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2018 ; 45
(5
): 325-331
Nephropedia Template TP
gab.com Text
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English Wikipedia
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.