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Understanding problematic versus non-problematic chemsex practices from a user's perspective: a qualitative study.

Doortje A C van den Dungen1, Henry J C de Vries1,2,3,4, Titia Heijman1

  • 1Center for Sexual Health, Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, The Netherlands.

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Summary
This summary is machine-generated.

Problematic chemsex, often seen in men who have sex with men, involves loss of control impacting daily life and health. Factors like mental distress contribute, while self-limits and relationships can protect against it.

Keywords:
Chemsexgood health and well beingharm reductionmen who have sex with men (MSM)qualitative researchsubstance use

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Area of Science:

  • Public Health
  • Mental Health
  • Addiction Medicine

Background:

  • Chemsex is prevalent among men who have sex with men (MSM), increasing vulnerability to HIV and STIs.
  • Recreational chemsex use is associated with significant physical and mental health risks.

Purpose of the Study:

  • To explore how MSM define problematic chemsex.
  • To identify factors contributing to and protecting against problematic chemsex.

Main Methods:

  • Semi-structured, in-depth interviews were conducted with 27 MSM who used chemsex substances.
  • Participants were recruited via the Public Health Service of Amsterdam between January and September 2023.

Main Results:

  • Problematic chemsex was defined by loss of control affecting daily life, emotional regulation, safety, and health.
  • Contributing factors included coping with mental distress, lack of purpose, escalating use, and injecting.
  • Protective factors involved self-imposed limits, fear of consequences, learning from experience, and stable relationships.

Conclusions:

  • Problematic chemsex is influenced by the interplay of psychological well-being, sense of purpose, and substance use patterns.
  • Identified indicators can inform measurable outcomes and enhance chemsex-related support and interventions.