Szczypińska Zuzanna, Marciniec Karina, Pawlak Adam T
Faculty of Psychology, Pedagogy and Humanities, Andrzej Frycz Modrzewski Krakow University, Poland.
Department of Medicine and Health Sciences, University of Applied Sciences in Tarnow, Poland.
Postep Psychiatr Neurol. 2024 Jun;33(2):103-108. doi: 10.5114/ppn.2024.141378. Epub 2024 Jul 11.
Determining the relationship between the use of types of psychoactive substance and risky sexual behavior among men. The sources cited in the manuscript were selected through a search of scientific article databases in July 2023. Priority was given to publications with release dates from 2018-2023. Publications in Polish and English were included.
The phenomenon of chemsex, more and more often noted in the group of men who have sex with men (MSM), involving sexual activity under the influence of intoxicants, promotes risky sexual behavior. The drugs used for these practices are mainly stimulants, disinhibitors and anesthetics. Factors that increase the risk of an individual deciding to engage in chemical sex include not accepting his sexual preferences, feelings of guilt, personality traits characterizing a person prone to taking risks and with a tendency to seek sensations, as well as high scores on the scale of depressiveness. The main factor determining the emergence of the problem is the occurrence of minority stress.
There is a relationship between the use of a certain type of psychoactive substance and engaging in risky sexual behavior. Psychoactive substances help to overcome fear and reduce the impact of minority stress on MSM. Risky behaviors undertaken during chemsex include increasing the risk of contracting diseases through the lack of appropriate safeguards, the risk of addiction, prostitution, as well as threats social relationships and mental health.
确定男性使用精神活性物质类型与危险性行为之间的关系。手稿中引用的资料来源是通过检索2023年7月的科学文章数据库选定的。优先选择2018 - 2023年发布的出版物。纳入波兰语和英语的出版物。
在男男性行为者（MSM）群体中越来越常被提及的“化学性行为”现象，即涉及在 intoxicants影响下的性活动，会促使危险性行为的发生。用于这些行为的药物主要是兴奋剂、抑制剂和麻醉剂。增加个体决定参与化学性行为风险的因素包括不接受自己的性取向、内疚感、具有冒险倾向和寻求刺激倾向的人格特质，以及抑郁量表得分较高。决定该问题出现的主要因素是少数群体压力的存在。
使用某种类型的精神活性物质与从事危险性行为之间存在关联。精神活性物质有助于克服恐惧并减轻少数群体压力对男男性行为者的影响。化学性行为期间发生的危险行为包括因缺乏适当防护措施而增加感染疾病的风险、成瘾风险、卖淫，以及对社会关系和心理健康的威胁。
