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Ambivalence about methamphetamine use: (1) Perceived \u201chi\u201d (\u55e8) but \u201cluan\u201d (\u4e71), (2) Perceived under control but out of control in reality, and (3) Perceived popularity but being stigmatized. 2. Inevitability of HIV infection: (1) Unwritten rule of using methamphetamine, (2) Fears of getting infection, and (3) \u201cTechniques\u201d to reduce HIV risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The current or former methamphetamine users of Chinese MSM experienced significant societal stigma and self\u2010devaluation due to their perceived immoral and illegal behaviors. They felt compelled to engage in chemsex within the subculture of methamphetamine users and believed that contracting HIV was inevitable despite their fear of it. Future interventions for drug use and HIV prevention among MSM should address their ambivalent circumstances and implement tailored and comprehensive strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70015","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T16:39:58Z","timestamp":1759509598000},"page":"1802-1812","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Knowing \u201cLuan\u201d but Craving: An Interpretative Phenomenological Analysis on the Perceptions About Methamphetamine Use, Chemsex, and HIV Risk Among Chinese Men Who Have Sex With Men"],"prefix":"10.1111","volume":"42","author":[{"given":"Jing","family":"Zhou","sequence":"first","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1754-6806","authenticated-orcid":false,"given":"Qidi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Ni","sequence":"additional","affiliation":[{"name":"School of Nursing Yale University  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Li","sequence":"additional","affiliation":[{"name":"Hunan Xiangfei Psychological Consulting Co., Ltd  Changsha Hunan China"},{"name":"Hunan Kaifu Psychiatric Clinic  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qijian","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The Second Xiangya Hospital Central South University  Changsha Hunan China"},{"name":"Mental Health Institute of the Second Xiangya Hospital Central South University, Chinese National Clinical Research Center on Mental Disorders (Xiangya) Chinese National Technology Institute on Mental Disorders Hunan Key Laboratory of Psychiatry and Mental Health  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3554-7693","authenticated-orcid":false,"given":"Xianhong","family":"Li","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508\u2010020\u201001777\u2010w"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.7575\/aiac.ijels.v.5n.2p.9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2024.2369159"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","unstructured":"Booth A. 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