Gonzalez-Recio Paule, Moreno-García Sara, Donat Marta, Palma David, Guerras Juan Miguel, Belza María José
National Health School, Carlos III Health Institute, Madrid, Spain.
CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain.
J Community Health. 2025 Jun;50(3):553-559. doi: 10.1007/s10900-024-01440-8. Epub 2025 Jan 20.
Chemsex entails potential risks that may lead to medical emergencies. This cross-sectional study analyzed data from an anonymous, self-administered online survey on substance use among 1,203 sexual minority men (SMM) who engage in chemsex in Spain. The study aimed to determine the proportion of chemsex users that have sought emergency care following a session, identify their reasons for consultation, examine associated sociodemographic factors, and assess the proportion who felt they should have sought emergency care but did not. Frequencies of emergency consultations following chemsex sessions and episodes where participants felt they should have sought care but did not were calculated. Associations between seeking emergency care and sociodemographic and substance use factors were analyzed using Poisson regressions. Reasons for consultation were categorized based on responses to an open-ended question. 15.4% (95%CI:12.9-17.8) of chemsex users sought emergency care to request HIV post-exposure prophylaxis (PEP), and 4.0% (95%CI: 2.9-5.1) for other reasons. However, 21.8% (95%CI:19.3-24.2) did not seek care despite feeling they should have. The most common reasons for consultation were overdose symptoms, STI symptoms, and trauma. Living in smaller towns was associated with 2.4 times lower likelihood of visiting emergency services (95% CI:1.2-5.0). Injection substance use and mephedrone use were associated with 2.7 (95%CI:1.2-5.9) and 2.3 (95%CI:1.0-5.2) times higher likelihood of seeking care, respectively. Emergency visits for reasons other than requesting PEP were infrequent among chemsex users; however, a notable percentage felt they should have sought care but did not. Risk reduction strategies should prioritize addressing injection use and mephedrone consumption.
药物助兴性行为存在可能导致医疗紧急情况的潜在风险。这项横断面研究分析了一项针对西班牙1203名参与药物助兴性行为的性少数男性（SMM）进行的关于物质使用的匿名在线自填式调查数据。该研究旨在确定药物助兴性行为使用者在一次活动后寻求紧急护理的比例，确定他们就诊的原因，研究相关的社会人口学因素，并评估那些认为自己应该寻求紧急护理但未寻求的人的比例。计算了药物助兴性行为活动后紧急就诊的频率以及参与者认为自己应该寻求护理但未寻求护理的情况的频率。使用泊松回归分析了寻求紧急护理与社会人口学和物质使用因素之间的关联。根据对一个开放式问题的回答对就诊原因进行了分类。15.4%（95%置信区间：12.9 - 17.8）的药物助兴性行为使用者寻求紧急护理以请求艾滋病毒暴露后预防（PEP），4.0%（95%置信区间：2.9 - 5.1）因其他原因就诊。然而，21.8%（95%置信区间：19.3 - 24.2）尽管认为自己应该寻求护理但并未就诊。最常见的就诊原因是药物过量症状、性传播感染症状和外伤。生活在较小城镇与前往急诊服务的可能性降低2.4倍相关（95%置信区间：1.2 - 5.0）。注射吸毒和使用甲氧麻黄酮分别与寻求护理的可能性增加2.7倍（95%置信区间：1.2 - 5.9）和2.3倍（95%置信区间：1.0 - 5.2）相关。在药物助兴性行为使用者中，除请求PEP之外的原因导致的急诊就诊并不常见；然而，相当大比例的人认为自己应该寻求护理但并未这样做。降低风险策略应优先解决注射吸毒和甲氧麻黄酮消费问题。
