Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.
Lancet HIV. 2022 Oct;9(10):e717-e725. doi: 10.1016/S2352-3018(22)00124-2. Epub 2022 Aug 1.
Numerous studies have identified an association between the use of drugs in sexual contexts (chemsex) and HIV among gay, bisexual, and other men who have sex with men (GBMSM), although whether a causal relationship exists is contentious. An intricate relationship exists between chemsex, HIV treatment and prevention, harm reduction, and the provision of community-grounded health services. Furthermore, potential harms exist beyond HIV, such as intoxication and overdose. Community-engaged responses to chemsex involve social and cultural strategies of harm reduction and sexual health promotion before, during, and after a chemsex session. Ultimately, this Review calls for actions and collaborations aimed at developing a greater understanding of chemsex as a practice within different GBMSM subpopulations and to develop tailored harm-reduction models that can accommodate GBMSM who engage in chemsex in various ways and with varied effects.
许多研究已经确定，在性活动中使用药物（化学性行为）与男同性恋、双性恋和其他与男性发生性关系的男性（GBMSM）中的艾滋病毒之间存在关联，尽管是否存在因果关系存在争议。化学性行为、艾滋病毒治疗和预防、减少伤害以及提供以社区为基础的卫生服务之间存在着复杂的关系。此外，除了艾滋病毒之外，还存在潜在的危害，如中毒和过量。针对化学性行为的社区参与措施包括在化学性行为之前、期间和之后采取社会和文化方面的减少伤害和促进性健康战略。最终，这篇综述呼吁采取行动和合作，旨在加深对化学性行为作为不同 GBMSM 亚群体内一种行为的理解，并制定针对不同方式和效果参与化学性行为的 GBMSM 的量身定制的减少伤害模式。
