Young gay, bisexual, and other men who have sex wh men (YMSM) are pecially vulnerable to the risks associated wh sexualized substance e, or ‘chemsex’. Engagg chemsex tablished as a major risk factor for Human Immunoficiency Vis (HIV) acquisn, and is th a public health issue of creasg urgency. This paper attempts to explore the associatn between measur of social pal and patterns of sexualized substance e among a sample of YMSM Sgapore. Rults of this study were rived om basele data of the Pk Carpet Y Cohort Study Sgapore, prisg a sample of 570 HIV-negative YMSM aged 18 to 25 years old. Latent class analysis was employed to intify class wh siar patterns of sexualized substance e, and multomial logistic regrsn was employed to exame associatns between class membership and proxy measur of social pal, cludg age of sexual but, bondg and bridgg social pal, nnectedns to the lbian, gay, bisexual and transgenr muny, and outns. Latent class analysis revealed three class of YMSM based on their histori of sexualized substance e, which we labelled as ‘alhol’, ‘poppers’, and ‘chemsex’. Multivariable analys revealed that participants who were olr (aOR = 1.19, p = 0.002) and who intified as gay (aOR = 2.43, p = 0.002) were more likely to be the poppers class pared to the alhol class. Participants wh a later age of sexual but were creasgly ls likely to be the poppers (aOR = 0.93, p = 0.039) and chemsex class (aOR = 0.85, p = 0.018), pared to the alhol class. Varyg measur of social pal such as an earlier age of exposure to sexual works may predispose YMSM to greater opportuni for sexualized substance e. Future terventns should target YMSM who bee sexually active at an earlier age to rce the risks associated wh sexualized substance e.
Contents:
- WHY DO GAY MEN DO CHEMSEX?
- GAY MEN'S CHEMSEX SURVIVAL STORI
- ONE "CHEMSEX" OR MANY? TYP OF CHEMSEX SSNS AMONG GAY AND OTHER MEN WHO HAVE SEX WH MEN MADRID, SPA: FDGS OM A QUALATIVE STUDY
- CHEMSEX AMONG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN SGAPORE AND THE CHALLENG AHEAD: A QUALATIVE STUDY
- SOCIAL PAL AND CHEMSEX IATN YOUNG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN: THE PK RPET Y HORT STUDY
- CHEMSEX, INTY AND SEXUAL HEALTH AMONG GAY AND BISEXUAL MEN
WHY DO GAY MEN DO CHEMSEX?
LGBT Foundatn is a natnal chary liverg advice, support and rmatn servic to lbian, gay, bisexual and trans (LGBT) muni. * chems gay *
Over time, gay men distance themselv om the iends who don’t take dgs and the only ntacts wh gay people are those who engage Chemsex, which rerc the re belief: "All gays are the same. As a gay person, is so easy to grow up to hate ourselv bee of fai who don’t unrstand , relign, or our current society saturated wh overt and vert homophobia matag the re belief: "I'm wrong, " “I’m unlovable.
GAY MEN'S CHEMSEX SURVIVAL STORI
Chemsex was associated wh a posive gay inty ga, which explaed the ambivalence participants exprsed matag a gay future whout chemsex spe their awarens of negative nsequenc. This is signifint for unrstandg both why chemsex pathways may prove attractive and why … * chems gay *
My hope for our gay muni is that we n learn new ways of celebratg genr, sex, and relatnship diversi, build muni where we foster self-love, self-re, and total acceptance for each other, and create pockets of safe rabow bubbl across the heteronormative world. This is available to people who live all across Greater Manchter, and is currently fund for Gay, Bi and other men who have sex wh men, whether you intify as a man some or all of the time.
Dr Alexandre Aslan, a medil doctor and sexologist leadg on chemsex issu at the St Louis Hospal Paris, said that jt as HIV had transformed gay sexualy the early days of the epimic, chemsex was dog so now.
ONE "CHEMSEX" OR MANY? TYP OF CHEMSEX SSNS AMONG GAY AND OTHER MEN WHO HAVE SEX WH MEN MADRID, SPA: FDGS OM A QUALATIVE STUDY
* chems gay *
Auch wenn beim Chemsex für viele dam geht, schwulen Sex zu genießen und Fr daran zu haben, geht oft ch um ee Selbstmedikatn für komplexe Themen, die n Gens schwuler Sexualät verhrn, zum Beispiel gellschaftliche und vernerlichte Homophobie, die Awirkungen r HIV/Aids-Epimie f schwule Kulturen or religiöse or kulturelle Scham, die häufig m schwulem Sex verbunn sd. Viele Männer haben aber ch Probleme m Sexualät und Intimät, weil sie beim Heranwachsen m ihrer abweichenn sexuellen Intät und kultureller (or vernerlichter) Homophobie klarkommen msten, efach dazugehören or Ablehnung vermein wollen.
