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10.1097/OLQ.0000000000000753

http://scihub22266oqcxt.onion/10.1097/OLQ.0000000000000753
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C5908259!5908259 !29465683
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suck abstract from ncbi


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pmid29465683
      Sex+Transm+Dis 2018 ; 45 (5 ): 325-331
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  • Chemsex Among Men Who Have Sex With Men: a Sexualized Drug Use Survey Among Clients of the Sexually Transmitted Infection Outpatient Clinic and Users of a Gay Dating App in Amsterdam, the Netherlands #MMPMID29465683
  • Drückler S ; van Rooijen MS ; de Vries HJC
  • Sex Transm Dis 2018[May]; 45 (5 ): 325-331 PMID29465683 show ga
  • OBJECTIVES: Chemsex (i.e., drug use during sex) is practiced by some men who have sex with men (MSM) and is associated with high-risk behavior. In a cross-sectional study at the sexually transmitted infection (STI) clinic of Amsterdam, we explored chemsex practices, risk behavior, and STI prevalence. METHOD: A survey on chemsex (?-hydroxybutyrate, crystal methamphetamine, and/or mephedrone) was offered to clinic clients during routine STI screening and to Amsterdam users of a gay online dating app. Associations were assed using ? test and multivariable regression. RESULTS: Chemsex in the past 6 months was practiced by 866 (17.6%) of 4925 MSM clients and by 159 (1.5%) of 10857 non-MSM clients. Among gay dating app users, the proportion that reported chemsex engagement was higher than among MSM visiting the STI clinic (29.3% [537/1832] vs. 17.6%; P < 0.001). Chemsex was a significant risk factor for bacterial STI in HIV-negative MSM visiting the STI clinic (adjusted odd ratio, 1.5; 95% confidence interval, 1.2-1.8), but not in HIV-positive MSM. A majority practiced chemsex once a month or less, and 87.0% reported sex without drug use in the past month. CONCLUSIONS: In Amsterdam, chemsex is frequently practiced and significantly associated with bacterial STI in HIV-negative MSM but not in HIV-positive MSM. Future prevention strategies to reduce STI incidence should especially target HIV-negative MSM engaging in chemsex.
  • |*Homosexuality, Male [MESH]
  • |*Mobile Applications [MESH]
  • |*Risk-Taking [MESH]
  • |*Sexual Behavior [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Ambulatory Care Facilities [MESH]
  • |Chlamydia Infections/epidemiology [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Drug Users/*statistics & numerical data [MESH]
  • |Gonorrhea/epidemiology [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Netherlands/epidemiology [MESH]
  • |Sexual Partners [MESH]
  • |Sexual and Gender Minorities [MESH]
  • |Sexually Transmitted Diseases/*epidemiology/microbiology [MESH]
  • |Substance-Related Disorders [MESH]
  • |Surveys and Questionnaires [MESH]
  • |Unsafe Sex [MESH]


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