Tomkins Andrew, Vivancos Roberto, Ward Chris, Kliner Merav
1 Pennine Acute Hospitals NHS Trust & Public Health England/BASHH Fellowship, Manchester, UK.
2 National Infection Service, Public Health England, UK.
Int J STD AIDS. 2018 Feb;29(2):128-134. doi: 10.1177/0956462417719643. Epub 2017 Jul 10.
Reports of sexualised drug taking (chemsex) have increased significantly in recent years. There is currently limited intelligence on chemsex outside of London. An anonymous survey was promoted via several sources including voluntary services and a sexual health clinic in order to establish the risks associated with chemsex, and how support services can best be tailored to meet the needs of those in Greater Manchester, UK. Quantitative and qualitative data were collected on demographics, drug use, sexual practices and barriers and facilitators to accessing support. Fifty-two men who have sex with men completed the online survey. Thirty-nine (75%) were HIV-positive and 11 (21%) were hepatitis C virus (HCV) positive, all of whom were HIV/HCV co-infected. The most commonly used drugs were mephedrone (81%) and gamma hydroxybutyrate/gamma butyrolactone (79%). Nineteen (37%) reported ever injecting drugs. High-risk sexual practices were reported by respondents. Barriers to accessing support included a fear of being recognised. Findings demonstrate those engaging in chemsex are participating in a number of high-risk sexual practices, taking substances with significant risks and administering these substances in potentially high-risk ways. Results demonstrate the need for promotion of existing services, with key areas to target where chemsex sessions are most commonly arranged. Results may be useful in other metropolitan cities, both for commissioning and tailoring of chemsex support services.
近年来，关于性化吸毒（化学性爱）的报道显著增加。目前，伦敦以外地区关于化学性爱的情报有限。通过包括志愿服务机构和一家性健康诊所在内的多个渠道推广了一项匿名调查，以确定与化学性爱相关的风险，以及如何最好地调整支持服务以满足英国大曼彻斯特地区人群的需求。收集了关于人口统计学、药物使用、性行为以及获得支持的障碍和促进因素的定量和定性数据。52名男男性行为者完成了在线调查。39人（75%）为艾滋病毒阳性，11人（21%）为丙型肝炎病毒（HCV）阳性，所有这些人都是艾滋病毒/丙型肝炎病毒合并感染。最常用的药物是甲麻黄碱（81%）和γ-羟基丁酸/γ-丁内酯（79%）。19人（37%）报告曾注射毒品。受访者报告了高风险的性行为。获得支持的障碍包括担心被认出来。研究结果表明，参与化学性爱的人正在参与一些高风险的性行为，服用有重大风险的物质，并以潜在的高风险方式使用这些物质。结果表明有必要推广现有服务，并确定化学性爱活动最常安排的关键目标领域。研究结果可能对其他大城市在化学性爱支持服务的委托和调整方面有用。
