Wilson Amanda, Williamson Iain R
Psychology Division, Faculty of Health and Life Sciences, School of Applied Social Sciences, De Montfort University, Leicester LE1 9BH, UK.
Healthcare (Basel). 2024 Dec 8;12(23):2479. doi: 10.3390/healthcare12232479.
Most research on 'Chemsex' has been conducted with gay, bi-sexual, and men who have sex with men (GBMSM) in large cities with well-established infrastructures. Therefore, this study aimed to explore the 'Chemsex' risks and responsibilities of GBMSM who lived outside of the queer metropolis. This study also aimed to understand how stigma and mental health present in the absence of a well-established community infrastructure.
This study utilized mixed methods in Leicester, Leicestershire, and Rutland, a location in the East Midlands of England. The quantitative component consisted of a survey. The qualitative component comprised three case studies based on in-depth interviews, using interpretative phenomenological analysis.
Of the 123 survey respondents, 86% engaged in riskier sex during sessions and 35% no longer enjoyed sober sex. In the interviews, the three men balanced risk management and personal responsibility, positioning themselves as mature, considerate, and well-educated users. All were alienated by the term 'Chemsex'. The findings are considered using theoretical frameworks, or how discourses of 'moral threat' operate within the micro-politics of regulating GBMSM's pleasure and stigma.
The complexities of understanding this practice for researchers and practitioners are discussed and recommendations are made for reframing education and support services for GBMSM.
大多数关于“化学性行为”的研究是在基础设施完善的大城市中，针对男同性恋者、双性恋者以及与男性发生性关系的男性（GBMSM）开展的。因此，本研究旨在探讨生活在同性恋聚居区之外的GBMSM的“化学性行为”风险及责任。本研究还旨在了解在缺乏完善社区基础设施的情况下，污名化和心理健康状况如何呈现。
本研究在英国东米德兰兹地区的莱斯特、莱斯特郡和拉特兰采用了混合研究方法。定量部分包括一项调查。定性部分包括基于深度访谈的三个案例研究，采用解释现象学分析方法。
在123名调查受访者中，86%的人在性行为期间进行了更具风险的性行为，35%的人不再喜欢清醒状态下的性行为。在访谈中，这三名男性平衡了风险管理和个人责任，将自己定位为成熟、体贴且受过良好教育的使用者。所有人都对“化学性行为”这个术语感到疏离。研究结果通过理论框架进行考量，或者探讨“道德威胁”话语如何在规范GBMSM的愉悦感和污名化的微观政治中发挥作用。
讨论了研究人员和从业者理解这种行为的复杂性，并为重新构建针对GBMSM的教育和支持服务提出了建议。
