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Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands

Drug use during sex (‘chemsex’) has been associated with sexually transmitted infections (STIs) and mental health harms. Little quantitative evidence exists on the health care needs of MSM practicing chemsex from a patient perspective. This study assessed self-perceived benefits and harms and the ne...

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Autores principales: Evers, Y.J., Hoebe, C.J.P.A., Dukers-Muijrers, N.H.T.M., Kampman, C.J.G., Kuizenga-Wessel, S., Shilue, D., Bakker, N.C.M., Schamp, S.M.A.A., Van Buel, H., Van Der Meijden, W.C.J.P.M., Van Liere, G.A.F.S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093829/
https://www.ncbi.nlm.nih.gov/pubmed/32226730
http://dx.doi.org/10.1016/j.pmedr.2020.101074
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author Evers, Y.J.
Hoebe, C.J.P.A.
Dukers-Muijrers, N.H.T.M.
Kampman, C.J.G.
Kuizenga-Wessel, S.
Shilue, D.
Bakker, N.C.M.
Schamp, S.M.A.A.
Van Buel, H.
Van Der Meijden, W.C.J.P.M.
Van Liere, G.A.F.S.
author_facet Evers, Y.J.
Hoebe, C.J.P.A.
Dukers-Muijrers, N.H.T.M.
Kampman, C.J.G.
Kuizenga-Wessel, S.
Shilue, D.
Bakker, N.C.M.
Schamp, S.M.A.A.
Van Buel, H.
Van Der Meijden, W.C.J.P.M.
Van Liere, G.A.F.S.
author_sort Evers, Y.J.
collection PubMed
description Drug use during sex (‘chemsex’) has been associated with sexually transmitted infections (STIs) and mental health harms. Little quantitative evidence exists on the health care needs of MSM practicing chemsex from a patient perspective. This study assessed self-perceived benefits and harms and the needs for professional counselling among MSM practicing chemsex. In 2018, 785 MSM were recruited at nine Dutch STI clinics and 511 (65%) completed the online questionnaire. Chemsex was defined as using cocaine, crystal meth, designer drugs, GHB/GBL, ketamine, speed and/or XTC/MDMA during sex <6 months. Chemsex was reported by 41% (209/511), of whom 23% (48/209) reported a need for professional counselling. The most reported topic to discuss was increasing self-control (52%, 25/48). Most MSM preferred to be counselled by sexual health experts (56%, 27/48). The need for professional counselling was higher among MSM who engaged in chemsex ≥2 times per month (30% vs. 17%, p = 0.03), did not have sex without drugs (sober sex) in the past three months (41% vs. 20%, p = 0.04), experienced disadvantages of chemsex (28% vs. 15%, p = 0.03), had a negative change in their lives due to chemsex (53% vs. 21%, p = 0.002), and/or had an intention to change chemsex behaviours (45% vs. 18%, p < 0.001). Our study shows that almost one in four MSM practicing chemsex expressed a need for professional counselling on chemsex-related issues. STI healthcare providers should assess the need for professional counselling in MSM practicing chemsex, especially in MSM with above mentioned characteristics, such as frequent users.
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spelling pubmed-70938292020-03-27 Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands Evers, Y.J. Hoebe, C.J.P.A. Dukers-Muijrers, N.H.T.M. Kampman, C.J.G. Kuizenga-Wessel, S. Shilue, D. Bakker, N.C.M. Schamp, S.M.A.A. Van Buel, H. Van Der Meijden, W.C.J.P.M. Van Liere, G.A.F.S. Prev Med Rep Regular Article Drug use during sex (‘chemsex’) has been associated with sexually transmitted infections (STIs) and mental health harms. Little quantitative evidence exists on the health care needs of MSM practicing chemsex from a patient perspective. This study assessed self-perceived benefits and harms and the needs for professional counselling among MSM practicing chemsex. In 2018, 785 MSM were recruited at nine Dutch STI clinics and 511 (65%) completed the online questionnaire. Chemsex was defined as using cocaine, crystal meth, designer drugs, GHB/GBL, ketamine, speed and/or XTC/MDMA during sex <6 months. Chemsex was reported by 41% (209/511), of whom 23% (48/209) reported a need for professional counselling. The most reported topic to discuss was increasing self-control (52%, 25/48). Most MSM preferred to be counselled by sexual health experts (56%, 27/48). The need for professional counselling was higher among MSM who engaged in chemsex ≥2 times per month (30% vs. 17%, p = 0.03), did not have sex without drugs (sober sex) in the past three months (41% vs. 20%, p = 0.04), experienced disadvantages of chemsex (28% vs. 15%, p = 0.03), had a negative change in their lives due to chemsex (53% vs. 21%, p = 0.002), and/or had an intention to change chemsex behaviours (45% vs. 18%, p < 0.001). Our study shows that almost one in four MSM practicing chemsex expressed a need for professional counselling on chemsex-related issues. STI healthcare providers should assess the need for professional counselling in MSM practicing chemsex, especially in MSM with above mentioned characteristics, such as frequent users. 2020-03-06 /pmc/articles/PMC7093829/ /pubmed/32226730 http://dx.doi.org/10.1016/j.pmedr.2020.101074 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Evers, Y.J.
Hoebe, C.J.P.A.
Dukers-Muijrers, N.H.T.M.
Kampman, C.J.G.
Kuizenga-Wessel, S.
Shilue, D.
Bakker, N.C.M.
Schamp, S.M.A.A.
Van Buel, H.
Van Der Meijden, W.C.J.P.M.
Van Liere, G.A.F.S.
Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands
title Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands
title_full Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands
title_fullStr Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands
title_full_unstemmed Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands
title_short Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands
title_sort sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the netherlands
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093829/
https://www.ncbi.nlm.nih.gov/pubmed/32226730
http://dx.doi.org/10.1016/j.pmedr.2020.101074
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