Relationship between the practice of chemsex and taking PrEP
O. De Juan Viladegut, H. Andreu Gracia, L. Bueno Sanya, L. Olivier Mayorga, E. Cesari, J. I. Mena, I. Ochandiano, S. Salmeron, L. Miquel

TL;DR
This study explores the link between chemsex and PrEP use among men who have sex with men in Barcelona, highlighting the need for tailored support strategies.
Contribution
The study provides insights into the high prevalence of chemsex among PrEP users in Barcelona and emphasizes the need for interdisciplinary support.
Findings
Chemsex prevalence among PrEP users in Barcelona is higher than in other European regions.
Substance use disorder is linked to challenges in PrEP adherence and increased risk of discontinuation.
Participants expressed a need for assistance with drug use and sexual health management.
Abstract
Chemsex refers to the use of drugs, typically stimulants and/or psychoactive substances, in a sexual context, often in the context of casual or group sex encounters. Currently, the practice of chemsex focuses on men who have sex with men (MSM). On the other hand, Pre-exposure prophylaxis (PrEP) is a biomedical method that has proven effective in preventing HIV transmission, particularly among individuals at a heightened risk, including those who engage in chemsex. MSM account for two thirds of new HIV cases in the US. It is estimated that in 70% of cases seroconversion occurs through “condomless anal sex” (CAS). According to the CDC, one in six MSM will be infected with HIV during their lifetime. The consumption of methamphetamine (MA) has been identified as the main driver of the practice of CAS, alteration of rectal immunological function and faster seroconversion. One in three new…
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Taxonomy
TopicsDelphi Technique in Research
