaks, CA: Sage Publications.Google Scholar
  7. Chesney, M. A., Barrett, D. C., and Stall, R. (1998). Histories of substance use and risk behavior: Precursors to HIV seroconversion in homosexual men. American Journal of Public Health, 88, 113–116.CrossRefPubMedGoogle Scholar
  8. Clatts, M. C., Welle, D. L., and Goldsamt, L. A. (2001). Reconceptualizing the interaction of drug and sexual risk among MSM speed users: Notes toward an ethno-epidemiology. AIDS and Behavior, 5, 115–130.CrossRefGoogle Scholar
  9. Cohen, R. S. (1998). The Love Drug: Marching to the Beat of Ecstasy. Binghamton, NY: The Haworth Medical Press.Google Scholar
  10. Darrow, W. W., Webster, R. D., Kurtz, S. P., Buckley, A. K., Patel, K. I., and Stempel, R. R. (1998). Impact of HIV counseling and testing on HIV-infected men who have sex with men: The South Beach health survey. AIDS and Behavior, 2, 115–126.CrossRefGoogle Scholar
  11. Dolezal, C., Meyer-Bahlburg, H. F. L., Remien, R. H., and Petkova, E. (1997). Substance use during sex and sensation seeking as predictors of sexual risk behavior among HIV+ and HIV− gay men. AIDS and Behavior, 1, 19–28.CrossRefGoogle Scholar
  12. Ekstrand, M. L., Stall, R. D., Paul, J. P., Osmond, D. H., and Coates, T. J. (1999). Gay men report high rates of unprotected anal sex with partners of unknown or serodiscordant status. AIDS and Behavior, 13, 1525–1533.Google Scholar
  13. Frosch, D., Shoptaw, S., Huber, A., Rawson, R. A., and Ling, W. (1996). HIV risk among gay and bisexual male methamphetamine abusers. Journal of Substance Abuse Treatment, 13, 483–486.CrossRefPubMedGoogle Scholar
  14. Glaser, B. G., and Strauss, A. L. (1967). Discovery of grounded theory: Strategies for qualitative research. Hawthorne, NY: Walter de Guyter.Google Scholar
  15. Gold, R., Skinner, M., and Ross, M. (1994). Unprotected anal intercourse in HIV-infected and non-HIV-infected gay men. Journal of Sex Research, 31, 59–77.CrossRefGoogle Scholar
  16. Halden, L. (1996, October 9). Community missing from Sobe center. TWN, 10.Google Scholar
  17. Halkitis, P. N., and Parsons, J. T. (2002). Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. Journal of Gay & Lesbian Social Services, 14, 19–38.CrossRefGoogle Scholar
  18. Halkitis, P. N., Parsons, J. T., and Wilton, L. (2003). An exploratory study of contextual and situational factors related to methamphetamine use among gay and bisexual men in New York city. Journal of Drug Issues, 33, 413–432.Google Scholar
  19. Heredia, C. (2003, May 4). Dance of death: First of three parts: Crystal meth fuels HIV. San Francisco Chronicle, p. A1.Google Scholar
  20. Ireland, K., Southgate, E., Knox, S., van de Ven, P., Howard, J., and Kippax, S. (1999). Using and ‘The Scene’: Patterns and Contexts of Drug Use Among Sydney Gay Men [Research Monograph] (Vol. 7). Sydney, Australia: National Centre in HIV Social Research.Google Scholar
  21. Kalant, O. J. (1966). The Amphetamines: Toxicity and Addiction. Toronto, Ontario, Canada: University of Toronto.Google Scholar
  22. Kalichman, S. C., Heckman, T., and Kelly, J. A. (1996). Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior. Archives of Sexual Behavior, 25, 141–154.CrossRefPubMedGoogle Scholar
  23. Kirsch, M. M. (1986). Designer Drugs. Minneapolis, MN: CompCare Publications.Google Scholar
  24. Klitzman, R. L., Pope, H. G. Jr., and Hudson, J. I. (2000). MDMA (“ecstasy”) abuse and high-risk sexual behaviors among 169 gay and bisexual men. American Journal of Psychiatry, 157, 1162–1164.CrossRefPubMedGoogle Scholar
  25. Krueger, R. A. (1993). Quality control in focus group research. In D. L. Morgan (Ed.), Successful Focus Groups: Advancing the State of the Art (pp. 65–85). Newbury Park, CA: Sage Publications.Google Scholar
  26. Kurtz, S. P. (1999a). Without Women: Masculinities, Gay Male Sexual Culture and Sexual Behaviors in Miami, Florida. Ann Arbor, MI: UMI Dissertation Services.Google Scholar
  27. Kurtz, S. P. (1999b). Butterflies under cover: Cuban and Puerto Rican gay masculinities in Miami. The Journal of Men’s Studies, 7, 371–390.CrossRefGoogle Scholar
  28. Kurtz, S. P. and Inciardi, J. A. (2003). Crystal meth, gay men, and circuit parties. Law Enforcement Executive Forum, 3, 97–114.Google Scholar
  29. Leap, W. L. (1996). Word’s Out: Gay Men’s English. Minneapolis, MN: University of Minnesota Press.Google Scholar
  30. Leigh, B. C., and Stall, R. (1993). Substance use and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention. American Psychologist, 1993, 1035–1045.CrossRefGoogle Scholar
  31. Levin, J. (1996, November 3). Gay identity, defined with defiance. Miami Herald, pp. I1–I5.Google Scholar
  32. Levine, M. P. (1979). Gay ghetto. Journal of Homosexuality, 4, 363–377.CrossRefPubMedGoogle Scholar
  33. Levine, M. P. (1998). Gay Macho: The Life and Death of the Homosexual Clone. New York: New York University Press.Google Scholar
