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Sexual Health

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https://www.readbyqxmd.com/read/29592830/a-community-led-harm-reduction-approach-to-chemsex-case-study-from-australia
#1
Zahra Stardust, Johann Kolstee, Stefan Joksic, James Gray, Siobhan Hannan
Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Community organisations with a history of HIV prevention, care, treatment are well-placed to respond. ACON's (formerly the AIDS Council of New South Wales) multi-dimensional response to 'chemsex' includes: direct client services support for individuals seeking to manage or reduce their use; health promotion activities that support peer education; partnerships with research institutions to better understand cultures of chemsex; and policy submissions that call for drug use to be approached as a health, rather than a criminal, issue...
March 29, 2018: Sexual Health
https://www.readbyqxmd.com/read/29592829/low-levels-of-chemsex-among-men-who-have-sex-with-men-but-high-levels-of-risk-among-men-who-engage-in-chemsex-analysis-of-a-cross-sectional-online-survey-across-four-countries
#2
Jamie Frankis, Paul Flowers, Lisa McDaid, Adam Bourne
Background: This paper establishes the prevalence of chemsex drug use among men who have sex with men (MSM), the extent to which these drugs are used in a sexual context, as well as their associated behaviours and circumstances of use. Methods: Data from a cross-sectional, online survey of 2328 MSM recruited via gay sociosexual media in Scotland, Wales, Northern Ireland and the Republic of Ireland were analysed. Results: While almost half (48.8%) of participants had ever taken illicit drugs, lifetime chemsex drug use was less common (18...
March 29, 2018: Sexual Health
https://www.readbyqxmd.com/read/29580377/chemsex-among-men-who-have-sex-with-men-in-germany-motives-consequences-and-the-response-of-the-support-system
#3
Niels Graf, Anna Dichtl, Daniel Deimel, Dirk Sander, Heino Stöver
Background: In Germany, drug use in sexual settings (i.e. chemsex) among men who have sex with men (MSM) has increasingly been the subject of discussion for considerable time. At the same time, however, little is known about this practice. It is against this background that what is currently known about chemsex among MSM in Germany is discussed. Methods: The present study observations are essentially based on the results of two research projects of a qualitative-explorative nature. In-depth interviews with drug-using MSM (n=14), as well as qualitative, problem-centred interviews with drug-using MSM (n=75) and expert interviews (n=27) were conducted within these research projects...
March 27, 2018: Sexual Health
https://www.readbyqxmd.com/read/29559070/anova-health-institute
#4
Johannes M Hugo, Kevin B Rebe, Evan Tsouroulis, Anthony Manion, Glenn de Swart, Helen Struthers, James A McIntyre
Chemsex is the colloquial term used for a specific pattern of drug use that is increasingly common among men who have sex with men (MSM) globally. The recreational substances employed are used specifically in a sexualized context. The reasons for chemsex among MSM are complex. The Anova Health Institute (Anova) provided harm-reduction services in Cape Town, South Africa in 2013 and 2014. This project, known as Tikking the Boxes had two objectives: first to provide direct harm-reduction services to drug-using MSM in Cape Town, South Africa, and second, to reduce HIV and hepatitis B and C transmission among this population...
March 21, 2018: Sexual Health
https://www.readbyqxmd.com/read/29551102/thinking-upstream-the-roles-of-international-health-and-drug-policies-in-public-health-responses-to-chemsex
#5
Oliver Stevens, Jamie I Forrest
Chemsex is a growing public health concern in urban centres, and few interventions exist to mitigate the significant sexual, drug-related, and social harms potentially experienced by people who participate in chemsex. In much of the world, these immediate harms are further compounded by the criminalisation and stigmatisation of both homosexuality and drug use, preventing participants fully engaging with treatment services or provision of health care. Gay, bisexual and other men who have sex with men participating in chemsex fall between the traditional definitions of key populations and consequently are poorly provided for by existing drug and sexual health frameworks...
