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https://www.readbyqxmd.com/read/29778262/understanding-and-addressing-hepatitis-c-virus-reinfection-among-men-who-have-sex-with-men
#1
REVIEW
Thomas C S Martin, Andri Rauch, Luisa Salazar-Vizcaya, Natasha K Martin
Hepatitis C virus reinfection rates among men who have sex with men are high. Factors associated with infection point to varied sexual and drug-related risks that could be targeted for interventions to prevent infection/reinfection. Modeling indicates that tackling increasing incidence and high reinfection rates requires high levels of hepatitis C virus treatment combined with behavioral interventions. Enhanced testing strategies and prompt retreating of reinfection may be required to promptly diagnosed reinfections...
June 2018: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/29762169/change-in-sexual-risk-behaviour-after-six-months-of-pre-exposure-prophylaxis-use-results-from-the-amsterdam-prep-demonstration-project
#2
Elske Hoornenborg, Liza Coyer, Anna van Laarhoven, Roel Achterbergh, Henry de Vries, Maria Prins, Maarten Schim van der Loeff
OBJECTIVE: HIV pre-exposure prophylaxis (PrEP) use may lead to higher STI incidence via behavioral risk compensation. We examined changes in sexual behaviour between baseline and six months after PrEP initiation among men who have sex with men (MSM) and transgender women (TGW). DESIGN: Prospective, open-label demonstration study at a large sexually transmitted infections (STI) clinic in Amsterdam, the Netherlands. METHODS: Participants answered questions about sexual behaviour in the preceding three months, including number of anal sex partners and frequency of anal sex with and without condom by partner type and were tested for STI...
May 11, 2018: AIDS
https://www.readbyqxmd.com/read/29754596/sharing-solutions-for-a-reasoned-and-evidence-based-response-chemsex-party-and-play-among-gay-and-bisexual-men
#3
Adam Bourne, Jason Ong, Mark Pakianathan
This Special Issue of Sexual Health examines research and healthcare practice relating to sexualised drug use among gay, bisexual and other men who have sex with men (GBMSM), colloquially known as 'chemsex' or 'party and play' (PnP). It draws together evidence relating to the epidemiology, sociology and psychology of chemsex, as well as the policy, community and clinical interventions that are required to ensure men have access to high-quality health care that meets their needs and reduces harm. Findings and discussions within the Issue emphasise the need to sensitively, non-judgementally and meaningfully engage with gay men about their engagement in chemsex in order to help improve their sexual health and wider wellbeing...
April 2018: Sexual Health
https://www.readbyqxmd.com/read/29749877/the-british-association-for-sexual-health-and-hiv-2016-uk-national-audit-and-survey-of-clinic-policies-in-relation-to-risk-assessment-hiv-testing-and-follow-up
#4
S Bhaduri, H Curtis, H McClean, A K Sullivan
This national audit of 142 clinics demonstrated that the majority of clinics surveyed had policies and agreed clinical practice for alcohol and recreational drug enquiry, as well as documentation of HIV test refusal, although this was not the case in 24% of clinics as regards alcohol usage, 21% of clinics as regards recreational drugs use and 43% of clinics as regards chemsex usage. Regarding management of HIV test refusal, there was no policy or agreed practice in 13% of clinics with respect to men having sex with men (MSM) attenders, and in 18% of clinics for heterosexual attenders...
January 1, 2018: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/29743005/bashh-2016-uk-national-audit-and-survey-of-hiv-testing-risk-assessment-and-follow-up-case-note-audit
#5
Sumit Bhaduri, Hilary Curtis, Hugo McClean, Ann K Sullivan
This national audit demonstrated discrepancies between actual practice and that indicated by clinic policies following enquiry about alcohol, recreational drugs and chemsex use. Clinics were more likely to enquire about risk behaviour if this was clinic policy or routine practice. Previous testing was the most common reason for refusing HIV testing, although 33% of men who have sex with men had a prior test of more than three months ago. Of the group declining due to recent exposure in the window period, 21/119 cases had an exposure within the four weeks prior to presentation, but had a previous risk not covered by previous testing...
