Chemsex among men who have sex with men living outside major cities and associations with sexually transmitted infections: A cross-sectional study in the Netherlands

Evers, Ymke J.; Liere, Geneviève A F S van; Hoebe, Christian J. P. A.; Dukers-Muijrers, Nicole H. T. M.

doi:10.1371/journal.pone.0216732

Cited by 59 publications

(64 citation statements)

References 27 publications

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“…For these reasons, an STI/HIV screening should be considered, not only on clinical suspicion, but also through the identification of sociodemographic and behavioural markers. The use of alcohol and drugs with sex reduces the perception of risk and tends toward unprotected sexual practices [23]. Yet, in our study, the use of these substances and the number of sexual partners in the previous year have not shown independent or statistically significant association with the presence of STIs.…”

Section: Plos Onecontrasting

confidence: 77%

Risk factors associated with sexually transmitted infections and HIV among adolescents in a reference clinic in Madrid

et al. 2020

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IntroductionAdolescents have a higher incidence of sexually transmitted infections (STIs) than persons of older age groups. The WHO emphasises the need to adopt specific and comprehensive prevention programmes aimed at this age group. The objective of this work was to analyse the prevalence of HIV/STIs among adolescents and to identify the sociodemographic, clinical and behavioural markers associated with these infections, in order to promote specific preventive strategies. MethodologyRetrospective descriptive study of adolescents, aged 10-19 years, who were attended to for the first consultation between 2016 and 2018 in a reference STI clinic in Madrid. All adolescents were given a structured epidemiological questionnaire where information on sociodemographic, clinical and behavioural characteristics was collected. They were screened for human inmmunodeficiency virus (HIV) and other sexually transmitted infections (STIs). The processing and analysis of the data was done using the STATA 15.0 statistical package.

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Section: Plos Onecontrasting

confidence: 77%

Risk factors associated with sexually transmitted infections and HIV among adolescents in a reference clinic in Madrid

et al. 2020

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“…Other reasons may contribute to rising STI rates. Substance use (“chemsex”) is associated with increased sexual risk behaviours and the recruitment of sex partners is facilitated by online dating sites and apps . Increased case finding also plays a role, for example, the implementation and adherence to annual chlamydia screening for sexually active women .…”

Section: Introductionmentioning

confidence: 99%

Improving care for sexually transmitted infections

Rietmeijer

2019

J Intern AIDS Soc

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Introduction Rising rates of reported sexually transmitted infections (STIs) in the US and Europe are a public health priority and require a public health response. The diagnosis and treatment of STIs have been the cornerstone of STI control and prevention for many decades and, historically, publicly funded STI clinics have played a central role in the provision of STI care. Innovations in non‐invasive diagnostic techniques, especially nucleic acid amplification tests in the mid‐1990s, have facilitated the expansion of STI testing and treatment outside traditional STI clinics, including primary care, family planning, school‐based health, outreach, corrections, emergency departments and HIV prevention and care settings. As a result, the continued need for categorical STI clinics has been debated. In this Commentary, we discuss how practice can be improved at each level of STI care. Discussion STI practice improvement plans should be tailored to the strengths of each care setting. Thus, in primary care, the focus should be on improving STI screening rates, the provision of hepatitis B and human papillomavirus vaccines and, in jurisdictions where this is legal, expedited partner therapy for gonorrhoea and chlamydia. Extragenital (pharyngeal and rectal) testing for gonorrhoea and chlamydia should be available in settings serving populations more vulnerable to STI acquisition at these anatomical sites, including men who have sex with men. In family planning settings with a mostly female patient population, there are opportunities to serve male partners with both contraceptive and STI services. STI screening rates can also be improved in other settings serving populations at increased risk for STIs, including school‐based clinics, emergency departments, correctional health facilities and providers of HIV care and prevention. These improvements are predominantly logistical in nature and not dependent on extensive STI clinical expertise. While some providers in these settings may have the clinical knowledge and skills to evaluate symptomatic patients, many do not, and STI speciality clinics must be available for consultation and referral and evolve from “safety net” providers of last resort to STI centres of excellence. Conclusions A tailored practice improvement plan can be envisioned to achieve an optimally functioning STI care continuum.