  34. Lewis, L. A., and Ross, M. W. (1995). A Select Body: The Gay Dance Party Subculture and the HIV/AIDS Pandemic. London: Cassell.Google Scholar
  35. Li, J., Stokes, S. A., and Woeckener, A. (1998). A tale of novel intoxication: Seven cases of gamma-hydroxybutyric acid overdose. Annals of Emergency Medicine, 31, 723–728.CrossRefPubMedGoogle Scholar
  36. Mattison, A. M., Ross, M. W., Wolfson, T., and Franklin, D. (2001). Circuit party attendance, club drug use, and unsafe sex in gay men. Journal of Substance Abuse, 13, 119–126.CrossRefPubMedGoogle Scholar
  37. McKirnan, D. J., Vanable, P. A., Ostrow, D. G., and Hope, B. (2001). Expectancies of sexual ‘escape’ and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse, 13, 137–154.CrossRefPubMedGoogle Scholar
  38. McNall, M., and Remafedi, G. (1999). Relationship of amphetamine and other substance use to unprotected intercourse among young men who have sex with men. Archives of Pediatric and Adolescent Medicine, 153, 1130–1135.Google Scholar
  39. Miami-Dade County Health Department. (2003). Surveillance Profile June 2002/HIV. Miami, FL.Google Scholar
  40. Miles, M. B., and Huberman, M. (1994). Qualitative Data Analysis. Thousand Oaks, CA: Sage Publications.Google Scholar
  41. Molitor, F., Truax, S., Ruiz, J. D., and Sun, R. K. (1998). Association of methamphetamine use during sex with sexual behaviors and HIV infection among non-injection drug users. Western Journal of Medicine, 168, 93–97.PubMedGoogle Scholar
  42. Morgan, D. L. (1997). Focus Groups as Qualitative Research (2nd ed.). Thousand Oaks, CA: Sage Publications.Google Scholar
  43. Ostrow, D. G. (2000). The role of drugs in the sexual lives of men who have sex with men: Continuing barriers to researching this question. AIDS and Behavior, 4, 205–219.CrossRefGoogle Scholar
  44. Paul, J. P., Stall, R., and Davis, F. (1993). Sexual risk for HIV transmission among gay/bisexual men in substance-abuse treatment. AIDS Education and Prevention, 5, 11–24.PubMedGoogle Scholar
  45. Paul, J. P., Stall, R., Crosby, G. M., Barrett, D. C., and Midanik, L. T. (1994). Correlates of sexual risk-taking among gay male substance abusers. Addiction, 89, 971–983.CrossRefPubMedGoogle Scholar
  46. Perry, M. J., Soloman, L., Winett, R., Kelly, J., Roffman, R., Desiderato, L., Kalichman, S., Sikkema, K., Norman, A., Short, B., and Stevenson, Y. (1994). High risk sexual behavior and alcohol consumption among bar-going gay men. AIDS, 8, 1321–1324.CrossRefPubMedGoogle Scholar
  47. Reback, C. J. (1997). The social construction of a gay drug: Methamphetamine use among gay and bisexual males in Los Angeles, Executive Summary, City of Los Angeles, AIDS Coordinator.Google Scholar
  48. Semple, S. J., Patterson, T. L., and Grant, I. (2002). Motivations associated with methamphetamine use among HIV+ men who have sex with men. Journal of Substance Abuse Treatment, 22, 149–156.CrossRefPubMedGoogle Scholar
  49. Semple, S. J., Patterson, T. L., and Grant, I. (2003). Binge use of methamphetamine among HIV-positive men who have sex with men: Pilot data and HIV prevention implications. AIDS Education and Prevention, 15, 133–147.CrossRefPubMedGoogle Scholar
  50. Signorile, M. (1997). The Signorile Report on Gay Men: Sex, Drugs, and the Passages of life. New York: Harper Collins Publishers.Google Scholar
  51. Silcott, M. (1999). Rave America: New School Dancescapes. Toronto, Ontario, Canada: ECW Press.Google Scholar
  52. Stall, R., and Wiley, J. (1988). A comparison of alcohol and drug use patterns of homosexual and heterosexual men: The San Francisco men’s health study. Drug and Alcohol Dependence, 22, 63–73.CrossRefPubMedGoogle Scholar
  53. Stall, R. D., and Purcell, D. W. (2000). Intertwining epidemics: A review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS and Behavior, 4, 181–192.CrossRefGoogle Scholar
  54. Stepick, A., Kurtz, S. P., Stepick, C. D., and Stepick, IV, A. (2003). Syphilis and men who have sex with men: Miami-Dade county [Research Monograph]. The Immigration & Ethnicity Institute, Florida International University.Google Scholar
  55. Webster, R. D., Darrow, W. W., Buckley, A., and Kurtz, S. P. (1998). The South Beach Health Survey: HIV Infection and Risky Sexual Behaviors Among Men Who Have Sex with Men. Miami, FL: Florida International University, Department of Public Health.Google Scholar
  56. Zule, W. A., and Desmond, D. P. (1999). An ethnographic comparison of HIV risk behaviors among heroin and methamphetamine injectors. American Journal of Drug and Alcohol Abuse, 25, 1–23.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Center for Drug and Alcohol StudiesUniversity of DelawareCoral Gables
  2. 2.University of Delaware Research CenterCoral Gables

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