[Accepted Manuscript] Littoral Spaces of Performance: Findings from a Systematic Review and Re-analysis of Qualitative Studies on Men Who Have Sex with Men, Substance Use and Social Venues

Article English OPEN
Melendez-Torres, G.J. ; Bonell, C. (2016)

Substance use occurs at higher rates in men who have sex with men (MSM) than the general population, and, as a whole, is quantitatively linked to sexual risk behaviour. However, quantitative studies cannot adequately account for meanings, agency and role of social venue in shaping substance use, especially as regards sexual outcomes. To develop new theoretical constructs linking social venues and substance use in MSM, we systematically reviewed relevant qualitative studies and re-analysed them using a dimensional analysis method of grounded theory. Our analysis yielded an organising dimension of ‘littoral spaces’ in order to understand the meaning of MSM’s substance use in relation to the social venue. This space is characterised as different from everyday life, through the altering of social boundaries; defined by its illegal qualities; and described as ‘tribal’ and ‘ritual’. Substance use behaviours are embedded as performative regimes within these littoral spaces. Interventions for this population do not adequately account for the role of space in substance use behaviours. Harm reduction interventions, and interventions taking an approach focused on ‘durable’ planning for an entire evening, might offer improved effects.
  • References (70)
    70 references, page 1 of 7

    Aghaizu, A., Brown, A. E., Nardone, A., Gill, O. N., & Delpech, V. C. (2013). HIV in the United Kingdom: 2013 Report. HIV in the United Kingdom: London.

    Baral, S., Logie, C. H., Grosso, A., Wirtz, A. L., & Beyrer, C. (2013). Modified social ecological model: a tool to guide the assessment of the risks and risk contexts of HIV epidemics. BMC Public Health, 13(482). doi:http://dx.doi.org/10.1186/1471-2458-13- 482

    Bauermeister, J. A. (2007). It's all about “connecting”: Reasons for drug use among Latino gay men living in the San Francisco Bay area. Journal of Ethnicity in Substance Abuse, 6(1), 109-129. doi:10.1300/J233v06n01

    Beyrer, C., Sullivan, P. S., Sanchez, J., Dowdy, D., Altman, D., Trapence, G., … Mayer, K. H. (2012). A call to action for comprehensive HIV services for men who have sex with men. The Lancet, 380, 424-438. doi:10.1016/S0140-6736(12)61022-8

    Blacksher, E., & Lovasi, G. S. (2012). Place-focused physical activity research, human agency, and social justice in public health: taking agency seriously in studies of the built environment. Health & Place, 18(2), 172-9. doi:10.1016/j.healthplace.2011.08.019

    Blakely, T. A., & Woodward, A. J. (2000). Ecological effects in multi-level studies. Journal of Epidemiology and Community Health, 54(5), 367-74.

    Bonell, C. P., Strange, V., Allen, E., & Barnett-Page, E. (2006). HIV prevention outreach in commercial gay venues in large cities: evaluation findings from London. Health Education Research, 21(4), 452-464. doi:10.1093/her/cyh071

    Bourne, A., Reid, D., Hickson, F., Torres Rueda, S., & Weatherburn, P. (2014). The Chemsex Study: drug use in sexual settings among gay & bisexual men in Lambeth, Southwark, & Lewisham. London: Sigma Research, London School of Hygiene and Tropical Medicine.

    Brown, G., Lau, C., Murray, J., & Lyons, L. (2000). Drug Use & HIV Risk Among Gay Men in the Dance/Club Scene in Toronto: How Should AIDS Prevention Programmes Respond? Toronto.

    Butler, J. (1999). Gender Trouble (2nd ed.). New York: Routledge.

  • Related Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark