دورية أكاديمية
Chemsex Session Typologies and Associated Sociodemographic Factors in Sexual Minority Men: Latent Class Analysis From a Cultural Perspective Using a Cross-Sectional Survey.
| العنوان: | Chemsex Session Typologies and Associated Sociodemographic Factors in Sexual Minority Men: Latent Class Analysis From a Cultural Perspective Using a Cross-Sectional Survey. |
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| المؤلفون: | Gonzalez-Recio P; National Health School, Carlos III Health Institute, Av Monforte de Lemos 5, Madrid, 28029, Spain, 34 918222196.; Center for Biomedical Research Network in Epidemiology and Public Health, Madrid, Spain., Crossin R; Department of Population Health, University of Otago, Christchurch, New Zealand., Donat M; Center for Biomedical Research Network in Epidemiology and Public Health, Madrid, Spain., Palma D; Center for Biomedical Research Network in Epidemiology and Public Health, Madrid, Spain.; Department of Epidemiology, Barcelona Public Health Agency, Barcelona, Spain., Guede Caballero D; Department of Preventive Medicine, Cruces University Hospital, Barakaldo, Spain., Moreno-Garcia S; Department of Preventive Medicine, Severo Ochoa University Hospital, Leganés, Spain., Guerras JM; Center for Biomedical Research Network in Epidemiology and Public Health, Madrid, Spain., Belza MJ; National Health School, Carlos III Health Institute, Av Monforte de Lemos 5, Madrid, 28029, Spain, 34 918222196.; Center for Biomedical Research Network in Epidemiology and Public Health, Madrid, Spain. |
| المصدر: | JMIR public health and surveillance [JMIR Public Health Surveill] 2024 Sep 27; Vol. 10, pp. e60012. Date of Electronic Publication: 2024 Sep 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101669345 Publication Model: Electronic Cited Medium: Internet ISSN: 2369-2960 (Electronic) Linking ISSN: 23692960 NLM ISO Abbreviation: JMIR Public Health Surveill Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Toronto : JMIR Publications, [2015]- |
| مواضيع طبية MeSH: | Sexual and Gender Minorities*/statistics & numerical data , Sexual and Gender Minorities*/psychology , Latent Class Analysis*, Humans ; Male ; Cross-Sectional Studies ; Spain/epidemiology ; Adult ; Middle Aged ; Surveys and Questionnaires ; Young Adult ; Adolescent ; Sociodemographic Factors ; Sexual Behavior/statistics & numerical data ; Sexual Behavior/psychology ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/psychology |
| مستخلص: | Background: Chemsex prevalence is still not well known, and both the lack of homogeneity and cultural component of chemsex practices are usually overlooked. Objective: This study aims to estimate the proportion of sexual minority men (SMM) engaging in chemsex sessions, while understanding the cultural dimension of chemsex, and to analyze distinct session typologies with potential risk differences and the sociodemographic factors associated with engaging in them. Methods: A total of 5711 SMM residing throughout Spain participated in an anonymous web-based survey that assessed chemsex session engagement and characteristics, drug use, and sociodemographic variables. We measured the association of sociodemographic factors with engaging in chemsex sessions by calculating adjusted prevalence ratios, using multivariate Poisson regression analysis. Chemsex typologies were analyzed using latent class analysis, and sociodemographic factors were associated with the different risk classes. Results: Our results determined that 21.1% (1205/5711; 95% CI 20.0%-22.1%) of SMM engaged in chemsex sessions during their lifetime. Participating in sessions was significantly associated with being a migrant, not having a comfortable financial situation, openly living their sexuality, residing in bigger municipalities, older age, using steroids, and living with HIV (adjusted prevalence ratio: range 1.17-2.01; all P values <.05). Three typologies of sessions with different risks were identified with latent class analysis, with 23.2% of SMM engaging in sessions taking part in higher-risk ones, which was associated with younger age, using steroids, living in bigger municipalities, openly living their sexuality, and living with HIV, compared to SMM engaging in lower-risk sessions (odds ratio: range 2.75-4.99). Conclusions: Chemsex is relatively common among SMM in Spain, but it is important to differentiate typologies of sessions with varying risks, and the proportion of SMM engaging in high-risk sessions is low. Chemsex is highly associated with sociodemographic factors. Chemsex should be prioritized in public health programs, which should consider the different forms of sessions with their varying risks and prevalence, while also considering the cultural dimension inherent to chemsex. (© Paule Gonzalez-Recio, Rose Crossin, Marta Donat, David Palma, David Guede Caballero, Sara Moreno-Garcia, Juan Miguel Guerras, María José Belza. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org).) |
| فهرسة مساهمة: | Keywords: HIV; LGBTQ; Poisson regression; SMM; Spain; adults; chemsex; cross-sectional study; culture; drug use; gay; homogeneity; latent class analysis; migrants; party and play; public health; sexual health; sexual minority; sexual minority men; sexual risk behavior; sexualized drug use; social determinants of health; sociodemographics; teenagers; typologies |
| تواريخ الأحداث: | Date Created: 20240927 Date Completed: 20240927 Latest Revision: 20240927 |
| رمز التحديث: | 20240928 |
| DOI: | 10.2196/60012 |
| PMID: | 39331536 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2369-2960 |
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| DOI: | 10.2196/60012 |