Characteristics and sexual health service use of MSM engaging in chemsex: results from a large online survey in England.

Sexually Transmitted Infections
Paula Bianca BlomquistCatherine H Mercer

Abstract

Chemsex, the use of select psychoactive drugs to enhance sexual experience, typically among men who have sex with men (MSM), is associated with sexual behaviours with higher STI risk. Understanding patterns of chemsex among MSM as well as the characteristics and sexual health service engagement of chemsex participants is important for developing interventions. Between 5/2016 to 5/2017, 3933 MSM completed an online survey, recruited in sexual health clinics (SHCs) in England (n=421) and via four social networking/dating apps (n=3512). We described patterns of chemsex in the past year and used multivariable logistic regression to investigate differences in demographics and sexual behaviours by chemsex history. We described history of SHC attendance and STI test in the past year among app-recruited chemsex participants. Chemsex in the past year was reported by 10% of respondents; 19% of SHC-recruited and 9% of app-recruited. Among chemsex participants, 74% had used ≥2 chemsex drugs. In the multivariable model, MSM engaging in chemsex had a raised odds of being HIV-positive (adjusted OR (aOR): 3.6; 95% CI 2.1 to 6.1), aged 30-44 (aOR 1.5 vs <30 years; 95% CI 1.0 to 2.1), being born outside the UK and having engaged in higher risk s...Continue Reading

References

Aug 25, 2015·The International Journal on Drug Policy·A BourneP Weatherburn
Nov 6, 2015·BMJ : British Medical Journal·Hannah McCallJamie Willis
Nov 28, 2017·The Journal of Family Planning and Reproductive Health Care·David Stuart
Feb 7, 2018·The International Journal on Drug Policy·Magdalena RosińskaUNKNOWN Sialon II Network
Apr 8, 2018·The International Journal on Drug Policy·Claire EdmundsonMonica Desai
Dec 5, 2018·The International Journal on Drug Policy·Steven MaxwellMitzy Gafos

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