Trends and Analysis Sector, Public Health Unit, European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289 Lisbon, Portugal.
Sigma Research, Department of Public health, Environments and Society, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom.
Int J Drug Policy. 2018 May;55:149-154. doi: 10.1016/j.drugpo.2018.03.017. Epub 2018 Mar 27.
Sexualised drug use (SDU), the use of drugs in a sexual context, has emerged as a marker of high-risk sexual activity and poor sexual health among gay, bisexual and other men who have sex with men, however, there are no robust estimates of the prevalence of SDU. The primary sources of surveillance data on SDU should include both sexual health and drug treatment services. The challenges to achieving comprehensive, timely and valid SDU surveillance include establishing case definitions, selecting appropriate surveillance settings, and normalising the monitoring of SDU at clinical services. In this commentary we propose a means to address these challenges and discuss other sources of SDU data from ad hoc population surveys and sentinel systems. We also present case studies of SDU surveillance development in England and Switzerland. The patterns of SDU will be affected by a rapidly changing drug market and, as a result, surveillance systems must continuously adapt to ensure that they are fit for purpose and can provide data to guide policy.
性化药物使用（SDU），即在性行为中使用药物，已经成为男同性恋、双性恋和其他与男性发生性关系的男性中高危性行为和不良性健康的标志，然而，目前还没有关于 SDU 流行率的可靠估计。SDU 监测的主要数据源应包括性健康和毒品治疗服务。实现全面、及时和有效 SDU 监测的挑战包括建立病例定义、选择适当的监测环境以及规范临床服务中对 SDU 的监测。在这篇评论中，我们提出了一种解决这些挑战的方法，并讨论了来自特定人群调查和监测系统的其他 SDU 数据来源。我们还介绍了英国和瑞士 SDU 监测发展的案例研究。SDU 的模式将受到快速变化的毒品市场的影响，因此，监测系统必须不断适应，以确保其符合目的，并能够提供数据来指导政策。
