Evidence map›Paper›PMID 38816641›Full record

ArticleInternational journal of behavioral medicine2026

Narratives of Disconnection: A Life Course Perspective of Methamphetamine Use Among Sexual Minority Men Living with HIV.

Walter Gómez, Kurt C Organista, Tina K Sacks, Seth M Holmes, Adam W Carrico

Abstract read
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In one paragraph

Article in International journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Walter GómezJane Addams College of Social Work, University of Illinois Chicago, 1040 West Harrison Street (MC309), Chicago, IL, 60607-7134, USA. wgomez2@uic.edu.ORCID http://orcid.org/0000-0002-0217-7892
Kurt C OrganistaSchool of Social Welfare, University of California Berkeley, Berkeley, CA, USA.
Tina K SacksSchool of Social Welfare, University of California Berkeley, Berkeley, CA, USA.
Seth M HolmesDivision of Society and Environment, University of California Berkeley, Berkeley, CA, USA.
Adam W CarricoRobert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA.

Funding

RCT of an integrative intervention for non-treatment-seeking meth usersR01DA033854 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CARRICO, ADAM WAYNE, MOSKOWITZ, JUDITH T. · 2013 to 2017
$2.8M
NIDA NIH HHS R01 DA033854NIDA NIH HHS R01-DA033854
6 · The paper itself

Abstract

backgroundSexual minority men (SMM) are exposed to societal and structural stressors that translate into poor health outcomes. One such outcome is substance use, which research has long documented as a prominent disparity among SMM. Methamphetamine is a particularly deleterious substance for SMM because its use is often framed as a coping response to social and structural stressors.

methodGuided by stress and coping theory and a life course perspective, the purpose of this qualitative study is to assess the development of coping strategies in the context of prominent social and structural determinants among SMM living with HIV who use methamphetamine.

resultsData were collected from 2016 to 2018 via in-depth interviews with 24 SMM living with HIV who use methamphetamine in San Francisco, CA. Mean age of participants was 47 and over half self-identified as ethnoracial minorities. Narrative analysis surfaced a sequential pattern of disconnection at foundational, relational, and recovery levels. This analysis revealed that multi-level stressors were present across the life course that amplified engagement in methamphetamine use.

conclusionFindings highlight the benefits of holistic, integrated, and trauma-informed approaches to address the function of methamphetamine use as a response to societal, cultural, and institutional processes of stigmatization and discrimination. Peer-based approaches may also be beneficial to reframe the ways in which SMM living with HIV who use methamphetamine form and sustain relationships.

Indexed as

Adaptation, PsychologicalAmphetamine-Related DisordersHIV InfectionsMethamphetamineSexual and Gender MinoritiesStress, PsychologicalAdultHumansMaleMiddle AgedNarrationQualitative ResearchSan FranciscoMethamphetamineCopingHIVLife courseMethamphetamineNarrative analysisSexual minority men

Identifiers

PMID38816641
PMCPMC12604479

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.