Poly drug use, chemsex drug use, and associations with sexual risk behaviour in HIV-negative men who have sex with men attending sexual health clinics

Sewell, Janey; Miltz, Ada; Lampe, Fiona; Cambiano, Valentina; Speakman, Andrew; Phillips, Andrew; Stuart, David; Gilson, Richard; Asboe, David; Nwokolo, Nneka; Clarke, Amanda; Collins, Simon; Hart, Graham; Elford, Jonathan; Rodger, Alison

doi:10.1016/j.drugpo.2017.01.001

Cited by 179 publications

(166 citation statements)

References 57 publications

(48 reference statements)

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“…Spesielt er det viktig med informasjon om skadereduksjonstiltak og støtte til de som ønsker å slutte eller redusere bruken av chemsex. Fra London og andre storbyer i Europa rapporteres det om bruk av rusmidler under sex (ofte betegnet «chemsex»), saerlig blant menn som har sex med menn (1)(2)(3)(4)(5)(6)(7)(8). Fra Norge finnes det ingen studier om denne atferden.…”

Section: Fortolkningunclassified

“…En vanlig definisjon av chemsex er bruk av metamfetamin, mefedron og/eller gammahydroksybutyrat (GHB)/gammabutyrolakton (GBL) under sex blant menn som har sex med menn (1,4,5). Under konsultasjoner ved Olafiaklinikken har både menn som har sex med menn og menn som har sex med kvinner fortalt om bruk av ulike rusmidler som metamfetamin, kokain, ketamin og GHB under sex for å øke totalopplevelsen.…”

Section: Fortolkningunclassified

“…I dataanalysen valgte vi å inkludere data fra menn som har sex med både kvinner og menn i kategorien menn som har sex med menn, slik det har blitt gjort i lignende studier (3,4,14). Formålet med analysene var å sammenligne to sett grupper: Menn som hadde hatt chemsex versus menn som ikke hadde hatt det, og menn som har sex med menn versus menn som har sex med kvinner.…”

Section: Dataanalyseunclassified

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Chemsex blant menn – en spørreundersøkelse

Haugstvedt¹,

Amundsen²,

Berg³

2018

Tidsskriftet

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Chemsex blant menn -en spørreundersøkelse | Tidsskrift for Den norske legeforening Chemsex blant menn -en spørreundersøkelse ORIGINALARTIKKEL ÅSE HAUGSTVEDT E-post: aahaugs@online.no Olafiaklinikken Oslo universitetssykehus Hun har bidratt med idé, utforming/design, datainnsamling, databearbeiding, tolkning av data, litteratursøk, utarbeiding/revisjon av selve manuset og godkjenning av innsendte manusversjon. Åse Haugstvedt er spesialist i hud-og veneriske sykdommer og overlege ved Olafiaklinikken og Nasjonal kompetansetjeneste for seksuelt overførbare infeksjoner. Forfatter har fylt ut ICMJE-skjemaet og oppgir følgende interessekonflikter: Hun har mottatt reisestipend fra Novartis. EIRIK AMUNDSEN Universitetet i OsloHan har bidratt med datainnsamling, databearbeiding, analyse og tolkning av data, litteratursøk, utarbeiding/revisjon av selve manuset og godkjenning av innsendte manusversjon. Eirik Amundsen er medisinstudent og har arbeidet ved Olafiaklinikken. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. RIGMOR C. BERGUniversitetet i Tromsø og Folkehelseinstituttet Hun har bidratt med utforming/design av spørreskjemaet, analyse og tolkning av data, utarbeiding/revisjon av selve manuset og godkjenning av innsendte manusversjon. Rigmor C. Berg er professor II ved Universitetet i Tromsø og avdelingsdirektør ved Folkehelseinstituttet. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. BAKGRUNNFormålet med undersøkelsen var å kartlegge forekomsten av rusmiddelbruk under sex (chemsex) blant et utvalg av mannlige pasienter ved Olafiaklinikken i Oslo, en poliklinikk for seksuelt overførbare infeksjoner. Vi ønsket også å se hvilke variabler innen psykisk helse, seksuelt overførbare infeksjoner og seksualatferd som var assosiert med chemsex for menn som har sex med menn og menn som har sex med kvinner. MATERIALE OG METODEStudien var anonym og spørreskjemabasert blant mannlige pasienter ved poliklinikken i perioden 1.7

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Section: Fortolkningunclassified

Section: Dataanalyseunclassified

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Chemsex blant menn – en spørreundersøkelse

