Sexual Violence and Chemsex among Substance-Using Sexual and Gender Minorities in Texas

Wilkerson, J. Michael; Paola, Angela Di; Nieto, Dominica; Schick, Vanessa; Latini, David M.; Braun-Harvey, Doug; Zoschke, I Niles; McCurdy, Sheryl

doi:10.1080/10826084.2021.1975743

Cited by 13 publications

(7 citation statements)

References 57 publications

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“…Several risk factors associated in the scientific literature with the development of psychotic disorders are found in the practice of chemsex: drug use [ 4 ], sexually transmitted infections [ 12 , 13 ], stressful events and circumstances [ 14 , 15 ], experiences of trauma and post-traumatic stress [ 16 , 17 , 18 , 19 ], and loneliness [ 20 ], among others. Nevertheless, the relationship between psychosis and chemsex has been poorly investigated.…”

Section: Introductionmentioning

confidence: 99%

Chemsex and Psychosis: A Systematic Review

Moreno-Gámez

Hernández-Huerta

Lahera

2022

Behavioral Sciences

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Chemsex is presented as a major challenge in public health, with numerous physical and mental consequences. The general objective of this review was to analyze the relationship between the practice of chemsex and the development of psychosis. A mixed systematic review model was chosen. PubMed, PsycINFO, and Web of Science databases were searched following a predetermined search strategy. The studies were selected, and their information was extracted following a systematic method. A total of 10 articles were included. Psychotic symptoms ranged from 6.7% to 37.2%, being one of the most frequent psychiatric diagnoses. Slamsex, polydrug use and smoked methamphetamine posed up to a 3-fold increased risk of psychosis within this practice. The risk factors found were foreign or ethnic minority status, location in large cities, stress and anxiety, trauma, loneliness, sexually transmitted infections (STIs), hepatitis, and previous psychotic history. In conclusion, chemsex is associated with psychosis development; we found numerous converging risk factors and a clear mediating role of drugs. It is important, in approaching the prevention and treatment of this addiction, to take into account motivations and psychosocial circumstances.

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Section: Introductionmentioning

confidence: 99%

Chemsex and Psychosis: A Systematic Review

Moreno-Gámez

Hernández-Huerta

Lahera

2022

Behavioral Sciences

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Section: Discussionmentioning

confidence: 99%

“…In studies in the United Kingdom, the United States and Germany, the number of respondents who reported sexual violence and sex without consent was even more prevalent, with percentages between 43 and 48%. Moreover, participants who engaged in chemsex were up to 12.5 times more likely to experience sexual violence than their counterparts who did not engage in chemsex (22)(23)(24). The majority of participants in the study reported dosing the substances 'unsafe' , and experienced peer pressure and negative impact, including physical, psychological and social health harms, during and after the chemsex session.…”

Section: Discussionmentioning

confidence: 99%

Drug behaviors, sexually transmitted infection prevention, and sexual consent during chemsex: insights generated in the Budd app after each chemsex session

Platteau

Herrijgers

Florence

et al. 2023

Front. Public Health

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Chemsex refers to the intentional use of drugs before or during sex in a specific context, typically involving prolonged sex sessions with multiple partners. Engaging in chemsex is associated with a wide range of health risks and related risk behaviors. We developed a mobile phone application (‘Budd-app’) to support and inform chemsex participants, reduce potential negative impacts associated with chemsex (e.g., physical, psychological and social health harms), and encourage more reasoned participation. During Budd’s development process, 11 participants completed a survey after each chemsex session they attended. This data collection approach provided precise experiences on drug related behavior, prevention measures for sexually transmitted infection and sexual consent on 63 chemsex sessions. The mean duration of chemsex sessions was 17.5 h. Polydrug use was reported during 95% of chemsex sessions with an average of 3.5 agents per session. Unsafe dosing occurred at 49% of chemsex sessions, and 9/11 participants dosed unsafely at least once. Seven participants did not consistently take measures to prevent STI transmission. Nine had experienced peer pressure, both regarding drug use and sexual health. The same number reported sex without consent, not respecting others’ boundaries as well as their own boundaries not being respected. Many participants experienced negative impact of their chemsex behavior during (7/9) and after (8/9) chemsex. Through participants’ behavior assessment during multiple chemsex sessions, ‘within-person’ variability can be clarified. This clarification provides valuable insights in personal, emotional and contextual vulnerabilities. These insights can direct an individualized care and support trajectory aimed at addressing those vulnerabilities.

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“…Some participants stated in the interviews that they were forced to have chemsex. Under the influence of chemsex, people's cognition changes (Wilkerson et al, 2021 ). It may be difficult for people forced to engage in chemsex to refuse an unwanted sex act.…”

Section: Discussionmentioning

confidence: 99%

“…It may be difficult for people forced to engage in chemsex to refuse an unwanted sex act. A predatory power dynamic can also take place in forced chemsex in which the “weakest” are targeted by the more powerful (Wilkerson et al, 2021 ). According to the power and control model of violence (Swan et al, 2017 ), forced chemsex is a tactic to reduce victims' control over their own body.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of sexual violence among Chinese men who have sex with men in Hong Kong

Choi

Kwok

Choi

et al. 2022

Journal of Advanced Nursing

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Aim: This study aimed to understand the perceptions and experiences of sexual violence among Chinese men who have sex with men (MSM) in Hong Kong. Design:The study adopted a qualitative descriptive design with thematic analysis.Methods: Thirty-one Chinese MSM were recruited in Hong Kong from May to June 2019 using purposive sampling. Individual semi-structured interviews were conducted with the participants. The interview data were transcribed verbatim from the recordings and analysed using Braun and Clarke's thematic analysis approach.Results: Four themes were identified: (1) different forms of sexual violence, from physical to virtual; (2) inner struggles with fears and worry; (3) low awareness and perceived risk of sexual violence -'it has nothing to do with me' and (4) dilemma towards sexual violence prevention. Conclusion:The study provided qualitative evidence regarding the experiences and perceptions of sexual violence among Chinese MSM in Hong Kong. Physical and image-based forms of sexual violence were identified, which led the participants to experience psychological distress, fear of contracting human immunodeficiency virus/other sexually transmitted infections, notoriety within the gay community, and discrimination and stigmatization within their family and workplace. To reduce the risk

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Sexual Violence and Chemsex among Substance-Using Sexual and Gender Minorities in Texas

Cited by 13 publications

References 57 publications

Chemsex and Psychosis: A Systematic Review

Chemsex and Psychosis: A Systematic Review

Drug behaviors, sexually transmitted infection prevention, and sexual consent during chemsex: insights generated in the Budd app after each chemsex session

Perceptions and experiences of sexual violence among Chinese men who have sex with men in Hong Kong

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