March 19, 2018: Sexual Health
https://www.readbyqxmd.com/read/29544600/links-su-sex-development-of-a-screening-tool-for-health-risk-sexual-behaviours-related-to-substance-use-among-men-who-have-sex-with-men
#6
Mathieu Goyette, Jorge Flores-Aranda, Karine Bertrand, Frédérick Pronovost, Valérie Aubut, Roberto Ortiz, Marianne Saint-Jacques
Background: Men who have sex with men (MSM) have distinctive substance use (SU), which is more often linked to a sexual context than it is for their heterosexual peers. Screening of MSM's SU, its sexual contexts and the associated risks, is of clinical and public health concern. This paper aims to describe the preliminary development of a screening tool for health-risk sexual behaviours related to SU and to make recommendations for its potential use. Methods: Community-based participatory research and transdisciplinary approaches guided the development process...
March 16, 2018: Sexual Health
https://www.readbyqxmd.com/read/29544599/sex-drugs-and-social-connectedness-wellbeing-among-hiv-positive-gay-and-bisexual-men-who-use-party-and-play-drugs
#7
Jennifer Power, Gosia Mikołajczak, Adam Bourne, Graham Brown, William Leonard, Anthony Lyons, Gary W Dowsett, Jayne Lucke
Background: This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access to social and support networks, which may in turn support wellbeing. Methods: A cross-sectional survey of Australian people living with HIV (PLHIV) was conducted. There were 714 participants (79.7%) who identified as GBM. Differences between party-and-play drug users and non-users were examined using bivariate and multinomial logistic regressions...
March 16, 2018: Sexual Health
https://www.readbyqxmd.com/read/29544597/a-scoping-review
#8
Elan Lazuardi, Stephen Bell, Christy E Newman
Background: The Indonesian response to HIV has been informed largely by quantitative evidence. This review examines what is known about the Indonesian HIV care cascade from published qualitative research. Methods: A 'scoping review' method was used to synthesise and interpret the findings of 17 eligible peer-reviewed publications. Results: Qualitative findings are reported in relation to two themes. Factors influencing successful engagement include a lack of HIV-related knowledge among clients, fear of stigma or lack of privacy/confidentiality at services, limited accessibility and affordability, and poor linkages between services...
March 16, 2018: Sexual Health
https://www.readbyqxmd.com/read/29506642/leveraging-a-relationship-based-sexual-health-framework-for-sexual-risk-prevention-in-adolescent-men-in-the-united-states
#9
Devon J Hensel, Casey L Bales, Julia F Taylor, J Dennis Fortenberry
Background: Studies link sexual health to lower sexual risk in adolescent women, yet no empirical literature evaluates these associations in adolescent men. Methods: Data were drawn from a longitudinal cohort study of sexual relationships and sexual behaviour among adolescent men (n=72; 14-16 years) in the US. Participants contributed quarterly partner-specific interviews, from which sexual health information and partnered sexual behaviours were drawn. A multidimensional measure of sexual health was constructed and linked to partnered outcomes, including oral-genital, vaginal and anal sex, condom use, partner concurrency and intimate partner violence...
March 6, 2018: Sexual Health
https://www.readbyqxmd.com/read/29506641/comparing-australian-gay-and-bisexual-men-with-undiagnosed-and-recently-diagnosed-hiv-infection-to-those-in-the-national-hiv-registry
#10
Ian Down, Garrett Prestage, Graham Brown, Jeanne Ellard, Rebecca Guy, Margaret Hellard, David Wilson, John de Wit, Mark Stoové, Martin Holt
Background: Gay and bisexual men (GBM) with recent HIV infection are a key population to inform HIV-prevention. The National HIV Registry (NHR) provides details about all individuals diagnosed with HIV, but it is unclear how. Methods: Basic sociodemographic characteristics of GBM in the NHR who were diagnosed between 2010 and 2014 were compared with three samples of GBM: men with undiagnosed HIV infection from the Community-Based Study of Undiagnosed HIV and Testing (COUNT) study of HIV prevalence and undiagnosed infection that was conducted during 2013-14; men in the Australian Gay Community Periodic Surveys (GCPS) who were diagnosed with HIV between 2010 and 2014; and men in the HIV Seroconversion Study (SCS) who were also diagnosed in those years...
