Gavín Patricia, Arbelo Néstor, Monràs Miquel, Nuño Laura, Bruguera Pol, de la Mora Lorena, Martínez-Rebollar María, Laguno Montserrat, Blanch Jordi, Miquel Laia
Hospital Clínic de Barcelona. Institut Clínic de Neurociènces. Barcelona. España.
Grup de Recerca en Addiccions Clínic (GRAC). Unidad de conductas adictivas. Departamento de Psiquiatría. Institut Clínic de Neurociències. Barcelona. España.
Rev Esp Salud Publica. 2021 Aug 31;95:e202108108.
Chemsex is a term applicable to the use of drugs related to sex among men who have sex with men (MSM). Because it is a recent trend, there is little information about its management and consequences. The aim of the study was to describe the clinical profile of a sample of chemsex users who consulted for treatment.
This is a longitudinal and retrospective study of 53 patients who consulted for chemsex in an addiction unit of a general hospital in Barcelona, from January 2017 to June 2019. Data was collected from electronic medical records and a descriptive analysis was performed by calculating proportions and means.
The most common drug used in chemsex was methamphetamine (81.1%; n=43) and 67.4% (n=29) of these used at least other two drugs. The prevalence of HIV infection was high (71.2%; n=37) and 72.1% (n=41) had psychiatric comorbidity, being the most common psychosis (37.2%; n=16).
Methamphetamine was the most common drug chemsex user's seeked for treatment. Furthermore, there is a high prevalence of HIV diagnosis in this population. Both conditions can enhance the risk of suffering from psychosis and may explain why psychiatric comorbidity is so high in the sample.
“化学性爱”是一个适用于男男性行为者（MSM）中使用与性相关药物情况的术语。由于这是一种新趋势，关于其管理和后果的信息很少。本研究的目的是描述前来寻求治疗的“化学性爱”使用者样本的临床特征。
这是一项对2017年1月至2019年6月期间在巴塞罗那一家综合医院成瘾科因“化学性爱”前来咨询的53例患者进行的纵向回顾性研究。数据从电子病历中收集，并通过计算比例和均值进行描述性分析。
“化学性爱”中最常用的药物是甲基苯丙胺（81.1%；n = 43），其中67.4%（n = 29）至少还使用其他两种药物。艾滋病毒感染率很高（71.2%；n = 37），72.1%（n = 41）有精神疾病合并症，最常见的是精神病（37.2%；n = 16）。
甲基苯丙胺是“化学性爱”使用者寻求治疗时最常用的药物。此外，该人群中艾滋病毒诊断率很高。这两种情况都可能增加患精神病的风险，也可能解释了样本中精神疾病合并症为何如此之高。
