Íncera-Fernández Daniel, Riquelme Andrés R, Sánchez-Ocaña Alejandro, Montesinos Francisco, Gámez-Guadix Manuel
Faculty of Health Sciences, International Business University, Madrid, Spain.
Department of Developmental and Educational Psychology, Faculty of Education, Economics and Technology Ceuta, University of Granada, Ceuta, Spain.
Int J Drug Policy. 2025 Jun;140:104795. doi: 10.1016/j.drugpo.2025.104795. Epub 2025 May 6.
Interventions on chemsex, namely, the intentional use of specific drugs to enhance or intensify sexual experiences by gay, bisexual, and other men who have sex with men, are diverse. Despite evidence of their impact on physical, mental, and sexual health, there is no clear agreement on the best intervention strategies and approaches. In this review, we aimed to analyze and synthesize existing research on interventions addressing chemsex among gay, bisexual, and other men who have sex with men, as well as transgender and non-binary people.
We conducted a systematic search of the electronic databases Web of Science, Scopus, ScienceDirect, PubMed, and SciELO for articles published between April and May 2024. In total, 272 articles were identified, of which 12 were reviewed.
Despite the limited evidence and heterogeneity of the findings, the results suggested that the available interventions can improve various factors associated with sexual, mental, and physical health.
This systematic review provides a better understanding of the interventions aimed at addressing chemsex. However, the paucity of available treatments underscores the need to implement evidence-based intervention programs aimed at improving the health of people involved in chemsex beyond mere screening.
针对“化学性爱”的干预措施多种多样，“化学性爱”指男同性恋者、双性恋者以及其他与男性发生性行为的男性有意使用特定药物来增强或强化性体验。尽管有证据表明其对身心健康和性健康有影响，但对于最佳干预策略和方法尚无明确共识。在本综述中，我们旨在分析和综合现有关于针对男同性恋者、双性恋者以及其他与男性发生性行为的男性，以及跨性别者和非二元性别人群中“化学性爱”问题的干预措施的研究。
我们对科学网、Scopus、ScienceDirect、PubMed和SciELO等电子数据库进行了系统检索，以查找2024年4月至5月期间发表的文章。总共识别出272篇文章，其中12篇进行了综述。
尽管证据有限且研究结果存在异质性，但结果表明现有干预措施可以改善与性健康、心理健康和身体健康相关的各种因素。
本系统综述有助于更好地理解针对“化学性爱”的干预措施。然而，现有治疗方法的匮乏凸显了实施基于证据的干预项目的必要性，这些项目旨在改善参与“化学性爱”者的健康状况，而不仅仅是进行筛查。
