Sriperambudoori Varsha, Sarkar Siddharth, Dhawan Anju
National Drug Dependence Treatment Centre, AIIMS, New Delhi, India.
Indian J Psychiatry. 2025 May;67(5):505-512. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1121_24. Epub 2025 May 15.
While chemsex has been studied in several parts of the world, it has been an under-studied area in India. Anecdotally, use of substances in the context of sexual encounters has been increasing in India, especially in the population of men having sex with men.
In the background of limited literature in India, this online survey aimed to assess facets related to chemsex in the country.
This online survey initiated from Delhi recruited participants through social media using snowball sampling. Adult Indian citizens, who had at least one sexual experience were asked about chemsex, which was operationally defined as use of substances to experiences initiate, facilitate, improve, and prolong sexual experiences (except alcohol, tobacco, or cannabis). Relevant demographic and sexual history were also collected.
Among 136 recruited participants (75.7% males, 44.1% self-identified as homosexual), chemsex was present in 46 participants (33.8% of the sample). "Meth," "Yaba" or "Ice" was the commonest substances reported to be used, followed by MDMA, poppers and cocaine. Twenty-one individuals (i.e., 45.7% of the participants having chemsex) were also involved in slamsex. About two thirds of those who had chemsex had reported that their partners also used drugs or substances. The commonest motivation was to improve sexual pleasure. Adverse experiences were also reported, with gaps in memory and feelings of fear or anxiety being the commonest. Chemsex was more common in individuals who had greater number of partners, had indulged in group sex, had tested HIV positive, had sexually transmitted infections, or have had taken Pre-Exposure Prophylaxis (PrEP).
The survey findings highlight the pattern of chemsex in the Indian population. With the constraints of sampling, the study suggests that risk mitigation strategies may be contemplated for individuals who indulge in use of drugs (especially injection drug use) to facilitate sexual intercourse.
虽然在世界上的几个地区都对“化学性爱”进行了研究，但在印度，这一直是一个研究不足的领域。据传闻，在印度，性接触过程中使用物质的情况一直在增加，尤其是在男男性行为人群中。
在印度相关文献有限的背景下，这项在线调查旨在评估该国与“化学性爱”相关的各个方面。
这项从德里发起的在线调查通过社交媒体采用滚雪球抽样的方式招募参与者。询问至少有一次性经历的成年印度公民关于“化学性爱”的情况，“化学性爱”在操作上被定义为使用物质来引发、促进、改善和延长性体验（酒精、烟草或大麻除外）。还收集了相关的人口统计学和性史信息。
在136名招募的参与者中（75.7%为男性，44.1%自我认定为同性恋），46名参与者（占样本的33.8%）存在“化学性爱”行为。报告使用最多的物质是“甲基苯丙胺”“摇头丸”或“冰毒”，其次是摇头丸、Poppers（亚硝酸异戊酯）和可卡因。21人（即有“化学性爱”行为的参与者中的45.7%）也参与了“速配性爱”。约三分之二有“化学性爱”行为的人报告称他们的性伴侣也使用毒品或物质。最常见的动机是增强性快感。也有不良经历的报告，记忆缺失以及恐惧或焦虑感是最常见的。“化学性爱”在性伴侣数量较多、参与过群交、HIV检测呈阳性、患有性传播感染或服用过暴露前预防药物（PrEP）的人群中更为常见。
调查结果突出了印度人群中“化学性爱”的模式。鉴于抽样的局限性，该研究表明，对于那些为便于性交而沉迷于使用毒品（尤其是注射毒品）的个人，可能需要考虑采取风险缓解策略。
