Recreational Inhaled Nitrite Use among Asian Men Who Have Sex With Men

Abstract

Inhaled nitrites are gaining popularity among Asian men who have sex with men (MSM). This review aimed to summarize the current evidence on the prevalence and correlates of inhaled nitrite use among Asian MSM. Besides, the knowledge, perception, and sexual behaviors of nitrite users among MSM were also discussed. Most of the studies on nitrite use among Asian MSM were conducted in major cities of China, with sporadic studies in Japan and Malaysia. The literature showed that inhaled nitrites were one of the most commonly used recreational drugs among Asian MSM. Younger and educated MSM with disposable income were more likely to use inhaled nitrites. MSM used nitrites to enhance sexual pleasure, but most were not sure about their side-effects. Some studies indicated that MSM had low barriers to obtain the substance through various sources. Inhaled nitrites use had been associated with risky sexual behaviors, such as unprotected anal intercourse and multiple sex partners. The use of inhaled nitrites was linked with a higher risk for the infection of HIV and sexually transmitted diseases (STDs). In conclusion, the use of inhaled nitrites among Asian MSM is a serious health concern and demands innovative approaches to address this problem.