Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland.
Gay Men's Health Service, Health Service Executive, Heytesbury Street, Dublin 8, Ireland.
AIDS Behav. 2023 Oct;27(10):3206-3212. doi: 10.1007/s10461-023-04041-z. Epub 2023 Mar 25.
Chemsex is common among gay, bisexual and other men who have sex with men (gbMSM). Although not always categorised as problematic, a link with psychological distress has been reported and might be exacerbated amongst gbMSM living with HIV, as HIV has been associated with anxiety and depression. A cross-sectional online survey of gbMSM living with HIV (n = 359) was performed incorporating the Hospital Anxiety and Depression Scale and sociodemographic variables including, HIV characteristics, chemsex and sexual behaviours. Logistic regression analysis was used to find associations with anxiety or depression. Many participants engaged in chemsex (48.5%, n = 174). Chemsex was associated with lower odds of depression (aOR 0.45, 95% CI 0.23-0.85) and not associated with anxiety (aOR 0.66, CI 0.40-1.09). Although chemsex is a public health concern; we found it was associated with lower levels of depression in gbMSM living with HIV. However, causal inference is not possible, as gbMSM with higher levels of depression might engage in chemsex less.
性化学物质使用在男同性恋、双性恋和其他与男性发生性关系的男性（gbMSM）中很常见。尽管并不总是被归类为有问题，但已经报道了与心理困扰之间存在联系，并且在与 HIV 共存的 gbMSM 中可能会加剧，因为 HIV 与焦虑和抑郁有关。对与 HIV 共存的 gbMSM（n=359）进行了横断面在线调查，纳入了医院焦虑和抑郁量表以及社会人口统计学变量，包括 HIV 特征、性化学物质使用和性行为。使用逻辑回归分析来寻找与焦虑或抑郁相关的因素。许多参与者参与了性化学物质使用（48.5%，n=174）。性化学物质使用与抑郁的几率降低相关（aOR 0.45，95%CI 0.23-0.85），与焦虑无关（aOR 0.66，CI 0.40-1.09）。尽管性化学物质使用是一个公共卫生问题；但我们发现，它与与 HIV 共存的 gbMSM 中较低水平的抑郁相关。然而，不能进行因果推断，因为抑郁水平较高的 gbMSM 可能较少参与性化学物质使用。