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“…The rate was higher than that of GBMSM in general in Hong Kong (27). Data on willingness to pay suggested that the current market rate for In addition, our study also showed that prevalence of SDU and chemsex among GBMSM in Hong Kong was lower than that of Western Europe, Australia, the United States and mainland China (5,6,(10)(11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 50%

“…In line with numerous published studies, psychoactive substances were defined as the following: 1) ketamine, 2) methamphetamine, 3) cocaine, 4) cannabis, 5) ecstasy, 6) Dormicum/Halcion/Erimin 5/non-prescription hypnotic drugs, 7) heroin, 8) cough suppressant (not for curing cough), 9) amyl nitrite (popper), 10) GHB/GBL (γ-hydroxybutyrate), 11) 5-methoxy-N, Ndiisopropyltryptamine (Foxy), and 12) mephedrone (5)(6)(7). Sexualized drug use (SDU) refers to the use of any of the abovementioned psychoactive substances before/during sexual intercourse (8).…”

mentioning

confidence: 99%

“…Chemsex is considered as a subset of SDU, which is commonly defined as the use of some specific psychoactive substances (methamphetamine, mephedrone, γ-hydroxybutyrate (GHB/GBL), ketamine and cocaine) before/during sexual intercourse (5)(6)(7). These psychoactive substances were mainly used to facilitate, initiate, prolong, sustain and intensify sexual encounter (8,9).…”

mentioning

confidence: 99%

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Uptake and willingness to use PrEP among Chinese gay, bisexual and other men who have sex with men with experience of sexualized drug use in the past year

Wang

et al. 2020

Preprint

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Background Sexualized drug use (SDU) refers to use of any psychoactive substance before/during sexual intercourse. Chemsex is a subset of SDU, which is defined as the use of some specific psychoactive substances (methamphetamine, mephedrone, γ-hydroxybutyrate, ketamine and cocaine) before/during sexual intercourse. SDU and chemsex are prevalent among gay, bisexual and other men who have sex with men (GBMSM). This study investigated uptake and willingness to use pre-exposure prophylaxis (PrEP) among a sample of GBMSM in Hong Kong with experience of SDU in the past year. Methods A total of 600 GBMSM were recruited by convenient sampling through outreaching in gay venues, online recruitment and peer referral. Participants completed a cross-sectional anonymous telephone interview. This study was based on a subsample of 580 GBMSM self-reported as HIV negative/unknown sero-status. Results: Of the participants, 82 (14.1%) and 37 (6.4%) had experience of SDU and chemsex in the past year. The prevalence of PrEP uptake was 4.0% among all participants and 14.6% among those with experience of SDU in the past year. Among MSM with experience of SDU in the past year who were not on PrEP (n=70), 67.1% were willing to use daily oral PrEP in the next six months. Multivariate logistic regression models showed that positive attitudes toward PrEP (AOR: 2.37, 95%CI: 1.47, 3.82), perceived support from significant others to use PrEP (AOR: 9.67, 95%CI: 2.95, 31.71), and perceived behavioral control of using PrEP (AOR: 19.68, 95%CI: 5.44, 71.26) were significantly associated with higher willingness to use PrEP. Conclusion: GBMSM with experience of recent SDU are potentially good candidates of PrEP implementation. This group of GBMSM reported high prevalence of uptake and willingness to use PrEP. Perceptions related to PrEP based on the Theory of Planned Behavior were significantly associated with willingness to use PrEP.

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Chemsex among men who have sex with men living outside major cities and associations with sexually transmitted infections: A cross-sectional study in the Netherlands

Cited by 59 publications

References 27 publications

Risk factors associated with sexually transmitted infections and HIV among adolescents in a reference clinic in Madrid

Risk factors associated with sexually transmitted infections and HIV among adolescents in a reference clinic in Madrid

Improving care for sexually transmitted infections

Uptake and willingness to use PrEP among Chinese gay, bisexual and other men who have sex with men with experience of sexualized drug use in the past year

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