Drug-related and psychopathological symptoms in HIV-positive men who have sex with men who inject drugs during sex (slamsex): Data from the U-SEX GESIDA 9416 Study

Autor:	Dolengevich-SegalI, Helen, González-Baeza, Alicia, Valencia, Jorge, Valencia-Ortega, Eulalia, Cabello Ubeda, Alfonso, Téllez-Molina, María Jesús, Pérez-Elías, María Jesús, Serrano, Regino, Pérez-Latorre, Leire, Martín-Carbonero, Luz, Arponen, Sari, Sanz-Moreno, José, De la Fuente, Sara, Bisbal, Otilia, Santos Gil, Ignacio de los, Casado, José Luis, Troya, Jesús, Cervero-Jiménez, Miguel, Nistal, Sara, Cuevas, Guillermo, Correas-Lauffer, Javier, Torrens, Marta, Ryan, Pablo, Behalf of the U-SEX GESIDA 9416 Study
Přispěvatelé:	UAM. Departamento de Psicología Biológica y de la Salud, Instituto de Investigación Sanitaria Fundación Jiménez Díaz (ISS-FJD), Instituto de Investigación Sanitaria Hospital Universitario de La Paz (IdiPAZ), Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD)
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Male Cross-sectional study Psychopathological symptoms Social Sciences HIV Infections Drug Addiction Pathology and Laboratory Medicine Men who have sex with men Medicine and Health Sciences Psychology Public and Occupational Health Homosexuality Substance Abuse Intravenous Depression (differential diagnoses) media_common Drug Dependence Sex Addiction education.field_of_study Multidisciplinary Psychopathology Depression U-SEX GESIDA 9416 Drugs virus diseases Hepatitis C Recreational drug use Sex men with men Substance abuse Suicide Behavioral Pharmacology Anxiety Medicine medicine.symptom Research Article Clinical psychology Adult medicine.medical_specialty Consciousness Substance-Related Disorders Medicina Sexual Behavior Cognitive Neuroscience media_common.quotation_subject Science Population Men WHO Have Sex with Men Addiction HIV-positive men Syncope Risk-Taking Signs and Symptoms Diagnostic Medicine Mental Health and Psychiatry VIH (Virus) Drogoaddicció medicine Humans Homosexuality Male Psychiatry education Pharmacology Mood Disorders business.industry HIV Biology and Life Sciences medicine.disease Mental health Psicopatologia Cross-Sectional Studies People and Places Cognitive Science Population Groupings Persones seropositives business Sexuality Groupings Neuroscience
Zdroj:	PLoS ONE, Vol 14, Iss 12, p e0220272 (2019) Biblos-e Archivo: Repositorio Institucional de la UAM Universidad Autónoma de Madrid Biblos-e Archivo. Repositorio Institucional de la UAM instname DDFV: Repositorio Institucional de la Universidad Francisco de Vitoria Universidad Francisco de Vitoria PLoS ONE DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
ISSN:	1932-6203
Popis:	Objectives Sexualized intravenous drug use, also known as slamsex, seems to be increasing among HIV-positive men who have sex with men (MSM). Physical and psychopathological symptoms have previously been reported in this population, although research on the subject of slamsex is scarce. The objectives of our study were to describe the psychopathological background of a sample of HIV-positive MSM who engaged in slamsex during the previous year and to compare physical, psychopathological, and drug-related symptoms between these participants and those who engaged in non-injecting sexualized drug use. Design and methods Participants (HIV-positive MSM) were recruited from the U-Sex study in 22 HIV clinics in Madrid during 2016–17. All participants completed an anonymous cross-sectional online survey on sexual behavior and recreational drug use. When participants met the inclusion criteria, physicians offered them the opportunity to participate and gave them a card with a unique code and a link to access the online survey. The present analysis is based on HIVpositive MSM who had engaged in slamsex and non-injecting sexualized drug use. Results The survey sample comprised 742 participants. Of all the participants who completed the survey, 216 (29.1%) had engaged in chemsex, and of these, 34 (15.7%) had engaged in slamsex. Participants who engaged in slamsex were more likely to have current psychopathology (depression, anxiety, and drug-related disorders) than participants who engaged in non-injecting sexualized drug use. In addition, participants who engaged in slamsex more frequently reported high-risk sexual behaviors and polydrug use and were more often diagnosed with sexually transmitted infections (STIs) and hepatitis C than those who did not inject drugs. Compared with participants who did not inject drugs, participants who engaged in slamsex experienced more severe drug-related symptoms (withdrawal and dependence), symptoms of severe intoxication (loss of consciousness), and severe psychopathological symptoms during or after slamsex (eg, paranoid thoughts and suicidal behaviors). Conclusion Slamsex is closely associated with current psychiatric disorders and severe drug-related and psychiatric symptoms
Databáze:	OpenAIRE
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