Nimbi Filippo Maria, Rosati Fau, Esposito Rita Maria, Stuart David, Simonelli Chiara, Tambelli Renata
Department of Dynamic, Clinical and Health Psychology, Sapienza University of Rome, Italy.
Department of Developmental and Social Psychology, Sapienza University of Rome, Italy.
J Sex Med. 2021 Dec;18(12):1955-1969. doi: 10.1016/j.jsxm.2021.09.013. Epub 2021 Oct 28.
Most studies on chemsex focus on the health risks associated with the practice, whereas less attention has been paid to the perception of sexual gratification in men who have sex with men (MSM) who use these substances.
The purpose of this study was to explore the effects of chemsex substances on sexual response, motivations to engage in chemsex and the relationship with sober sex.
Thirty-one Italian cisgender MSM involved in sexualized drug use were interviewed and transcripts were thematically analyzed.
An ad hoc grid exploring sociodemographic data, chemsex sexual experience, motives, and relationships with sober sex was used during telephone-based interviews.
Participants showed significant individual differences in how chems may affect their sexual experience. The most reported effects were an increase in sexual desire and subjective arousal, access to higher disinhibition, possible erection and ejaculation difficulties, significant extension of the sexual experience duration, and an intensified perception of intimacy and pleasure. All the positive outcomes of substances on sex creates a great curiosity around chemsex, which is among the primary motives to engage in chemsex for the first time. Over time, other motives may emerge, also connected to substance abuse and craving. Some men reported to be motivated by their partners and friends and to use chemsex to cope with depressive mood/anxiety symptoms, stress and sexual problems. Many differences were reported between chemsex and sober sex. Chemsex seems to embody the idea of transgressive and exciting sex, while sober sex is outlined as a more intimate encounter, that can be significantly affected by performance anxiety.
These results offer some new perspectives that may add interesting information to the literature and be fundamental for future prevention and harm-reduction projects.
STRENGTHS & LIMITATIONS: Although this study is based on a small group of Italian MSM and the interviews were not audio-recorded, transcripts were consistent with scientific literature that considers it important to pay attention to the positive links between sex and substance use.
The promotion of safer sexual behavior should contemplate an in-depth discussion and recognition of both pleasurable and distressing aspects of chemsex sexual experience, its motivations over time and perceived differences with sober sex. Nimbi FM, Rosati F, Esposito RM, et al. Sex in Chemsex: Sexual Response, Motivations, and Sober Sex in a Group of Italian Men Who Have Sex With Men With Sexualized Drug Use. J Sex Med 2021;18:1955-1969.
大多数关于化学性行为的研究都聚焦于该行为所带来的健康风险，而对于使用这些物质的男男性行为者（MSM）的性快感认知关注较少。
本研究旨在探讨化学性行为物质对性反应的影响、参与化学性行为的动机以及与清醒状态下性行为的关系。
对31名参与性化药物使用的意大利顺性别男男性行为者进行了访谈，并对访谈记录进行了主题分析。
在基于电话的访谈中，使用了一个专门设计的表格来探究社会人口学数据、化学性行为的性体验、动机以及与清醒状态下性行为的关系。
参与者在化学物质对其性体验的影响方面存在显著的个体差异。最常被报告的影响包括性欲和主观兴奋感增加、更高程度的去抑制、可能出现的勃起和射精困难、性体验持续时间显著延长，以及对亲密感和愉悦感的感知增强。物质对性的所有积极影响引发了人们对化学性行为的极大好奇，这是首次参与化学性行为的主要动机之一。随着时间的推移，可能会出现其他动机，也与药物滥用和成瘾有关。一些男性报告称，他们受到伴侣和朋友的影响，并通过化学性行为来应对抑郁情绪/焦虑症状、压力和性问题。化学性行为和清醒状态下的性行为之间存在许多差异。化学性行为似乎体现了越轨和刺激的性观念，而清醒状态下的性行为则被描述为更亲密的接触，可能会受到表现焦虑的显著影响。
这些结果提供了一些新的视角，可能会为文献增添有趣的信息，并对未来的预防和减少伤害项目至关重要。
尽管本研究基于一小群意大利男男性行为者，且访谈未进行录音，但访谈记录与科学文献一致，后者认为关注性与物质使用之间的积极联系很重要。
促进更安全的性行为应考虑深入讨论和认识化学性行为性体验的愉悦和困扰方面、其随时间变化的动机以及与清醒状态下性行为的感知差异。Nimbi FM、Rosati F、Esposito RM等人。化学性行为中的性：一组有性化药物使用的意大利男男性行为者的性反应、动机和清醒状态下的性行为。《性医学杂志》2021年；18：1955 - 1969。
