Context

Chemsex involves mental and sexual health risks for users, which generate specific needs in primary care. The aim of this study is to evaluate the role of the general practitioner (GP) in the identification of disorders and first aid offered to MSM chemsex users (CUs).

Methods

Data were collected with a self-administered questionnaire offered to MSM patients consulting in six Parisian STI clinics. The primary endpoint was the number of GP visits reported by patients in the past 12 months between CUs and control.

Results

Three hundred sixty-four MSMs were included between October and December of 2018: 94 CUs (25.9%) and 270 control. The multivariate analysis showed no statistically significant difference in the number of GP visits in the past 12 months (3.27 vs 2.66, p = 0.205). CUs had a higher number of sexual partners (p < 0.001) and used PrEP more often (OR 3.33 [CI95% 1.81–6.22]). Among the CUs, 67% had consulted their GP for STI testing in the last 12 months and 29.7% for PrEP. About 28.3% had ever mentioned their chemsex practices at GP and 10.9% had taken sick leaves at least once.

Conclusion

Our study explored the impact of chemsex on the demand for care at GP. There is an association of chemsex with PrEP.

Policy Implications

The relays of PrEP and chemsex care in general practice in the coming years require an awareness from health professionals. The management of chemsex complications should be extended into care networks and include GPs.

中文翻译：

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Chemgen 研究：评估与在性环境中使用精神活性产品的男性有性关系的男性在一般实践中的护理消费

语境

Chemsex 涉及用户的心理和性健康风险，这会产生初级保健的特定需求。本研究的目的是评估全科医生 (GP) 在识别疾病和向 MSM chemsex 用户 (CU) 提供急救方面的作用。

方法

数据是通过向在六家巴黎 STI 诊所咨询的 MSM 患者提供的自我管理问卷收集的。主要终点是过去 12 个月内患者报告的 CU 和对照组之间的 GP 就诊次数。

结果

2018 年 10 月至 12 月期间共纳入了 364 名 MSM：94 名 CU（25.9%）和 270 名对照。多变量分析显示过去 12 个月内 GP 就诊次数无统计学显着差异（3.27 对 2.66，p  = 0.205）。CU 有更多的性伴侣 ( p  < 0.001) 并且更频繁地使用 PrEP (OR 3.33 [CI95% 1.81–6.22])。在 CU 中，67% 在过去 12 个月内咨询了他们的全科医生进行 STI 检测，29.7% 咨询了 PrEP。大约 28.3% 的人曾在全科医生处提到过他们的性行为，10.9% 的人至少请过一次病假。

结论

我们的研究探讨了 chemsex 对 GP 护理需求的影响。chemsex 与 PrEP 之间存在关联。

政策影响

未来几年一般实践中 PrEP 和 chemsex 护理的接力需要卫生专业人员的认识。chemsex 并发症的管理应扩展到护理网络并包括全科医生。