Straight to Work

Canada is a country of labourers; a nation of hard working loggers, fishermen, farmers, and miners, toiling away in remote rural environments. To Canadians, these men are deemed rugged, resourceful, and above all heterosexual. However there is something we tend to overlook: some of these heterosexual men are having sex with one another.

These men are working in majority male-only environments remotely perched in the corners of our most rural landscapes, and on Vancouver Island such men have existed for a long time according to the anecdotal evidence available. Some might suggest that anecdotes are little to go on as evidence, but I disagree. Sometimes, these narratives of lived human experience are all we have in the face of a research void. Through these narratives we are learning that there are men having sex with men in a “MSM Vacuum;” a sex space that exists in isolation from and without connection to the social and cultural norms and expectations of men’s sexuality. Studies have explored this idea of a stand-alone MSM vacuum, such as research around rural gay experiences, incarcerated men and their sex practices, and the sex practices of men in the military. However, no research seems to have been done about specific rural work-based male-dominated labour environments.

Instead, these moments exist in a vacuum where the activities taking place within it are not connected to the outside world, and therefore divided from social expectations on sexuality, gender roles, and societal norms. For many of these men the key to entering into this vacuum is through the use of substances, such as alcohol, marijuana, or other harder drugs. If consequence-free MSM sex is the box, then the use of substance is the key to unlocking it.

This substance use could be interpreted in many ways. Does intoxication provide freedom from consequences in the decision making process? Does it lower a guard around secret sexual preferences, or create a heightened state where impulse control decreases? Or is it the absence of available female partners? Without more formidable research into the topic, this might be something we are left wondering over for a long time. The two consistent pieces of this MSM vacuum that have been shared with me thus far are a) this vacuum occurs often after substance use, and b) the use of condoms or other prevention barriers are virtually non-existent within these spaces.

With that in mind, how do we in turn create approachable HIV/STI prevention programming for MSM when some of these men identify as straight, and the prevention messages are directed toward gay/bisexual identified men? Accessing and engaging the varied MSM populations has always been a challenge in HIV work, and looking at men in this MSM vacuum might offer some further insights into how we can implement sexual health programming that is approachable to any and all men that engage sexually with other men. Perhaps HIV/STI prevention work will go further if we explore how sexuality is something more internal and experiential than longitudinal; perhaps straight men having sex with other men are simply straight men having sex with men.

samuel salvati

Author: Samuel Salvati, Men’s Wellness Program Coordinator, AIDS Vancouver Island

**Please note that the material presented here does not necessarily imply endorsement or agreement by individuals at the Centre for Addictions Research of BC

Sex and Drugs Blog Series: An Introduction

A headshot of Eric Roth

It is my pleasure to introduce and provide an overview for the next Centre for Addictions Research of BC theme in the Matters of Substance blog series. This upcoming theme is succinctly and provocatively entitled, Sex and Drugs. Our contributors will look at the intersection between substance use, sexual behaviour, pleasure and risk from a variety of perspectives and in a broad set of contexts. While all blogs are based on empirical data, authors also consider emerging theories attempting to explain substance use-sexual behaviour linkages.

Scanning upcoming blog titles I discern at least two major themes corresponding to current research on this topic. The first examines the relationship between sexual behaviour and the rationale for, and consequences of, associated substance use, while the second examines patterns and levels of substance use by sexual orientation. Upcoming blogs in the first theme examine the role of stigma in sex workers’ substance use patterns, the relationship between stimulant use and sexual compulsivity, also called sexual addiction, among gay and bisexual men (GBM), the advent and adoption of “sex drugs”, both legal and non-mood-altering (e.g. erectile dysfunction drugs such as Viagra®) and illicit and psychoactive (e.g. amyl nitrates or poppers) used to heighten sexual performance and/or pleasure, the role of drugs at GBM group sex parties, linkages between smoking and HIV, and a site-specific example of substance use and sexual behaviour in remote labour-based sites.

In the second theme, blogs examine linkages between substance use and sexual patterns for gay, bisexual, lesbian and transgendered populations. In doing so, they utilize a variety of Canadian data bases, including the SEX NOW national survey for GBM, the Centre for Addiction Research of BC’s High Risk Population Surveys, and a sample of transgendered men enrolled in the Vancouver Momentum Health Study for GBM.

Some upcoming blogs focus on defining and delineating levels and patterns of substance and sex related risk. At the same time, contributors are also cognizant of the far less discussed research topic of rewards, whether real, or just as importantly perceived, linking substance use with sexual behaviour. An excellent recent example of this was provided the Lorvick et al. (2013) study reporting San Francisco women’s perceptions of increased desire, power, and agency experienced when combining methaphetamine use with unprotected vaginal intercourse. Such studies emphasize that researchers today must recognize “sex positive” as well as “sex negative” aspects of substance use to fully understand this relationship. With this in mind, I invite you to follow our Sex and Drugs blog series, and to share with us your thoughts about the materials presented here.

eric roth

Author: Dr. Eric Roth, Scientist, Centre for Addictions Research of BC; Professor, Department of Anthropology, University of Victoria

**Please note that the material presented here does not necessarily imply endorsement or agreement by individuals at the Centre for Addictions Research of BC