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Association of Sexualized Drug Use Patterns with HIV/STI Transmission Risk in an Internet Sample of Men Who Have Sex with Men from Seven European Countries

2020Journal article Restricted access
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dc.contributor.authorGuerras, Juan-Miguel
dc.contributor.authorHoyos Miller, Juan
dc.contributor.authorAgustí, Cristina
dc.contributor.authorChanos, Sophocles
dc.contributor.authorPichon, François
dc.contributor.authorKuske, Matthias
dc.contributor.authorCigan, Bojan
dc.contributor.authorFuertes, Ricardo
dc.contributor.authorStefanescu, Roxana
dc.contributor.authorOoms, Lieselot
dc.contributor.authorCasabona, Jordi
dc.contributor.authorde la Fuente, Luis
dc.contributor.authorBelza, María-José
dc.contributor.authorFernández-Balbuena, S
dc.contributor.authorMaté, T.
dc.contributor.authorFernández, L.
dc.contributor.authorPlatteau, T.
dc.contributor.authorSlaeen, P.
dc.contributor.authorLixandru, M.
dc.contributor.authorCosic, M.
dc.date.accessioned2024-07-23T16:12:19Z
dc.date.available2024-07-23T16:12:19Z
dc.date.issued2020
dc.description.abstractWe estimated the prevalence of overall sexualized drug use (SDU) and of chemsex in particular, assessed patterns of drug use, and identified subpopulations of men who have sex with men (MSM) where SDU and chemsex are more frequent. Using data from an online survey of 9407 MSM recruited during 2016 in 7 European countries, we calculated the proportion of participants who reported SDU and chemsex (mephedrone, methamphetamine, and/or GHB/GBL) in the last 12 months. We grouped the different drug-use combinations in patterns and described sexual risk behaviors, sexually transmitted infections (STI), and HIV seropositivity for each one of them. Factors associated with SDU and chemsex were assessed with two logistic regression models. SDU was reported by 17.7% and chemsex by 5.2%. Risk indicators increased through the different SDU patterns but were higher within those including chemsex drugs. In the multivariate analysis, chemsex was independently associated with living in Slovenia. Both SDU and chemsex were independently associated with living in Spain; being < 50 years old; living in cities of > 500,000 inhabitants; being open about their sex life; reporting transactional sex; condomless anal intercourse; having received an STI diagnosis and with being HIV positive or having been tested ≤ 12 months ago. Magnitude of associations was higher in the chemsex model. One in five participants reported SDU, but prevalence of chemsex was notably lower. However, the risk profiles and higher prevalence of HIV/STIs among those involved in chemsex suggest the existence of a subpopulation of MSM that could be playing a relevant role in the HIV and STI epidemics, especially in very large cities of some countries.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1007/s10508-020-01801-zpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/51340
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectHIVpt_PT
dc.subjectMen who have sex with menpt_PT
dc.subjectChemsexpt_PT
dc.subjectDrug usept_PT
dc.titleAssociation of Sexualized Drug Use Patterns with HIV/STI Transmission Risk in an Internet Sample of Men Who Have Sex with Men from Seven European Countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage477pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage461pt_PT
oaire.citation.titleArchives of Sexual Behaviorpt_PT
oaire.citation.volume50pt_PT
person.familyNameFuertes
person.givenNameRicardo
person.identifier.ciencia-idA615-08E1-6C13
person.identifier.orcid0000-0002-8562-2014
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication16c8ffa4-73eb-479b-a64f-ba317a6dcd89
relation.isAuthorOfPublication.latestForDiscovery16c8ffa4-73eb-479b-a64f-ba317a6dcd89

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