Article Text
Abstract
Background/introduction Recreational drug (RD) use is increasing in men who have sex with men (MSM) and increases sexual risk taking behaviour and possibly increasing attendances for PEPSE.
Aim(s)/objectives To identify Club drug use during PEPSE attendances in MSM in 2013/4 compared to 2015.
Methods Review PEPSE (MSM) attendance during two 4-month periods: November 2013 to February 2014 and March 2015 to June 2015.
Results 152 MSM attended for PEPSE: 51 in 2013/4 and 101 in 2015. The median age was 31 (18–79) years. Documentation of Club drug use during PEPSE episode increased significantly from 27/51 (53%) in 2013/14 to 100/101 (99%) during 2015 (p < 0.001). Club drug use during PEPSE episode increased significantly from 9/51 (18%) in 2013/4 to 41/101 (41%) in 2015 (OR 3.19, p < 0.005). There were no significant changes in the Club drugs being used: gamma-Butyrolactone(GBL), Mephedrone and Crystal Meth being the most frequent reported.
Discussion/conclusion Episodes of unsafe sex leading to access of PEPSE appear to be more associated with club drug use in 2015 than in 2013/4 and our documentation of this has improved. Identification of club drug use in MSM is an important harm intervention.