Pozo-Herce Pablo Del, Martínez-Sabater Antonio, Sanchez-Palomares Paula, Garcia-Boaventura Paula Cristina, Chover-Sierra Elena, Martínez-Pascual Raquel, Gea-Caballero Vicente, Saus-Ortega Carles, Ballestar-Tarín María Luisa, Karniej Piotr, Baca-García Enrique, Juárez-Vela Raúl
Department of Psychiatry, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain.
Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz, 28040 Madrid, Spain.
Healthcare (Basel). 2024 Jul 15;12(14):1411. doi: 10.3390/healthcare12141411.
The phenomenon of chemsex has emerged as an essential public health issue in recent years. This systematic review aimed to investigate currently available harm reduction strategies and to evaluate the efficacy of the corresponding interventions.
A systematic review of the scientific literature related to harm and risk reduction strategies and the effectiveness of chemsex interventions. Between January 2024 and May 2024, the articles were retrieved from the electronic databases Pubmed, Web of Science, Scopus, PsycInfo, Cochrane, Dialnet, CUIDEN, and SciELO. The review protocol was registered in the PROSPERO database (registration number CRD42024508953). The inclusion criteria were as follows: (I) original studies published in peer-reviewed journals, (II) studies exploring harm reduction interventions for chemsex, and (III) studies reflecting the efficacy of harm reduction interventions for chemsex. Two reviewers independently selected articles by title, abstract, and full paper review and extracted data. Two authors described the selected studies and assessed their methodological quality.
The systematic review comprised six scientific papers that met the selection criteria and were obtained from five countries. Although a limited number of studies were included, it was observed that they presented a medium-high methodological quality. Programs evaluated interventions to reduce harm from chemsex, such as a web-based intervention that improved self-efficacy to refuse risky behaviors and accept HIV testing. The studies suggested that peer-led programs can be effective, especially with facilitators who have experienced chemsex dependence.
Harm reduction strategies in chemsex are effective and should be promoted by health professionals. Interventions should be accessible, personalized, and non-judgmental to provide appropriate care and support, ensuring a comprehensive and effective public health response.
近年来，“化学性爱”现象已成为一个重要的公共卫生问题。本系统评价旨在调查当前可用的减少伤害策略，并评估相应干预措施的效果。
对与减少伤害和风险策略以及“化学性爱”干预措施有效性相关的科学文献进行系统评价。在2024年1月至2024年5月期间，从电子数据库PubMed、科学网、Scopus、PsycInfo、Cochrane、Dialnet、CUIDEN和SciELO中检索文章。该评价方案已在PROSPERO数据库中注册（注册号CRD42024508953）。纳入标准如下：（I）发表在同行评审期刊上的原创研究；（II）探索“化学性爱”减少伤害干预措施的研究；（III）反映“化学性爱”减少伤害干预措施效果的研究。两名评审员通过标题、摘要和全文评审独立选择文章并提取数据。两名作者描述所选研究并评估其方法学质量。
该系统评价包括六篇符合选择标准的科学论文，这些论文来自五个国家。尽管纳入的研究数量有限，但观察到它们具有中高方法学质量。各项计划评估了减少“化学性爱”危害的干预措施，例如一项基于网络的干预措施，该措施提高了拒绝危险行为和接受HIV检测的自我效能。研究表明，同伴主导的计划可能有效，特别是对于有“化学性爱”成瘾经历的促进者。
“化学性爱”的减少伤害策略是有效的，应由卫生专业人员推广。干预措施应易于获得、个性化且不带有评判性，以提供适当的护理和支持，确保全面有效的公共卫生应对。
