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How to assess gay, bisexual and other men who have sex with men for chemsex
  1. M R Pakianathan,
  2. M J Lee,
  3. B Kelly,
  4. A Hegazi
  1. Department of Genitourinary Medicine, The Courtyard Clinic, Wandsworth Integrated Sexual Health, St. George's University Hospital Foundation Trust, London, UK
  1. Correspondence to Dr A Hegazi, The Courtyard Clinic, Wandsworth Integrated Sexual Health, St. George's University Hospital Foundation Trust, London SW17 0QT, UK; ahegazi{at}doctors.net.uk

Abstract

Objectives Sexualised substance use, ‘chemsex’, is being increasingly reported by gay, bisexual and other men who have sex with men (GBMSM) in sexual health clinics. We aim to describe the evidence base and practical ways in which clinicians can assess and advise patients disclosing chemsex.

Methods We review published literature on chemsex, discuss vulnerability to substance use, highlight the importance of clinical communication and discuss a management approach.

Results GBMSM are vulnerable to substance use problems, which interplay with mental, physical and sexual health. Knowledge on sexualised drug use and related communication skills are essential to facilitating disclosure. Identifying sexual health and other consequences of harmful drug use may motivate patients to seek change.

Conclusions Sexual health clinicians are well placed to make more holistic assessments of GBMSM accessing their services to promote broader sexual health and well-being beyond the management of HIV and sexually transmitted infections (STIs) alone.

  • DRUG MISUSE
  • GAY MEN
  • SEXUAL BEHAVIOUR
  • SEXUAL NETWORKS
  • INJECTING DRUG USE

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Footnotes

  • Correction notice This article has been edited since it first published Online First. The reference list has been updated.

  • Handling editor Jackie A Cassell

  • Contributors AH and MRP jointly wrote the manuscript. MJL and BK reviewed and edited the manuscript.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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