PnP/CHEMSEX a means of surviving post-migration

Background: The prevalence of psychological distress amongst queer migrants have been relatively well documented. For example, psychological distress can be tied to the trauma experienced in their birth country, separation from family and friends, and post migration challenges/stressors. These factors play a significant role in substance use. Our goal is to describe methamphetamine use among migrant men who have sex with men (MSM).

Methods: As part of this project two groups were interviewed, MSM who use methamphetamines (n=25) and those who work with as service providers (n=21). Semi structured interviews and thematic analysis were conducted.

Results: Service providers have highlighted an increase in the frequency of, and need for, services that cater to individuals who have various immigration backgrounds. They also highlighted a strong need for community belonging among those who use methamphetamines.

20% (n=8) of the overall sample (n=40) self-identify as (MSM) who use methamphetamines and indicate being born outside of Canada and have pursued various immigrational processes to reside in Canada. These participants have brought to light the presence of solitude, the need for belonging within the queer community, and racial fetishization for certain individuals, as reasons they use or have used methamphetamines. Methamphetamine use is intertwined with the above-mentioned factors to cope but also as an obstacle.

Conclusion: Queer people who migrate are by no means immune to the immense need of obtaining a sentiment of belonging. One could argue that the need may even be more significant for those who do not belong to the dominant majority on its various levels. What seems to be present in a multicultural environment is drug use as a form of performance, and expression of cultural identity and belonging. Further analysis is needed to dive deeper in the role that methamphetamines may have for migrant (MSM).