School of Medicine and Health, University College Cork, Cork, Ireland.
School of Public Health, University College Cork, Cork, Ireland.
PLoS One. 2023 Jul 28;18(7):e0288171. doi: 10.1371/journal.pone.0288171. eCollection 2023.
Gay, bisexual, and other men who have sex with men (gbMSM) report a higher prevalence of drug use in comparison to the general male population. However, in Ireland, there is a paucity of literature regarding the prevalence of drug use and its determinants among gbMSM.
AIMS/OBJECTIVES: To quantify the prevalence of (i) recreational drug use (RDU) and (ii) sexualised drug use (SDU) among gbMSM in Ireland, and to identify the factors associated with these drug use practices.
The European MSM Internet Survey (EMIS) 2017 was an online, anonymous, internationally-promoted questionnaire. Two binary outcomes were included in our analyses: (1) RDU and (2) SDU in the previous year. Multivariable-adjusted logistic regression explored factors associated with these outcomes, and all independent covariates were adjusted for one another.
Among gbMSM without HIV (n = 1,898), 40.9% and 13.1% engaged in RDU and SDU in the previous year, respectively. Among diagnosed-positive gbMSM (n = 141), the past-year respective prevalence estimates were 51.8% and 26.2%. Increased odds of RDU were observed among gbMSM who were younger (vs. 40+ years) (18-24 years; AOR 2.96, 95% CI 2.05-4.28, 25-39 years; AOR 1.66, 95% CI 1.27-2.16), lived in Dublin (vs. elsewhere) (AOR 1.47, 95% CI 1.17-1.83), and engaged in condomless anal intercourse (CAI) in the previous year (vs. none) (1-2 partners; AOR 1.79, 95% CI 1.34-2.38, 6+ partners; AOR 1.79, 95% CI 1.18-2.71). Greater odds of SDU were identified among those who lived in Dublin (vs. elsewhere) (AOR 1.50, 95% CI 1.07-2.10), and engaged in CAI (vs. none) (1-2 partners; AOR 3.16, 95% CI 2.05-4.88, 3-5 partners; AOR 2.50, 95% CI 1.47-4.26, and 6+ partners; AOR 3.79, 95% CI 2.23-6.43).
GbMSM report a high prevalence of drug use in Ireland. Targeted interventions, including harm reduction campaigns, may be needed to support healthier drug use choices among this community.
男男性行为者（gbMSM）比一般男性群体报告更高的药物使用流行率。然而，在爱尔兰，关于 gbMSM 中药物使用及其决定因素的文献很少。
目的/目标：量化爱尔兰 gbMSM 中（i）娱乐性药物使用（RDU）和（ii）性药物使用（SDU）的流行率，并确定与这些药物使用行为相关的因素。
欧洲男男性行为者互联网调查（EMIS）2017 年是一项在线、匿名、国际推广的问卷。我们的分析纳入了两个二项结果：（1）前一年的 RDU 和（2）SDU。多变量调整的逻辑回归探索了这些结果的相关因素，所有独立协变量相互调整。
在没有 HIV 的 gbMSM 中（n=1898），分别有 40.9%和 13.1%在过去一年中进行了 RDU 和 SDU。在确诊阳性的 gbMSM 中（n=141），过去一年的相应流行率估计分别为 51.8%和 26.2%。与 40 岁以上（18-24 岁；比值比[OR] 2.96，95%置信区间[CI] 2.05-4.28，25-39 岁；OR 1.66，95% CI 1.27-2.16）相比，年轻的 gbMSM（18-24 岁）更有可能使用 RDU（OR 2.96，95% CI 2.05-4.28，25-39 岁；OR 1.66，95% CI 1.27-2.16），居住在都柏林（与其他地方相比）（OR 1.47，95% CI 1.17-1.83），以及在前一年进行无保护的肛交（CAI）（与无 CAI 相比）（1-2 名伴侣；OR 1.79，95% CI 1.34-2.38，6 名以上伴侣；OR 1.79，95% CI 1.18-2.71）。与居住在其他地方（与其他地方相比）（OR 1.50，95% CI 1.07-2.10）相比，更多的 SDU 发生在居住在都柏林的人群中，并且与 CAI（与无 CAI 相比）（1-2 名伴侣；OR 3.16，95% CI 2.05-4.88，3-5 名伴侣；OR 2.50，95% CI 1.47-4.26，6 名以上伴侣；OR 3.79，95% CI 2.23-6.43）有关。
gbMSM 在爱尔兰报告了很高的药物使用流行率。可能需要针对该人群的有针对性的干预措施，包括减少伤害的宣传活动，以支持更健康的药物使用选择。
