Psychosocial Mechanisms of Methamphetamine Use Among Gay, Bisexual, and Other Men Who Have Sex with Men: An Integrated Theoretical Approach
Bibliographic record
Abstract
I proposed an integrated theoretical model as a framework to examine psychosocial factors associated with gay, bisexual, and other men who have sex with men’s (GBM) methamphetamine use and problematic methamphetamine use. The proposed model was estimated using structural equation modeling among 2449 GBM. The model was good fit for the data among the HIV negative GBM and GBM living with HIV subsamples. Heterosexist discrimination and childhood sexual abuse were associated with psychological distress. In turn, psychological distress was associated methamphetamine use in the past six months indirectly through cognitive escape and sexual compulsivity (HIV negative subsample only). Findings demonstrate the utility of integrating minority stress theory and other models into treatment models for methamphetamine using GBM. More specifically, the results support the need for GBM-specific interventions that address heterosexism and provide adaptive coping strategies to prevent and reduce the harms of methamphetamine use.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".