Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium

 

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dc.contributor.author Kenyon, Chris
dc.contributor.author Wouters, Kristien
dc.contributor.author Platteau, Tom
dc.contributor.author Buyze, Jozefien
dc.contributor.author Florence, Eric
dc.date.accessioned 2018-10-22T11:21:40Z
dc.date.available 2018-10-22T11:21:40Z
dc.date.issued 2018-10-19
dc.identifier.citation Kenyon, C., Wouters, K., Platteau, T., Buyze, J. & Florence, E. 2018. Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium. 2018. AIDS Research and Therapy. 15(1):14.
dc.identifier.uri https://doi.org/10.1186/s12981-018-0201-3
dc.identifier.uri http://hdl.handle.net/11427/28942
dc.description.abstract Background It has been speculated that the prevalence of chemsex is increasing in men who have sex with men and that this may be playing a role in the spread of HIV. Methods We assessed if the prevalence of reported chemsex was increasing and if chemsex was associated with HIV infection in clients attending the ‘Helpcenter’, Antwerp, between 2011 and 2017. This is a HIV/STI testing center that offers HIV/STI testing to HIV-uninfected individuals from key populations including MSM. Results We found an increase in the reporting of condomless sex associated with the use of a number of drugs, including ecstasy, amphetamines, GHB and cocaine in MSM (from 8 to 17%) but not in heterosexuals. Reporting condomless chemsex was associated with HIV infection (adjusted odds ratio 5.7 [95% confidence interval 3.2–10.4]). Conclusions Our findings provide further evidence of the importance of asking MSM clients about the use of psychoactive substances during consultations and tailoring interventions such as pre exposure prophylaxis, more frequent STI screening and substance abuse counseling accordingly.
dc.language.iso en
dc.publisher BioMed Central
dc.subject.other Chemsex
dc.subject.other HIV
dc.subject.other STIs
dc.subject.other Syphilis
dc.subject.other Chlamydia
dc.subject.other Condomless sex
dc.title Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium
dc.type Journal Article
dc.date.updated 2018-10-21T03:18:29Z
dc.rights.holder The Author(s)
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Infectious Disease and HIV Med en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Kenyon, C., Wouters, K., Platteau, T., Buyze, J., & Florence, E. (2018). Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium. http://hdl.handle.net/11427/28942 en_ZA
dc.identifier.chicagocitation Kenyon, Chris, Kristien Wouters, Tom Platteau, Jozefien Buyze, and Eric Florence "Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium." (2018) http://hdl.handle.net/11427/28942 en_ZA
dc.identifier.vancouvercitation Kenyon C, Wouters K, Platteau T, Buyze J, Florence E. Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium. 2018; http://hdl.handle.net/11427/28942. en_ZA
dc.identifier.ris TY - Journal Article AU - Kenyon, Chris AU - Wouters, Kristien AU - Platteau, Tom AU - Buyze, Jozefien AU - Florence, Eric AB - Background It has been speculated that the prevalence of chemsex is increasing in men who have sex with men and that this may be playing a role in the spread of HIV. Methods We assessed if the prevalence of reported chemsex was increasing and if chemsex was associated with HIV infection in clients attending the ‘Helpcenter’, Antwerp, between 2011 and 2017. This is a HIV/STI testing center that offers HIV/STI testing to HIV-uninfected individuals from key populations including MSM. Results We found an increase in the reporting of condomless sex associated with the use of a number of drugs, including ecstasy, amphetamines, GHB and cocaine in MSM (from 8 to 17%) but not in heterosexuals. Reporting condomless chemsex was associated with HIV infection (adjusted odds ratio 5.7 [95% confidence interval 3.2–10.4]). Conclusions Our findings provide further evidence of the importance of asking MSM clients about the use of psychoactive substances during consultations and tailoring interventions such as pre exposure prophylaxis, more frequent STI screening and substance abuse counseling accordingly. DA - 2018-10-19 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium TI - Increases in condomless chemsex associated with HIV acquisition in MSM but not heterosexuals attending a HIV testing center in Antwerp, Belgium UR - http://hdl.handle.net/11427/28942 ER - en_ZA


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