Attitude and beliefs about the social environment associated with chemsex among MSM visiting STI clinics in the Netherlands: An observational study.,PLOS ONE

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Attitude and beliefs about the social environment associated with chemsex among MSM visiting STI clinics in the Netherlands: An observational study.
PLOS ONE ( IF 2.9 ) Pub Date : 2020-07-01 , DOI: 10.1371/journal.pone.0235467
Ymke J Evers _{1,

2} , Jill J H Geraets ₁ , Geneviève A F S Van Liere _{1,

2} , Christian J P A Hoebe _{1,

2} , Nicole H T M Dukers-Muijrers _{1,

2}

Affiliation

Background

Drug use during sex, ‘chemsex’, is common among men who have sex with men (MSM) and related to sexual and mental health harms. This study assessed associations between chemsex and a wide range of determinants among MSM visiting STI clinics to increase understanding of characteristics and beliefs of MSM practicing chemsex.

Methods

In 2018, 785 MSM were recruited at nine Dutch STI clinics; 368 (47%) fully completed the online questionnaire. All participants reported to have had sex in the past six months. Chemsex was defined as using cocaine, crystal meth, designer drugs, GHB/GBL, ketamine, speed or XTC/MDMA during sex in the past six months. Associations between chemsex and psychosocial determinants, socio-demographics, sexual behaviour and using tobacco or alcohol were assessed by multivariable logistic regression analyses.

Results

Chemsex was reported by 44% of MSM (161/368) and was not associated with socio-demographics. Independent determinants were ‘believing that the majority of friends/sex partners use drugs during sex’ (descriptive norm) (aOR: 1.95, 95%CI: 1.43–2.65), ‘believing that sex is more fun when using drugs’ (attitude) (aOR: 2.06, 95%CI: 1.50–2.84), using tobacco (aOR: 2.65, 95%CI: 1.32–5.32), multiple sex partners (aOR: 2.69, 95%CI: 1.21–6.00), group sex (aOR: 4.65, 95%CI: 1.54–14.05) and using online dating platforms (aOR: 2.73, 95%CI: 1.13–6.62).

Conclusion

MSM are likely to find themselves in distinct social networks where it is the norm to use drugs when having sex and pleasure is linked to chemsex. Health services should acknowledge the social influence and pleasurable experiences to increase acceptability of strategies aimed at minimizing the possible harms of chemsex.

中文翻译：

在荷兰访问STI诊所的MSM中与chemsex相关的社会环境的态度和信念：一项观察性研究。

背景

与男性发生性行为（MSM）的男性在性生活中经常使用毒品“ chemsex”，并且与性和心理健康危害相关。这项研究评估了chemsex和MSM前往STI诊所的各种决定因素之间的关联，以增进对MSM从事chemsex的特征和信念的理解。

方法

2018年，在荷兰的9家STI诊所招募了785名MSM; 368（47％）位使用者完全填写了线上问卷。所有参与者报告在过去六个月中发生过性行为。Chemsex的定义是在过去六个月内性交期间使用可卡因，甲基冰毒，名牌药物，GHB / GBL，氯胺酮，速度或XTC / MDMA。通过多变量逻辑回归分析评估了化学药品与社会心理决定因素，社会人口统计学，性行为以及使用烟草或酒精之间的关联。

结果

MSM（161/368）报告了Chemsex，与社会人口统计学无关。独立的决定因素是“相信大多数朋友/性伴侣在性交期间使用毒品”（描述性规范）（aOR：1.95，95％CI：1.43-2.65），“相信使用毒品时性生活会更有趣”（态度）（aOR：2.06，95％CI：1.50–2.84），使用烟草（aOR：2.65，95％CI：1.32–5.32），多性伴侣（aOR：2.69，95％CI：1.21–6.00），群交（ aOR：4.65，95％CI：1.54-14.05），并使用在线约会平台（aOR：2.73，95％CI：1.13-6.62）。