January 1, 2018: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/29716442/2017-european-guideline-for-the-screening-prevention-and-initial-management-of-hepatitis-b-and-c-infections-in-sexual-health-settings
#6
Gary Brook, Norbert Brockmeyer, Thijs van de Laar, Sven Schellberg, Andrew J Winter
This guideline updates the 2010 European guideline for the management of hepatitis B and C virus infections. It is primarily intended to provide advice on testing, prevention and initial management of viral hepatitis B and C for clinicians working in sexual health clinical settings in European countries. The guideline is in a new question and answer format based on clinical situations, from which population/intervention/comparison/outcome questions were formulated. Updates cover areas such as epidemiology, point-of-care tests for hepatitis B, hepatitis C risk and 'chemsex', and HIV pre-exposure prophylaxis and hepatitis B...
January 1, 2018: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/29702337/correlates-and-subgroups-of-injecting-drug-use-in-uk-gay-and-bisexual-men-findings-from-the-2014-gay-men-s-sex-survey
#7
G J Melendez-Torres, Adam Bourne, Ford Hickson, David Reid, Peter Weatherburn
BACKGROUND: Evidence to understand which gay and bisexual men (GBM) inject drugs remains scant, especially in the UK. We describe correlates of last-year injecting in UK GBM, and characterise subgroups of GBM who inject drugs by types of drugs used. METHODS: Using data from the 2014 Gay Men's Sex Survey, an opportunistic internet-based survey conducted of GBM living in the UK, we examined via logistic regression correlates with any injecting of six drugs (amphetamine/speed, crystal methamphetamine, heroin, mephedrone, GHB/GBL, and ketamine) in the last year...
April 16, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29700052/changes-in-recreational-drug-use-drug-use-associated-with-chemsex-and-hiv-related-behaviours-among-hiv-negative-men-who-have-sex-with-men-in-london-and-brighton-2013-2016
#8
Janey Sewell, Valentina Cambiano, Ada Miltz, Andrew Speakman, Fiona C Lampe, Andrew Phillips, David Stuart, Richard Gilson, David Asboe, Nneka Nwokolo, Amanda Clarke, Graham Hart, Alison Rodger
OBJECTIVES: The objective of this study was to compare the prevalence of polydrug use, use of drugs associated with chemsex, specific drug use, and HIV-related behaviours, between two time periods , using two groups of HIV-negative men who have sex with men (MSM) attending the same sexual health clinics in London and Brighton, in two consecutive periods of time from 2013 to 2016. METHODS: Data from MSM in the cross-sectional Attitudes to and Understanding Risk of Acquisition of HIV (AURAH) study (June 2013 to September 2014) were compared with baseline data from different MSM in the prospective cohort study Attitudes to and Understanding Risk of Acquisition of HIV over Time (AURAH2) (November 2014 to April 2016)...
April 26, 2018: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29661572/chemsex-and-mental-health-as-part-of-syndemic-in-gay-and-bisexual-men
#9
Perry N Halkitis, Stuart N Singer
A commentary is provided on the study reported by Garrett Prestage and his colleagues, which examined the relations between mental health states, non-injection drug use and sexual risk behaviors in a cross-sectional sample of 3,017Australian gay and bisexual men. We provide a summary of the findings in relation to the extant literature on the interconnectedness of these behaviors and health states and interpret the findings in this regard, noting both strengths and limitations. We couch our commentary in a theory of syndemics for considering how these associations may manifest and for informing both research and practice...
April 13, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29655906/substance-use-and-sex-index-susi-first-stage-development-of-an-assessment-tool-to-measure-behaviour-change-in-sexualised-drug-use-for-substance-use-treatment-studies
#10
Nadine Ezard, Beatrice Webb, Brendan Clifford, Michael E Cecilio, Amanda Jellie, Toby Lea, Craig Rodgers, Simon Ruth, Raimondo Bruno
BACKGROUND: Existing tools for measuring blood-borne virus (BBV) and sexually transmitted infection (STI) transmission risk behaviours in substance use interventions have limited capacity to assess risk behaviours across varied social, cultural and epidemiological contexts; have not evolved alongside HIV treatment and prevention innovations; or accounted for sexual contexts of drug use including among a range of lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) sub-communities...