Haugstvedt¹,

Amundsen²,

Berg³

2018

Tidsskriftet

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“…In a recent UK study, 22% of HIV negative men attending a sexual health clinic had used a drug associated with chemsex within the last 3 months, 1 while the prevalence of chemsex is unknown in South Africa. 2 The practice, also known as 'party and play' (PnP), has been associated with high-risk sexual practices and increased transmission of HIV and sexually transmissible infections (STIs).…”

Section: Introductionmentioning

confidence: 99%

“…2 The practice, also known as 'party and play' (PnP), has been associated with high-risk sexual practices and increased transmission of HIV and sexually transmissible infections (STIs). 1 Chemsex differs from other patterns of drug use because the recreational substances employed are used specifically in a sexualized context. 3 Drugs used for chemsex vary widely, but the most commonly used drugs are: crystal methamphetamine, methadrone, gamma-hydroxybutyrate (GHB) and gamma-butyrolactone (GBL).…”

Section: Introductionmentioning

confidence: 99%

Anova Health Institute's harm reduction initiatives for people who use drugs

et al. 2018

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Abstract.Chemsex is the colloquial term used for a specific pattern of drug use that is increasingly common among men who have sex with men (MSM) globally. The recreational substances employed are used specifically in a sexualized context. The reasons for chemsex among MSM are complex. The Anova Health Institute (Anova) provided harm-reduction services in Cape Town, South Africa in 2013 and 2014. This project, known as Tikking the Boxes had two objectives: first to provide direct harm-reduction services to drug-using MSM in Cape Town, South Africa, and second, to reduce HIV and hepatitis B and C transmission among this population. This was done by identifying drug-using behaviour among MSM and linking them to harm-reduction services. Employing people who were currently using drugs was a novel aspect of this program, and successfully facilitated access to MSM drug-using networks. At the launch of the project, the concept of harm reduction was easily misunderstood by MSM. Another challenge was that the harm-reduction service, encompassing needle exchange, excluded opioid substitution therapy. People who use drugs were employed as outreach workers, requiring the project to be very flexible and adaptable to sometimes complex lives and difficult-to-reach peers. JAB SMART is Anova's new harm-reduction initiative and started in May 2017, with support from the City of Johannesburg Health Department, and is the first project of its kind in the city to provide harm-reduction services to people who inject drugs (PWID) and their sexual partners.

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A pilot RCT of an online mindfulness‐based cognitive intervention for chemsex

Banbury,

Lusher,

Chandler

et al. 2023

Couns and Psychother Res

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ObjectivesChemsex is a term used to describe sex acts using psychoactive substances to enhance the sexual experience/arousal and predominates among men who have sex with men (MSM). Chemsex drugs predominantly include γ‐hydroxybutyric acid (GHB) and analogues, methamphetamine, mephedrone and erectile dysfunction agents (e.g., Sildenafil). Mindfulness‐based cognitive therapy (MBCT) combines cognitive therapy and mindfulness and has been shown to help support both sexual functioning and methamphetamine use. However, limited clinical trials have evaluated the use of cognitive mindfulness for chemsex in MSM. The present study assessed the effectiveness of an online mindfulness‐based cognitive intervention (MBCI) among 29 MSM aged 18–30 years engaged in chemsex.Design and SettingA mixed methods approach consisted of a randomised waitlist‐controlled trial and a content analysis reviewing participants' feedback on MBCI. The design of the intervention was based on a behavioural taxonomy mapped to selected behaviour change techniques (BCTs) to support the reliability of MBCI in its delivery.Main Outcome MeasuresParticipants completed assessments measuring levels of chemsex, mindfulness, sexual self‐efficacy and well‐being, taken at Weeks 0, 8 and 12 (follow‐up).ResultsParticipants reported lower levels of chemsex and higher levels of cognitive mindfulness, sexual self‐efficacy and well‐being postintervention and at the 12‐week follow‐up. The content analysis feedback responses yielded favourable outcomes, suggesting that participants developed a sense of self‐compassion, confidence and positive identity.ConclusionsThe MBCI effectively reduced chemsex; however, this study warrants replication with a larger, more diverse group of participants.

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Poly drug use, chemsex drug use, and associations with sexual risk behaviour in HIV-negative men who have sex with men attending sexual health clinics

Abstract: There was a high prevalence of polydrug use and chemsex drug use among HIV negative MSM attending UK sexual health clinics. Drug use was strongly associated with sexual behaviours linked to risk of acquisition of STIs and HIV.

Cited by 179 publications

References 57 publications

Chemsex blant menn – en spørreundersøkelse

Chemsex blant menn – en spørreundersøkelse

Anova Health Institute's harm reduction initiatives for people who use drugs

A pilot RCT of an online mindfulness‐based cognitive intervention for chemsex

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