Chemsex is a growing public health concern, with little evidence-based care and support available. The aim of this study is to understand current risk reduction practices, and the information and care needs of gay, bisexual, and other men who have sex with men (GBMSM) who engage in chemsex. Between January and March 2020, semi structured in-depth interviews with drug-using GBMSM (n = 20) were conducted. Data were analyzed thematically. The reported preparatory measures were: deliberately scheduling chemsex sessions, and discussing preferences regarding setting and attendees. During the event, a logbook is kept to monitor drugs taken by each participant. People try to take care of each other, but this is often counteracted. Respondents highlighted needs: reliable and easily-accessible information, anonymous medical and psychological healthcare, chemsex-specific care, and a value-neutral safe space to talk about chemsex experiences. Results imply two types of users: planned and impulsive users. Adherence to intended harm reduction practices are complicated by drug effects, peer pressure, and feelings of distrust among users.

中文翻译：

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比利时Chemsex语境中的减少危害实践和需求：定性研究的发现

Chemsex对公共健康的关注与日俱增，几乎没有循证医学提供的护理和支持。这项研究的目的是了解当前降低风险的做法，以及同性恋，双性恋和其他与chemsex发生性行为的男同性恋者（GBMSM）的信息和护理需求。在2020年1月至2020年3月之间，对使用毒品的GBMSM进行了半结构化的深度访谈（n= 20）。对数据进行专题分析。报告的准备措施是：故意安排chemsex会议，并讨论有关环境和参加者的偏好。活动期间，将保留一个日志，以监控每个参与者服用的药物。人们试图互相照顾，但这常常被抵消。受访者强调了需求：可靠且易于访问的信息，匿名医疗和心理保健，针对chemsex的护理以及谈论chemsex体验的价值中立的安全空间。结果意味着两种类型的用户：计划用户和冲动用户。药物减缓效果，同伴压力和使用者之间的不信任感使遵守预期的减少伤害措施变得复杂。