Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?

This original study compares the prevalences of drug use for any purpose and for sexualized drug use (SDU) among MSM. It also describes relevant characteristics of first SDU, analyzes to what extent SDU has been the first experience (the gateway) with different drugs by age and explores the correlat...

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Autores: Guerras, JM, Hoyos, J, Donat, M, de la Fuente, L, Diaz, DP, Ayerdi, O, Garcia-Perez, JN, de Olalla, PG, Belza, MJ
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p15322
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15322
https://ddd.uab.cat/record/282273
Access Level:acceso abierto
Palabra clave:men who have sex with men
sexualized drug use
chemsex
drug use
drug initiation
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spelling Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?Guerras, JMHoyos, JDonat, Mde la Fuente, LDiaz, DPAyerdi, OGarcia-Perez, JNde Olalla, PGBelza, MJmen who have sex with mensexualized drug usechemsexdrug usedrug initiationThis original study compares the prevalences of drug use for any purpose and for sexualized drug use (SDU) among MSM. It also describes relevant characteristics of first SDU, analyzes to what extent SDU has been the first experience (the gateway) with different drugs by age and explores the correlates of SDU. Study participants included 2,919 HIV-negative MSM attending four HIV/STI diagnosis services in Madrid and Barcelona. They answered an online, self-administered questionnaire. Poisson regression models with robust variance were used. About 81.4% had ever used any drug, and 71.9% had done so in the last-12-months, white 56% had ever engaged in SDU, and 50% had done so in the last-12-months. Participants under 25 years old had the lowest prevalences of SDU, and the 25-39 age group the highest, except for Viagra, which was higher among those over age 40. The most frequently used drugs for first SDU were poppers (53.6%), cannabis (19.6%) and Viagra (12.2%). These drugs were also the most ever consumed for SDU. Among sexualized users, methamphetamine (78.3%) and Mephedrone (75.4%) were used always/most of the times for sex in the last-12-months. Around 72.2% of Mephedrone sexualized users and 69.6% of Methamphetamine vs 23.1% of ecstasy users' first consumption of these drugs involved use for sex. These drugs were provided to them free where they have sex for 66.8, 79.1, and 31.9%, respectively. On that occasion, 8.1% of Mephedrone, 6.8% of Methamphetamine and 18.4% of ecstasy users had sex only with steady partner; with 50.2, 56.2, and 26.2% respectively using a condom with any partner. SDU in the first use was associated with similar variables for recreational and chemsex drugs. The highest prevalence ratios were for having ever been penetrated by >20 men and having ever injected drugs. It can be concluded that the prevalence of SDU was more than half of the prevalence for any purpose. Thus SDU was the gateway to use for many drugs in an important proportion of users, who frequently consumed drugs that were free and had condomless anal sex with occasional and multiple partners. These circumstances were much more common for chemsex than for recreational drugs.FRONTIERS MEDIA SA2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15322https://ddd.uab.cat/record/282273Frontiers in Public HealthISSN: 22962565reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p153222026-06-14T12:41:47Z
dc.title.none.fl_str_mv Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
title Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
spellingShingle Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
Guerras, JM
men who have sex with men
sexualized drug use
chemsex
drug use
drug initiation
title_short Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
title_full Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
title_fullStr Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
title_full_unstemmed Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
title_sort Sexualized drug use among men who have sex with men in Madrid and Barcelona: The gateway to new drug use?
dc.creator.none.fl_str_mv Guerras, JM
Hoyos, J
Donat, M
de la Fuente, L
Diaz, DP
Ayerdi, O
Garcia-Perez, JN
de Olalla, PG
Belza, MJ
author Guerras, JM
author_facet Guerras, JM
Hoyos, J
Donat, M
de la Fuente, L
Diaz, DP
Ayerdi, O
Garcia-Perez, JN
de Olalla, PG
Belza, MJ
author_role author
author2 Hoyos, J
Donat, M
de la Fuente, L
Diaz, DP
Ayerdi, O
Garcia-Perez, JN
de Olalla, PG
Belza, MJ
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv men who have sex with men
sexualized drug use
chemsex
drug use
drug initiation
topic men who have sex with men
sexualized drug use
chemsex
drug use
drug initiation
description This original study compares the prevalences of drug use for any purpose and for sexualized drug use (SDU) among MSM. It also describes relevant characteristics of first SDU, analyzes to what extent SDU has been the first experience (the gateway) with different drugs by age and explores the correlates of SDU. Study participants included 2,919 HIV-negative MSM attending four HIV/STI diagnosis services in Madrid and Barcelona. They answered an online, self-administered questionnaire. Poisson regression models with robust variance were used. About 81.4% had ever used any drug, and 71.9% had done so in the last-12-months, white 56% had ever engaged in SDU, and 50% had done so in the last-12-months. Participants under 25 years old had the lowest prevalences of SDU, and the 25-39 age group the highest, except for Viagra, which was higher among those over age 40. The most frequently used drugs for first SDU were poppers (53.6%), cannabis (19.6%) and Viagra (12.2%). These drugs were also the most ever consumed for SDU. Among sexualized users, methamphetamine (78.3%) and Mephedrone (75.4%) were used always/most of the times for sex in the last-12-months. Around 72.2% of Mephedrone sexualized users and 69.6% of Methamphetamine vs 23.1% of ecstasy users' first consumption of these drugs involved use for sex. These drugs were provided to them free where they have sex for 66.8, 79.1, and 31.9%, respectively. On that occasion, 8.1% of Mephedrone, 6.8% of Methamphetamine and 18.4% of ecstasy users had sex only with steady partner; with 50.2, 56.2, and 26.2% respectively using a condom with any partner. SDU in the first use was associated with similar variables for recreational and chemsex drugs. The highest prevalence ratios were for having ever been penetrated by >20 men and having ever injected drugs. It can be concluded that the prevalence of SDU was more than half of the prevalence for any purpose. Thus SDU was the gateway to use for many drugs in an important proportion of users, who frequently consumed drugs that were free and had condomless anal sex with occasional and multiple partners. These circumstances were much more common for chemsex than for recreational drugs.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15322
https://ddd.uab.cat/record/282273
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15322
https://ddd.uab.cat/record/282273
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv FRONTIERS MEDIA SA
publisher.none.fl_str_mv FRONTIERS MEDIA SA
dc.source.none.fl_str_mv Frontiers in Public Health
ISSN: 22962565
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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