a Public Health Institute, Liverpool John Moore's University , Liverpool , UK.
b Substance Misuse Programme, Irish College of General Practitioners , Dublin , Ireland.
Cult Health Sex. 2019 Sep;21(9):1074-1086. doi: 10.1080/13691058.2018.1529336. Epub 2019 Jan 2.
Club drug use among gay, bisexual and other men who have sex with men is increasingly normalised within sexual contexts and is associated with increased sexual risk behaviours. The term Chemsex is used to describe sexualised drug use lasting several hours or days with multiple sexual partners. A small pilot study, underpinned by interpretative phenomenological analysis (IPA), was conducted in Dublin, Ireland. Interviews were conducted with 10 men who were experiencing physical and emotional health problems as a consequence of their participation in sexualised drug use and wished to exit the Chemsex scene. Interviews explored experiences of sexualised drug use, motives to partake, the organisation of Chemsex parties and group connectivity, drugs used, harm reduction, pleasure and consequences of participation over time. Four basic themes emerged from the analysis: social and cyber arrangements within the Dublin Chemsex scene; poly drug use and experiences of drug dependence; drug and sexual harm reduction within the Chemsex circle of novices and experts; and sexualised drug use, escapism and compulsive participation. Two higher-order themes were also apparent: first, the reinforcing aspects of drug and sexual pleasure; and second, the interplay between excess drug consumption and sex, and drug dependence.
在性接触中，男同性恋者、双性恋者和其他与男性发生性关系的男性的俱乐部药物使用越来越正常化，并且与增加的性风险行为有关。术语“Chemsex”用于描述持续数小时或数天且与多个性伴侣发生性关系的性化药物使用。在爱尔兰都柏林进行了一项小规模试点研究，该研究以解释性现象学分析（IPA）为基础。对 10 名因参与性化药物使用而导致身体和心理健康问题并希望退出 Chemsex 场景的男性进行了访谈。访谈探讨了性化药物使用的经验、参与的动机、Chemsex 派对的组织和群体联系、使用的药物、减少伤害、随着时间的推移的快感和参与的后果。分析中出现了四个基本主题：都柏林 Chemsex 场景中的社会和网络安排；多药物使用和药物依赖体验；Chemsex 新手和专家圈子中的药物和性伤害减少；以及性化药物使用、逃避现实和强迫参与。还出现了两个更高层次的主题：首先，药物和性快感的增强方面；其次，过量药物消费与性和药物依赖之间的相互作用。
