This review: explores the impact of sexualized drug use among men who have sex with men, with a particular focus on chemsex (a behaviour) and methamphetamine (a substance associated with chemsex) describes effective interventions to address individual harms associated with each and discusses sex-based sociality, a concept that describes how social life among men who have sex with men may be sexually constructed (7). Use of methamphetamine is of particular concern, as its use is consistently associated with sexual risk behaviours among men who have sex with men (3, 13). Chemsex (also known as ‘party and play’) (10) is a specific subset of sexualized drug use, and has been associated with increased sexual risk behaviours and negative health outcomes (1). ‘Club drugs’, such as cocaine and ecstasy, appear to be less popular than drugs associated with ‘chemsex’, which include methamphetamine, mephedrone, gamma-hydroxybutyrate (GHB), and gamma-butyrolactone (GBL) (9, 12). In the past decade, drug use trends among men who have sex with men have shifted (9-11). Among men who have sex with men, aggregate research has identified a relationship between substance use and sexual risk behaviours (8). Sexualized drug use is when recreational drugs are taken in order to facilitate sexual activity (2).
What are effective interventions and/or services that address chemsex and methamphetamine use among men who have sex with men (including prevention, harm reduction, engagement in care and treatment)?.What is the impact of sexualized drug use (specifically of chemsex and methamphetamine) on the health of men who have sex with men?.
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