The Availability and Feasibility of Chemsex Services Within Sexually Transmitted Disease Clinics in the Netherlands: A Cross-Sectional Survey Among Sexually Transmitted Disease Nurses.
Journal
Sexually transmitted diseases
ISSN: 1537-4521
Titre abrégé: Sex Transm Dis
Pays: United States
ID NLM: 7705941
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
pubmed:
5
6
2020
medline:
20
4
2021
entrez:
5
6
2020
Statut:
ppublish
Résumé
Chemsex-using illicit drugs during sex-is prevalent among men who have sex with men (MSM) and associated with sexual and mental health harms. Sexually transmitted disease (STD) clinics are a frequently visited and trusted health care facility for MSM. This study assessed the frequency and extent to which chemsex is addressed by Dutch STD nurses. Of the 24 Dutch public STD clinics, an online questionnaire was distributed in 20 STD clinics (83%) in 2019; the questionnaire was sent to 191 STD nurses, of whom 108 (57%) completed the questionnaire. The main outcome was addressing chemsex during regular MSM consultations, measured on a 5-point Likert scale (never-always). Items measuring knowledge, attitude, self-efficacy, and the social norm were also measured on a 5-point Likert scale (totally disagree-totally agree). Of the 108 participating STD nurses, 77 (71%) addressed chemsex regularly or always during MSM consultations. In general, STD nurses indicated to have sufficient knowledge about chemsex (mean [SD], 3.6 [0.5]) and a positive attitude toward addressing chemsex (mean [SD], 4.3 [0.5]). A need for training on chemsex was reported by 82 (76%) STD nurses, especially in signaling problematic chemsex (56/82; 68%). Three STD clinics (15%) had a protocol on addressing chemsex, and 3 STD clinics (15%) had referral pathways to addiction care. Sexually transmitted disease nurses from Dutch STD clinics regularly addressed chemsex during MSM consultations. Our results show relevance of educating STD nurses on signaling problematic chemsex and arranging referral pathways to addiction care to optimize chemsex related health care.
Identifiants
pubmed: 32496385
doi: 10.1097/OLQ.0000000000001209
pii: 00007435-202009000-00011
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
639-644Références
Bourne A, Reid D, Hickson F, et al. The Chemsex Study: Drug Use in Sexual Settings Among Gay and Bisexual Men in Lambeth, Southwark & Lewisham. London, UK: Sigma Research, London School of Hygiene & Tropical Medicine, 2014.
Stuart D, Weyman J. ChemSex and care-planning: One year in practice. HIV Nurs 2015; 15:24–28.
Achterbergh RCA, Druckler S, van Rooijen MS, et al. Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands. Drug Alcohol Depend 2019; 206:107526.
Evers YJ, Van Liere G, Hoebe C, et al. Chemsex among men who have sex with men living outside major cities and associations with sexually transmitted infections: A cross-sectional study in the Netherlands. PLoS One 2019; 14:e0216732.
The EMIS Network. EMIS-2017—The European Men-Who-Have-Sex-With-Men Internet Survey. Key findings from 50 countries. Stockholm: European Centre for Disease Prevention and Control, 2019.
Pufall EL, Kall M, Shahmanesh M, et al. Sexualized drug use (‘chemsex’) and high-risk sexual behaviours in HIV-positive men who have sex with men. HIV Med 2018; 19:261–270.
Daskalopoulou M, Rodger A, Phillips AN, et al. Recreational drug use, polydrug use, and sexual behaviour in HIV-diagnosed men who have sex with men in the UK: Results from the cross-sectional ASTRA study. Lancet HIV 2014; 1:e22–e31.
Hegazi A, Lee MJ, Whittaker W, et al. Chemsex and the city: Sexualised substance use in gay bisexual and other men who have sex with men attending sexual health clinics. Int J STD AIDS 2017; 28:362–366.
Druckler S, van Rooijen MS, de Vries HJC. Chemsex among men who have sex with men: A sexualized drug use survey among clients of the sexually transmitted infection outpatient clinic and users of a gay dating app in Amsterdam, the Netherlands. Sex Transm Dis 2018; 45:325–331.
Prestage G, Hammoud M, Jin F, et al. Mental health, drug use and sexual risk behavior among gay and bisexual men. Int J Drug Policy 2018; 55:169–179.
Rosario M, Schrimshaw EW, Hunter J. A model of sexual risk behaviors among young gay and bisexual men: Longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process. AIDS Educ Prev 2006; 18:444–460.
Kurtz SP. Post-circuit blues: Motivations and consequences of crystal meth use among gay men in Miami. AIDS Behav 2005; 9:63–72.
Glynn RW, Byrne N, O'Dea S, et al. Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland. Int J Drug Policy 2018; 52:9–15.
Evers YJ, Hoebe CJPA, Dukers-Muijrers NHTM, et al. Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex—A cross-sectional study in the Netherlands. Prev Med Rep 2020; 18:101074.
Bourne A, Reid D, Hickson F, et al. “Chemsex” and harm reduction need among gay men in South London. Int J Drug Policy 2015; 26:1171–1176.
Salway T, Ferlatte O, Shoveller J, et al. The need and desire for mental health and substance use–related services among clients of publicly funded sexually transmitted infection clinics in Vancouver, Canada. J Public Health Manag Pract 2019; 25:E1–E10.
Knight R. Investments in implementation science are needed to address the harms associated with the sexualized use of substances among gay, bisexual and other men who have sex with men. J Int AIDS Soc 2018; 21:e25141.
Wiggins H, Ogaz D, Mebrahtu H, et al. Demand for and availability of specialist chemsex services in the UK: A cross-sectional survey of sexual health clinics. Int J Drug Policy 2018; 55:155–158.
National Institute for Public Health and the Environment. Sexually transmitted infections in the Netherlands in 2018. 2018. Available at: https://www.rivm.nl/bibliotheek/rapporten/2019-0007.pdf. Accessed April 17, 2020.
Parsons JT, Lelutiu-Weinberger C, Botsko M, et al. A randomized controlled trial utilizing motivational interviewing to reduce HIV risk and drug use in young gay and bisexual men. J Consult Clin Psychol 2014; 82:9–18.
Frankis J, Clutterbuck D. What does the latest research evidence mean for practitioners who work with gay and bisexual men engaging in chemsex?Sex Transm Infect 2017; 93:153–154.
Bakker I, Knoops L. Towards a continuum of care concerning chemsex issues. Sex Health 2018; 15:173–175.
Blomquist PB, Mohammed H, Mikhail A, et al. Characteristics and sexual health service use of MSM engaging in chemsex: Results from a large online survey in England. Sex Trans Inf 2020.