April 11, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29625796/sexualised-drug-use-in-the-united-kingdom-uk-a-review-of-the-literature
#11
Claire Edmundson, Ellen Heinsbroek, Rachel Glass, Vivian Hope, Hamish Mohammed, Martin White, Monica Desai
BACKGROUND: Sexualised drug use (SDU) refers to the use of drugs in a sexual context. This includes 'Chemsex'- the use of drugs (specifically crystal methamphetamine, GHB/GBL and mephedrone) before or during planned sexual activity to sustain, enhance, disinhibit or facilitate the experience. Here we aimed to synthesise available UK prevalence data for Chemsex, SDU and the use of Chemsex drugs in an undefined context (CDU) in men who have sex with men (MSM). METHODS: Papers published between January 2007 and August 2017 reporting Chemsex, SDU and/or Chemsex drug use (CDU) prevalence in MSM were identified through PubMed...
April 3, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29620925/sexualized-drug-use-chemsex-is-associated-with-high-risk-sexual-behaviors-and-sexually-transmitted-infections-in-hiv-positive-men-who-have-sex-with-men-data-from-the-u-sex-gesida-9416-study
#12
Alicia González-Baeza, Helen Dolengevich-Segal, Ignacio Pérez-Valero, Alfonso Cabello, María Jesús Téllez, José Sanz, Leire Pérez-Latorre, José Ignacio Bernardino, Jesús Troya, Sara De La Fuente, Otilia Bisbal, Ignacio Santos, Sari Arponen, Víctor Hontañon, José Luis Casado, Pablo Ryan
The magnitude of sexualized drug use (SDU), also known as chemsex, and its association with sexually transmitted infections (STI) has not been systematically explored in HIV-positive patients. This study aimed to calculate the prevalence of SDU and associated factors in a sample of HIV-positive men who have sex with men (MSM) in Spain. We calculated the frequency of SDU in a sample of HIV-positive MSM who responded to an anonymous online survey on sexual behavior and recreational drug use. We also analyzed differences between those who responded and those who did not (data taken from the physician's registry)...
March 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29605540/the-management-of-methamphetamine-use-in-sexual-settings-among-men-who-have-sex-with-men-in-malaysia
#13
Sin How Lim, Mohd Akbar, Jeffrey A Wickersham, Adeeba Kamarulzaman, Frederick L Altice
BACKGROUND: The intentional use of illicit drugs for sexual purposes (also known as 'chemsex') is well known within the MSM communities in Malaysia although research in this population is scarce primarily because both drug use and homosexuality are illegal and stigmatised in Malaysia. METHODS: From April to December 2014, interviews were conducted with twenty men (age range 21-43) living in Greater Kuala Lumpur who had sexual intercourse with other men in the past 6 months and who used illicit drugs at least monthly in the past 3 months...
March 28, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29592830/a-community-led-harm-reduction-approach-to-chemsex-case-study-from-australia
#14
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
#15
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
#16
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
#17
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
#18
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/29535222/shigellosis-outbreak-among-msm-living-with-hiv-a-case-control-study-in-taiwan-2015-2016
#19
Hao-Hsin Wu, Yi-Ting Shen, Chien-Shun Chiou, Chi-Tai Fang, Yi-Chun Lo
OBJECTIVES: Outbreaks of shigellosis among men who have sex with men (MSM) have been reported since the late 1990s. HIV infection is an important risk factor. Since 2014, the global shigellosis epidemic has intensified. Whether chemsex (the use of crystal methamphetamine, γ-hydroxybutyrate or mephedrone to enhance sex) is a new risk factor has not been previously examined. METHODS: We conducted a population-based, case-control study in Taiwan. Acute shigellosis cases diagnosed during the 2015 outbreak among MSM living with HIV were compared with those without shigellosis...
March 13, 2018: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29526546/the-new-mtv-generation-using-methamphetamine-truvada%C3%A2-and-viagra%C3%A2-to-enhance-sex-and-stay-safe
#20
Mohamed A Hammoud, Stefanie Vaccher, Fengyi Jin, Adam Bourne, Bridget Haire, Lisa Maher, Toby Lea, Garrett Prestage
INTRODUCTION: Gay and bisexual men (GBM) often use illicit drugs to enhance sexual pleasure, commonly referred to as 'chemsex' or 'party n play'. In particular, the use of methamphetamine and Viagra™, and other erectile dysfunction medications, both together and separately are strongly predictive of subsequent HIV infection. Truvada™, as pre-exposure prophylaxis (PrEP), virtually eliminates HIV transmission during condomless anal intercourse (CLAI). HIV-negative GBM in intensive sex partying networks may be adding PrEP to their drug regimen to actively reduce the possibility of HIV transmission during chemsex...
March 8, 2018: International Journal on Drug Policy
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