Slam Practice: A Review of the Literature

Schreck, Benoît; Victorri‐Vigneau, Caroline; Guerlais, Marylène; Laforgue, Edouard‐Jules; Grall‐Bronnec, Marie

doi:10.1159/000511897

Cited by 27 publications

(13 citation statements)

References 58 publications

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“…As previously reported, the drugs most frequently used in France were cathinones, in particular 3-MMC. [25][26][27] Although little data exist in the literature, cathinones seem to be strongly addictive substances, especially when used by injection (slamming), which was the case in approximately 20% of our study population. In France, addictovigilance data found that 63% of 235 reported cases of people practicing chemsex also met criteria for substance use disorder (SUD).…”

Section: Discussionmentioning

confidence: 83%

Is There a Reduction in Chemsex Practice in Men Who Have Sex With Men During COVID-19 Lockdown? Results of the CheRRLock Study

L’Yavanc¹,

Gosset²,

Plathey³

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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a,c on behalf of the "190" working group Background and aims: Chemsex is a growing concern among men who have sex with men (MSM). COVID-19 lockdowns have had consequences on social and sexual interactions. We aimed to assess changes in chemsex practices during COVID-19 lockdown in France among MSM and factors associated with maintaining or increasing chemsex practice.Methods: Repeated face-to-face questionnaires were conducted at "Le 190" Sexual Health Center, Paris, France, exploring lifestyle, sexual, and chemsex practices, COVID-19 concerns and mental health before and during second lockdown in France (30/10/ 2020-15/12/2020). Inclusion criteria were chemsex practices at least 3 times throughout lifetime and at least once in the 3 months before second lockdown. The primary end point was the proportion of participants who declared having stopped, decreased, maintained, or increased their chemsex practice during lockdown. Univariable and multivariable logistic regressions were used to analyze factors associated with evolutions of chemsex practice.Results: Ninety-three MSM were included: 66% HIV-positive and 30% taking PrEP. Drugs most used were cathinones (91%) and GHB/GBL (52%). Participants reported stopping, decreasing, maintaining, and increasing chemsex drugs use in 14%, 22%, 22%, and 42% of cases, respectively. Despite this overall increase in chemsex practice, MSM decreased their number of sexual partners. Factors significantly associated with maintaining or increasing chemsex drugs use were feeling lonely (OR = 3.24), craving (OR = 4.51), and working during lockdown (OR = 3.27), contrasting with fear of COVID-19 (OR = 0.31). Conclusion:Restriction measures lead to changes in sexual behavior and seem to increase chemsex practice. Maintaining care for most isolated patients should be a priority in COVID-19 context.

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Section: Discussionmentioning

confidence: 83%

Is There a Reduction in Chemsex Practice in Men Who Have Sex With Men During COVID-19 Lockdown? Results of the CheRRLock Study

L’Yavanc¹,

Gosset²,

Plathey³

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…This has obvious implications for how public health perceptions of these groups are shaped [ 60 ]. Current GBMSM studies may be failing to represent men who are more socially marginalised (as indicated by the socio-economic profiles of the men in our study), while injecting cohorts may exclude members of socio-sexual networks in which GBMSM inject drugs [ 22 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia

et al. 2023

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Background Gay, bisexual and other men who have sex with men (GBMSM) are overrepresented in cohorts of people who inject drugs. GBMSM’s substance use is usually explored in the context of its contribution to sexual risk. We examined drug use practices, connectedness to other people who inject drugs, peer-to-peer injecting, and access to care among men who inject drugs in Melbourne, Australia. We aim to describe similarities and differences in these parameters for GBMSM and other men. Methods Data were drawn from a prospective cohort study of people who inject drugs conducted in Melbourne, Australia, since 2009. This cross-sectional study used data collected between 2016 and 2021. Descriptive statistics were used to assess differences between GBMSM and other men. Results Of 525 men who injected drugs over the study period, 48 (9%) identified as gay or bisexual, or reported sex with other men in the past 12 months. GBMSM and other men reported similar socio-demographics, drug practices (age of injecting initiation, most injected drug, peer-to-peer injecting, receptive syringe sharing) and access to injecting-specific care (drug treatment, source of needle-syringes). A significantly greater percentage of GBMSM reported past 12-month hepatitis C testing (69% vs. 52%, p = 0.028) and preferring methamphetamine (31% vs. 16%, p = 0.022). A higher percentage of GBMSM reported knowing > 50 other people who inject drugs (46% vs. 37%), but this difference was not statistically significant. Both groups primarily obtained injecting equipment from needle-syringe programs; a minority had accessed injecting-specific primary care. Conclusion Men who injected drugs in this cohort and those who identified as GBMSM reported similar drug and health-seeking practices. The higher prevalence of methamphetamine injecting among GBMSM may warrant different harm reduction support for this group. Health promotion should utilise opportunities to connect men who inject drugs in Melbourne to injecting-specific primary health care.

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“…This has obvious implications for how public health perceptions of these groups are shaped. GBMSM studies may be failing to represent men who are more socially marginalised, while injecting cohorts may not include representatives of the socio-sexual networks in which GBMSM inject drugs (22,34).…”

Section: Discussionmentioning

confidence: 99%

“…In Australia (8, 9) and internationally, gay, bisexual and other men who have sex with men (GBMSM) are more likely to report illicit and injecting substance use than the general population (9)(10)(11)(12)(13)(14)(15)(16)) and are often overrepresented in studies of people who inject drugs (17,18). Most studies show that crystal methamphetamine is the drug GBMSM report injecting most often (9,(17)(18)(19), including in the context of sexual activity (20)(21)(22)(23)(24).…”

mentioning

confidence: 99%

Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia

Schroeder

Wilkinson

O’Keefe

et al. 2022

Preprint

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Background: Gay, bisexual and other men who have sex with men (GBMSM) are overrepresented in cohorts of people who inject drugs. GBMSM’s substance use is usually explored in the context of its contribution to sexual risk. We examined drug use practices, connectedness to other people who inject drugs, peer-to-peer injecting, and access to care among men who inject drugs in Melbourne, Australia. We aim to describe similarities and differences in these parameters for GBMSM and other men. Methods: Data were drawn from a prospective cohort study of people who inject drugs conducted in Melbourne, Australia since 2009. This cross-sectional study used data collected between 2016 and 2021. Descriptive statistics were used to assess differences between GBMSM and other men. Results: Of 525 men who injected drugs over the study period, 48 (9%) identified as gay or bisexual, or reported sex with other men in the past 12 months. GBMSM and other men reported similar socio-demographics, drug practices (age of injecting initiation, most injected drug, peer-to-peer injecting, receptive syringe sharing) and access to injecting-specific care (drug treatment, source of needle-syringes). A significantly greater percentage of GBMSM reported preferring methamphetamine (31% vs 16%, p=0.022). Higher proportions of GBMSM reported knowing >50 other people who inject drugs (46% vs 37%) and accessing drug treatment over the reporting period (81% vs 71%), but these differences were not statistically significant. Both groups primarily obtained injecting equipment from needle-syringe programs; a minority had accessed injecting-specific primary care. Conclusion: Men who injected drugs in this cohort and those who identified as GBMSM reported similar drug and health-seeking practices. The higher prevalence of methamphetamine injecting among GBMSM may warrant different harm reduction support for this group. Health promotion should utilise opportunities to connect men who inject drugs in Melbourne to injecting-specific primary healthcare.

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Slam Practice: A Review of the Literature

Cited by 27 publications

References 58 publications

Is There a Reduction in Chemsex Practice in Men Who Have Sex With Men During COVID-19 Lockdown? Results of the CheRRLock Study

Is There a Reduction in Chemsex Practice in Men Who Have Sex With Men During COVID-19 Lockdown? Results of the CheRRLock Study

Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia

Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia

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