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Qualitative Health Research
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Personal Values and Meaning in the Use of Methamphetamine Among HIV-Positive Men Who Have Sex With Men

Maggie Chartier

Pacific Graduate School of Psychology-Stanford Psy.D. Consortium, Palo Alto, California, USA

Angela Araneta

Pacific Graduate School of Psychology-Stanford Psy.D. Consortium, Palo Alto, California, USA

Lindsey Duca

Pacific Graduate School of Psychology-Stanford Psy.D. Consortium, Palo Alto, California, USA

Lawrence M. McGlynn

Stanford University, Palo Alto, California, USA

Cheryl Gore-Felton

Stanford University, Palo Alto, California, USA

Peter Goldblum

Pacific Graduate School of Psychology, Palo Alto, California, USA

Cheryl Koopman

Stanford University, Palo Alto, California, USA

Our aim with this qualitative study was to understand the role of personal values, meaning, and impact of drug use among HIV-positive men who have sex with men (MSM) who struggle with methamphetamine use. Participants were 22 MSM recruited from an ethnically diverse county in the San Francisco Bay area of California. Grounded theory was used to analyze the data collected in individual interviews. Emergent constructs of context, meaning, and perceived impact were identified and are described in a theoretical narrative format. The importance of broadening our understanding of HIV and methamphetamine addiction and their interaction is highlighted. This study contributes to the understanding of the complexity of methamphetamine use within the specific population of MSM living with HIV/ AIDS, and suggests possible directions for addressing important maintaining factors like adaptive use and enhancing factors that could contribute to an individual's ability to make better choices based on meaning and personal values.

Key Words: bisexuals • gays and lesbians • grounded theory • health behavior • health • experiences • HIV/AIDS • prevention • self-medication • stigma • substance use

Qualitative Health Research, Vol. 19, No. 4, 504-518 (2009)
DOI: 10.1177/1049732309333018
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