Social Connectivity: The Rational Choice of Methamphetamine Use During Sex Among Gay and Bisexual Men

• In Event: 177 - Section on Sociology of Sexualities Paper Session. Sex and Drugs: Intersecting Approaches to Social Problems and Pleasures (co-sponsored with Section on Alcohol, Drugs and Tobacco)

Abstract

Sex helps bind gay and bisexual men fostering distinct meanings when combined with methamphetamine (meth). Few studies illuminate on gay and bisexual men’s meth use during sex as a rational choice process dominated by social connectivity and pleasure. The process is complex and unpacking it exposes why these men engage in these behaviors. This study explored meth use during sex through semi-structured interviews revealing gay and bisexual men are knowledgeably choosing to use meth during sex given they reflect on the complexity of the situation. Existing research supports the findings, yet more often frames the choice as irrational due to behaviors’ association with disease. I assert social connectivity and pleasure drives the behaviors that are explained by a rational choice framework. This framework involves the broader context in which risks are being assessed alongside benefits as well as the compelling properties of the drug. This assertion moves us beyond a narrow focus of dichotomous “good/bad” outcomes toward an understanding of lived experiences. Stories of connecting with others through pleasurable sexual interactions where meth is present also involve problematic outcomes and loss of a sense of control. These stories indicate these men weigh many factors when rationally choosing to use meth during sex.

Author

• Neal Carnes, Georgia State University