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[Abstract] ‘I was struggling to feel intimate, the drugs just helped’. Chemsex and HIV-risk among men who have sex with men (MSM) in the UK: syndemics of stigma, minority-stress, maladaptive coping and risk
conference contribution
posted on 2023-06-09, 07:09 authored by Alexander Pollard, Tom Nadarzynski, Carrie LlewellynCarrie LlewellynIntroduction: There has been a steep rise in the use of drugs during sex by some men who have sex with men (MSM), with associated increases in sexual risk for HIV and other STIs. This ‘Chemsex’ has been described, but there is a lack of theoretical perspectives applied to this particular phenomenon. We aimed to assess participants’ reasoning and conceptualisation of Chemsex and situate this within theoretical frameworks. Methods: This study presents data from telephone interviews with 15 MSM attending sexual health clinics following a risk of HIV and accessing post-exposure prophylaxis (PEP). Interviews were conducted as part of a larger interventional study, which used an adapted version of Motivational Interviewing to explore risk behaviour and support change. We used Framework analysis on interview transcripts in order to understand participants’ perspectives on the use of chemsex. Results: Participants conceptualised their chemsex and HIV risks in their psycho-social context, highlighting the influence of the psycho-socio-cultural challenges of homophobic marginalisation and the ‘gay scene’ on their behaviour. Narratives of loneliness and difficulties in forming satisfying social and sexual relationships were repeatedly identified. Discussion: Multiple influences of stigma, minority stress and maladaptive coping (including drug-use) are seen to contribute to syndemic ‘risk-environments’ in which chemsex and risk behaviours are played out. Interventions to address the harms of chemsex must recognise the complex psychosocial context of risk, and shift the responsibility for change from vulnerable individuals to a shared responsibility distributed across social, political and institutional contexts.
Funding
PEPSE; G0773; NATIONAL INSTITUTE FOR HEALTH RESEARCH; PB-PG-011021005
History
Publication status
- Published
File Version
- Published version
Journal
Sexually Transmitted InfectionsISSN
1368-4973Publisher
BMJ Publishing GroupPublisher URL
External DOI
Issue
SupplVolume
93Article number
A5Event name
British Association for Sexual Health and HIV Annual ConferenceEvent location
BelfastEvent type
conferenceEvent date
18-20/6/2017Place of publication
LondonDepartment affiliated with
- Primary Care and Public Health Publications
Notes
Published oral conference presentationFull text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2017-07-13First Open Access (FOA) Date
2017-07-13First Compliant Deposit (FCD) Date
2017-07-12Usage metrics
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