Abstract

Introduction

Chemsex is the use of methamphetamine or other substances to enhance sexual experiences, and is most often associated with sexual minority men. Within the chemsex literature, questions of sexual violence emerge due, in part, to ambiguity about what constitutes consent within sexualized environments with co-occurring substance use.

Methods

To understand the context in which sexual violence occurs, data from an online survey of sexual and gender minority Texans were analyzed using bivariate and logistic regression (N = 1273), and qualitative interviews with substance-using sexual minority men from a separate sample were thematically analyzed (N = 22).

Results

Among survey participants, 12.8% experienced a form of sexual violence (10.1% experienced intimate partner violence and 7.6% experienced sexual assault). When participants were categorized based on past year substance use and sex party attendance, 48.0% of participants who used drugs and attended sex parties (a proxy for chemsex) experienced sexual violence (41.6% experienced intimate partner violence and 41.0% experienced sexual assault). When variables statistically significant at the bivariate-level were entered into logistic regression models, participants in the chemsex category were 12.5 [95% CI: 6.9, 22.8] times more likely to experience sexual violence. Substance-using sexual minority men experiencing sexual violence describe situations in which consent is difficult to revoke and sexual exploitation is likely to occur.

Discussion

Studies which more deeply explore the relationship between sexual and relationship violence and chemsex among sexual and gender minorities are needed. Particularly, the notion of consent needs further conceptualization in the context of drug use and sex parties.

Highlights

• Measures of recent substance use and sex party attendance were combined to create a proxy measure for chemsex, which is the use of substances to enhance sexual experiences.

• Substance-using sexual and gender minorities engaging in chemsex were at increased risk of sexual violence.

• In addition to engaging in chemsex, variables associated with an increased odds of sexual violence among sexual and gender minorities were younger age, having a non-monosexual sexual identity, and receiving a mental health diagnoses.

• Studies on sexual and gender minorities engaging in chemsex should be developed to further explore sexual exploitation.

中文翻译：

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德克萨斯州使用物质的性和性别少数群体中的性暴力和化学性行为

摘要

介绍

Chemsex 是使用甲基苯丙胺或其他物质来增强性体验，通常与性少数男性有关。在 chemsex 文献中，性暴力问题的出现部分是由于在性化环境中什么构成同意以及同时发生的物质使用的模棱两可。

方法

为了了解性暴力发生的背景，使用双变量和逻辑回归 ( N  = 1273) 分析了对性和性别少数德克萨斯人的在线调查数据，并对来自单独样本的吸毒性少数男性进行了定性访谈分析（N  = 22）。

结果

在调查参与者中，12.8% 经历过某种形式的性暴力（10.1% 经历过亲密伴侣暴力，7.6% 经历过性侵犯）。当参与者根据过去一年的药物使用和性派对出席情况进行分类时，48.0% 的使用毒品和参加性派对（chemsex 的代表）的参与者经历过性暴力（41.6% 经历过亲密伴侣暴力，41.0% 经历过性侵犯）。当在双变量水平上具有统计学意义的变量输入逻辑回归模型时，chemsex 类别的参与者遭受性暴力的可能性是 12.5 [95% CI: 6.9, 22.8] 倍。遭受性暴力的吸毒性少数男性描述了难以撤销同意并且可能发生性剥削的情况。

讨论

需要更深入地探索性和性别少数群体之间的性暴力和关系暴力与化学性行为之间的关系的研究。特别是，同意的概念需要在吸毒和性派对的背景下进一步概念化。

强调

• 最近的物质使用和性派对出席的措施相结合，为 chemsex 创建了一个代理措施，即使用物质来增强性体验。

• 从事化学性行为的吸毒性少数群体和性别少数群体遭受性暴力的风险增加。

• 除了从事化学性行为外，与性暴力和性别少数群体中性暴力几率增加相关的变量还包括年龄较小、具有非单性性身份以及接受心理健康诊断。

• 应开展对从事化学性行为的性和性别少数群体的研究，以进一步探索性剥削。