March 6, 2018: Sexual Health
https://www.readbyqxmd.com/read/29444747/hiv-susceptibility-among-clients-of-female-sex-workers-in-indonesia-a-qualitative-inquiry
#11
Lillian Mwanri, Nelsensius Klau Fauk, Christina Yeni Kustanti, Atik Ambarwati, Maria Silvia Merry
Background: The spread of HIV infection among men in Indonesia continues to increase every year. Clients of female sex workers (FSWs) are a group at higher risk of acquiring HIV infection due to their frequent engagement in sexual acts with sex workers. This study aimed to identify factors of susceptibility to HIV infection among clients of FSWs. Methods: A qualitative inquiry using one-on-one in-depth interviews was conducted in the Belu and Malaka districts of Indonesia from January to April 2017. The study participants (n =42) were the clients of FSWs recruited using the snowball sampling technique...
February 15, 2018: Sexual Health
https://www.readbyqxmd.com/read/29444746/using-marijuana-drinking-alcohol-or-a-combination-of-both-the-association-of-marijuana-alcohol-and-sexual-risk-behaviour-among-adolescents
#12
Erik D Storholm, Brett A Ewing, Stephanie Brooks Holliday, Bradley D Stein, Lisa S Meredith, William G Shadel, Elizabeth J D'Amico
Background: Although the association between alcohol use and sexual risk behaviour has been well-documented, there is little understanding of whether marijuana use alone or combining marijuana with alcohol use contributes to sexual risk behaviour among adolescents. Methods: A diverse sample of sexually active adolescents (n = 616) aged 12-18 years (50.32% Hispanic; 31.17% Black) completed a survey on alcohol use, marijuana use and sexual risk behaviour during a visit to a primary care clinic. Results: Adolescents were more likely to report having had two or more sexual partners in the past 3 months if they reported using both alcohol and marijuana (OR=3...
February 15, 2018: Sexual Health
https://www.readbyqxmd.com/read/29402378/chemsex-case-study-is-it-time-to-recommend-routine-screening-of-sexualised-drug-use-in-men-who-have-sex-with-men
#13
Mark O'Reilly
This case discusses a gay male participating in sexualised drug use. It raises several important issues and strengthens the case for routine screening for sexualised drug use in men who have sex with men so that healthcare professionals can provide better-informed and higher-quality health care to this population.
February 6, 2018: Sexual Health
https://www.readbyqxmd.com/read/29402377/towards-a-continuum-of-care-concerning-chemsex-issues
#14
Ingrid Bakker, Leon Knoops
In response to the apparent rise in chemsex in the Netherlands Mainline Foundation interviewed 27 MSM about their crystal meth use and/or experience with injecting in a sexual context. These men were interviewed about their motivation for methamphetamine use, their sexual risk-taking behaviour, methods and context of their drug use, and their information- and care needs. In 2015 this resulted in the status report Tina and Slamming: MSM, Crystal Meth Use and Intravenous Drug Use in a Sexual Context. Following the publication of this report Mainline foundation has been offering harm-reduction intervention for MSM and promoting the development of a continuum of care by building networks, training professionals and investing in advocacy...
February 6, 2018: Sexual Health
https://www.readbyqxmd.com/read/28874236/funding-antiretroviral-treatment-for-hiv-positive-temporary-residents-in-australia-prevents-transmission-and-is-inexpensive
#15
Richard T Gray, Jo Watson, Aaron J Cogle, Don E Smith, Jennifer F Hoy, Lisa A Bastian, Robert Finlayson, Fraser M Drummond, Bill Whittaker, Matthew G Law, Kathy Petoumenos
Background The aim of this study is to estimate the reduction in new HIV infections and resultant cost outcomes of providing antiretroviral treatment (ART) through Australia's 'universal access' health scheme to all temporary residents with HIV infection living legally in Australia, but currently deemed ineligible to access subsidised ART via this scheme. METHODS: A mathematical model to estimate the number of new HIV infections averted and the associated lifetime costs over 5 years if all HIV-positive temporary residents in Australia had access to ART and subsidised medical care was developed...
