TCHS-2016-0336.R3 Track Changes Accepted - SUBMITTED PDF.pdf (516.66 kB)
Syndemics of stigma, minority-stress, maladaptive coping, risk environments and littoral spaces among men who have sex with men using chemsex
journal contribution
posted on 2023-06-09, 07:09 authored by Alexander Pollard, Tom Nadarzynski, Carrie LlewellynCarrie LlewellynThere 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.
Funding
PEPSE; G0773; NATIONAL INSTITUTE FOR HEALTH RESEARCH; PB-PG-011021005
History
Publication status
- Published
File Version
- Accepted version
Journal
Culture, Health and SexualityISSN
1369-1058Publisher
Taylor & FrancisExternal DOI
Issue
4Volume
20Page range
411-427Department affiliated with
- Primary Care and Public Health Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2017-07-13First Open Access (FOA) Date
2018-07-25First Compliant Deposit (FCD) Date
2017-07-12Usage metrics
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