Syndemics of stigma, minority-stress, maladaptive coping, risk environments and littoral spaces among men who have sex with men using chemsex

Pollard, Alexander, Nadarzynski, Tom and Llewellyn, Carrie (2017) Syndemics of stigma, minority-stress, maladaptive coping, risk environments and littoral spaces among men who have sex with men using chemsex. Culture, Health and Sexuality. ISSN 1369-1058 (Accepted)

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Abstract

There has been a steep rise in the use of drugs during sex by some men who have sex with men in economically developed countries, with associated increases in sexual risk for HIV and other STIs. This paper presents data from telephone interviews with 15 men attending sexual health clinics for post-exposure prophylaxis (PEP) following a chemsex-related risk for HIV, and discusses some of the theoretical approaches that have been employed to understand chemsex and inform interventions. Interviews were conducted as part of a larger intervention study, which used an adapted version of motivational Interviewing to explore risk behaviour and support change. Participants conceptualised their chemsex and HIV-related risks in a psycho-social context, highlighting the influences of psycho-socio-cultural challenges of homophobic marginalisation and the ‘gay scene’ on behaviour. Multiple influences of stigma, marginalisation, minority stress and maladaptive coping (including drug-use) contribute to syndemic ‘risk-environments’ and ‘littoral spaces’ in which chemsex and risk behaviours are played out.

Item Type: Article
Keywords: gay, chemsex, drugs, behaviour, sex between men, UK
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology > HV5800 Drug habits. Drug abuse
Depositing User: Alexander Pollard
Date Deposited: 13 Jul 2017 07:58
Last Modified: 13 Jul 2017 08:05
URI: http://sro.sussex.ac.uk/id/eprint/69206

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Project NameSussex Project NumberFunderFunder Ref
PEPSEG0773NATIONAL INSTITUTE FOR HEALTH RESEARCHPB-PG-011021005