February 2018: Sexual Health
https://www.readbyqxmd.com/read/29321097/towards-a-supportive-policy-and-commissioning-environment-for-chemsex-in-england
#16
Monty Moncrieff
The use of drugs in sexual settings among gay men (colloquially referred to as 'chemsex') was first observed in services supporting gay men in London in the late 2000s. A decade on and it now features as a policy issue in the UK Government's latest Drug Strategy, with several actions to support a health system response. However, reaching this point has been a slow and challenging process and much remains to be done to facilitate an environment in which evidence-based chemsex interventions can be delivered. With a view to informing the development of policies and services in other contexts, this case report examines the initiatives that have driven a response to chemsex and contributed to policy development in England and highlights remaining challenges to effective service provision...
January 11, 2018: Sexual Health
https://www.readbyqxmd.com/read/29321096/chemsex-as-edgework-towards-a-sociological-understanding
#17
Ford Hickson
Sexual sessions between men, organised through mobile technologies and combined with stimulants intended to extend and intensify the session have been reified into the phenomena of 'chemsex'. Understanding chemsex requires multiple levels of analysis and interpretation. This paper considers chemsex through the lens of edgework, a sociological category for voluntary risk taking identified in 1990 by Stephen Lyng. Edgework activities involve a clear and present danger to the self, intense emotions and sensations and an opportunity to exercise specialist skills...
January 11, 2018: Sexual Health
https://www.readbyqxmd.com/read/29321095/sexual-content-in-video-games-an-analysis-of-the-entertainment-software-rating-board-classification-from-1994-to-2013
#18
Dèsirée Vidaña-Pérez, Ariela Braverman-Bronstein, Ana Basto-Abreu, Inti Barrientos-Gutierrez, Rainer Hilscher, Tonatiuh Barrientos-Gutierrez
Background: Video games are widely used by children and adolescents and have become a significant source of exposure to sexual content. Despite evidence of the important role of media in the development of sexual attitudes and behaviours, little attention has been paid to monitor sexual content in video games. Methods: Data was obtained about sexual content and rating for 23722 video games from 1994 to 2013 from the Entertainment Software Rating Board database; release dates and information on the top 100 selling video games was also obtained...
January 11, 2018: Sexual Health
https://www.readbyqxmd.com/read/29268075/intensive-sex-partying-with-gamma-hydroxybutyrate-factors-associated-with-using-gamma-hydroxybutyrate-for-chemsex-among-australian-gay-and-bisexual-men-results-from-the-flux-study
#19
Mohamed A Hammoud, Adam Bourne, Lisa Maher, Fengyi Jin, Bridget Haire, Toby Lea, Louisa Degenhardt, Jeffrey Grierson, Garrett Prestage
Background: Gamma-hydroxybutyrate (GHB) use among gay and bisexual men (GBM) has increased in recent years. It is commonly cited as a sexual-enhancement drug. There is, however, little evidence for factors associated with GHB use or the consequences of its use among GBM. Aim: Factors associated with GHB use, its relationship to sexual risk behaviour, and the contexts, consequences, and motivations for its use were examined. Methods: The Following Lives Undergoing Change (Flux) Study is an online prospective observational study of Australian GBM...
December 22, 2017: Sexual Health
https://www.readbyqxmd.com/read/29268074/gay-men-s-chemsex-survival-stories
#20
Vivienne Smith, Fiona Tasker
Background: Chemsex (the combined use of drugs and sexual experiences) by men who have sex with men is associated with the transmission of sexually transmissible infections and blood-borne viruses, but psychosocial factors associated with chemsex engagement and remission remain unidentified. In the present study we considered how do gay men self-identify a chemsex problem and remain chemsex free? Methods: Using a life course perspective, the present qualitative interview study examined participants' reflections to discern pathways in and out of chemsex engagement...
December 22, 2017: Sexual Health
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