Recreational drug use and chemsex among <scp>HIV</scp>‐infected in‐patients: a unique screening opportunity

Elliot, Emilie R; Singh, Selena; Tyebally, Sara; Gedela, Keerti; Nelson, Mark

doi:10.1111/hiv.12487

Cited by 19 publications

(12 citation statements)

References 12 publications

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“…We also found that the slammers tended to have a job, which has been previously reported (8). The frequency of HIV infection has been very variable in the literature, ranging from 0.6% (33) to 100% (34), but our sample of slammers was in the upper range (4,8,15,31,(33)(34)(35)(36)(37). In contrast, HCV infection was less common in our sample than in the literature (8,15,31,(35)(36)(37)(38).…”

Section: Comparison With National Cases and International Literaturesupporting

confidence: 65%

Cathinone Use Disorder in the Context of Slam Practice: New Pharmacological and Clinical Challenges

Schreck

Guerlais²,

Laforgue

et al. 2020

Front. Psychiatry

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Background: "Slam" has emerged since 2008 as a new international phenomenon among men who have sex with men (MSM); it consists of the intravenous injection of drugs before or during planned sexual activity. The practice of slam is associated with the use of psychostimulants, including synthetic cathinones. Methods: All spontaneous notifications (Nots) of slam practice reported between January 2012 and October 2019 at the Nantes addictovigilance center in France were collected and analyzed. The purpose of this work was to analyze cases of slam to characterize cathinone use disorder according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and to further our knowledge of slam practice based on data on drug use, risk taking and harmful consequences. Results: We collected 39 slam Nots. The severity of cathinone use disorder was mild, moderate and severe for 18%, 12%, and 58% of the patients, respectively. "Much time spent using cathinone" was the diagnostic criterion most often cited (82%). Conclusions: To the best of our knowledge, our study is the first to evaluate the presence of a cathinone use disorder. Cathinone use disorder seems particularly important in this population of users, and negative consequences of slam practice appear quickly.

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Section: Comparison With National Cases and International Literaturesupporting

confidence: 65%

Cathinone Use Disorder in the Context of Slam Practice: New Pharmacological and Clinical Challenges

Schreck

Guerlais²,

Laforgue

et al. 2020

Front. Psychiatry

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“…Published studies on chemsex to date have either largely focused on specific subpopulations, for example those attending designated drug services or those who are HIV positive , or relied on online or venue‐based surveys. Studies of GBMSM attending sexual health clinics have found higher rates of recreational drug use than in heterosexual men .…”

Section: Introductionmentioning

confidence: 99%

Chemsex and new HIV diagnosis in gay, bisexual and other men who have sex with men attending sexual health clinics

et al. 2018

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“…"SIDU" Profile and Catalysts SIDU is reported in several countries including the United Kingdom; United States; Australia; the Netherlands; France; Spain; Portugal; Thailand; Ireland; Czech Republic; Germany; Denmark; Finland and Greece (Glynn et al, 2018;Guadamuz & Boonmongkon, 2018;Hopwood, Drysdale, & Treloar, 2018;Knoops, Bakker, Van Bodegom, & Zantkuijl, 2015;Wendel, 2011). Reported prevalence figures for MSM engaging in "SIDU" range between 1% and 50% (Bourne, Reid, Hickson, Torres-Rueda, & Weatherburn, 2015;Elliot, Singh, Tyebally, Gedela, & Nelson, 2017;Frankis & Clutterbuck, 2017;Frankis, Flowers, McDaid, & Bourne, 2018;Molina et al, 2018;Power et al, 2018). In a population of HIV-positive MSM recruited through UK health clinics, Pufall et al (2018) found that a minority of MSM reported engaging in SIDU: 10.1% (any drug); 4% (multiple drugs); 6.7% (methamphetamine); 0.4% (GHB/GBL); ketamine (1.1%) and mephedrone (6.6%).…”

Section: Resultsmentioning

confidence: 99%

“Slam Sex” - Sexualized Injecting Drug Use (“SIDU”) Amongst Men Who Have Sex with Men (MSM)—A Scoping Review

Scheibein

Wells

Henriques

et al. 2020

Journal of Homosexuality

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Sexualized injecting drug use ("SIDU") is a phenomenon associated with a wide array of high-risk injecting and sex-related practices. This scoping review establishes what is known about MSM and SIDU to assess implications for health care and policy. Characteristics of MSM for "SIDU" may include being on antiretroviral treatment and urban residency with drivers being challenging social taboos; a search for intimacy; convenience of administration; relationship breakdown and increased restrictions in clubs and saunas. Attraction for use appears to be enhancement or prolongation of sexual experiences/pleasure; intimacy and the facilitation of a range of potentially "unsafe" sexual activity. Traditional services are ill-equipped to address "SIDU" because of a lack of knowledge of practices, lack of associated vocabulary, and a failure to integrate sexual health with drug services. For effective responses, these issues need to be addressed.

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Recreational drug use and chemsex among HIV‐infected in‐patients: a unique screening opportunity

Abstract: These data strongly support the use of formal screening and drug service referral pathways at the time of admission to hospital to engage HIV-positive drug users.

Cited by 19 publications

References 12 publications

Cathinone Use Disorder in the Context of Slam Practice: New Pharmacological and Clinical Challenges

Cathinone Use Disorder in the Context of Slam Practice: New Pharmacological and Clinical Challenges

Chemsex and new HIV diagnosis in gay, bisexual and other men who have sex with men attending sexual health clinics

“Slam Sex” - Sexualized Injecting Drug Use (“SIDU”) Amongst Men Who Have Sex with Men (MSM)—A Scoping Review

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