Each man intified a multiplicy of cints and feelgs that ntributed to their engagement chemsex, and engagement chemsex was nnected to participants' inty velopment and sire to belong to a gay muny. Unrstandg 'chemsex' has bee one of the key issu LGBT health and HIV preventn high-e untri, sce has been shown that this form of sexualised dg e rrelat wh higher risks to the physil and mental health of gay and other men who have sex wh men (GMSM) who participate chemsex ssns. Sexualised substance e, or 'chemsex' has been shown to be a major factor drivg the synmic of HIV/AIDS muni of gay, bisexual, and other men who have sex wh men (GBMSM) around the world.
CHEMSEX AMONG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN SGAPORE AND THE CHALLENG AHEAD: A QUALATIVE STUDY
Left unchallenged, 's only gog to negatively impact the liv of many more gay men. * chems gay *
Latent class analysis was employed to intify class wh siar patterns of sexualized substance e, and multomial logistic regrsn was employed to exame associatns between class membership and proxy measur of social pal, cludg age of sexual but, bondg and bridgg social pal, nnectedns to the lbian, gay, bisexual and transgenr muny, and outns. IntroductnGay, bisexual, and other men who have sex wh men (GBMSM) nstute a key populatn that ntu to be disproportnately affected by Human Immunoficiency Vis (HIV) on a global sle [1].
SOCIAL PAL AND CHEMSEX IATN YOUNG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN: THE PK RPET Y HORT STUDY
Jeff van Reenen, ATP Manager at Prry Hospal Chelmsford, discs a recent subsectn of the gay muny known as chemsex. * chems gay *
Wh muni of GBMSM, young gay, bisexual, and other men who have sex wh men (YMSM) experience a greater burn of HIV risk pared to their olr unterparts, which may be attributed to a higher cince of risky sexual behavrs, sexualized substance e, and barriers to health-seekg behavrs [2, 3] e of amphetame-type stimulants (ATS), particular methamphetame, has bee creasgly prevalent among GBMSM [4].
Demographic and psychosocial rrelat for popper e among GBMSM clu beg olr, beg HIV-posive, and reportg visg sex-on-premis venu, licensed lbian, gay, bisexual, and transgenr (LGBT) venu, and g other substanc [19, 23] om the e of typilly illic substanc, heavy alhol e has also been tablished to be mon among GBMSM, pecially veloped untry settgs [24, 25, 26].
The mixed fdgs may be attributed to the varyg ways which muny affiliatn or social pal have been measured or nceptualized var studi, which may span across measur that reflect accs to social works, psychologil feelgs of affiliatn, or even explic forms of affiliatn that pruppose participatn tert groups or regard to alhol e, GBMSM who report a stronger affiliatn wh gay male culture and who have met sexual partners through entertament tablishments where alhol e tak place are more likely to have engaged heavy alhol e [24, 26].
CHEMSEX, INTY AND SEXUAL HEALTH AMONG GAY AND BISEXUAL MEN
Among YMSM, gay bar attendance, prsn, sensatn seekg, peer risk behavrs, multiple sexual partners, and a younger age of alhol iatn were found to be associated wh heavier alhol e patterns [46, 47] has been a lack of nsens around the nceptualizatn, operatnalizatn, and th measurement of social pal. Sgapore society has largely held negative perceptns of, and attus towards lbian, gay, bisexual, and transgenr (LGBT) dividuals [52, 53, 54], as well as people who e dgs [55].
To be eligible for this hort, participants had to be HIV-negative or unsure of their HIV stat, between the ag of 18 to 25 years old, Sgapore cizens or permanent rints, and intify as gay, bisexual, or queer men at the pot of recment, which spanned across May to September 2019. Variable measurThe survey llected socmographic rmatn om rponnts, cludg age ( years), ethnicy (Che vs non-Che), genr (cisgenr vs non-cisgenr), sexual orientatn (gay vs non-gay), and monthly hoehold e (SGD5000 and above vs below SGD5000; SGD5000 is approximately USD3668. However, we were unable to ascerta if this effect is due to the duratn of beg exposed to such sexual works, or the nature of the sexual relatns that take place at a younger age that may be fed by greater power differentials between sexual who also intified as beg gay (vis-à-vis bisexual or queer) or who were olr were also more likely to be the poppers class, pared to the alhol class.
The fdgs tie wh a possible narrative that a stronger sense of a gay male inty may be associated wh greater participatn a wir gay male sexual culture that typilly exclus GBMSM who do not intify as cisgenr gay men [63, 64].