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 (es)
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 StudyEntidad
UAM. Departamento de Psicología Biológica y de la Salud; Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD); Instituto de Investigación Sanitaria Hospital Universitario de La Paz (IdiPAZ)Editor
Public Library of ScienceFecha de edición
2019-12-04Cita
10.1371/journal.pone.0220272
PLoS ONE 14.12 (2019): e0220272
ISSN
1932-6203DOI
10.1371/journal.pone.0220272Versión del editor
https://doi. org/10.1371/journal.pone.0220272Materias
HIV-positive men; Psychopathological symptoms; Drugs; Sex men with men; U-SEX GESIDA 9416; MedicinaDerechos
© 2019 Dolengevich-Segal et al.Resumen
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
Lista de ficheros
Google Scholar:Dolengevich-SegalI, Helen
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González-Baeza, Alicia
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Valencia, Jorge
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Valencia-Ortega, Eulalia
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Cabello Ubeda, Alfonso
-
Téllez-Molina, María Jesús
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Pérez-Elías, María Jesús
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Serrano, Regino
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Pérez-Latorre, Leire
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Martín-Carbonero, Luz
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Arponen, Sari
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Sanz-Moreno, José
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De la Fuente, Sara
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Bisbal, Otilia
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Santos Gil, Ignacio de los
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Casado, José Luis
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Troya, Jesús
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Cervero-Jiménez, Miguel
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Nistal, Sara
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Cuevas, Guillermo
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Correas-Lauffer, Javier
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Torrens, Marta
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Ryan, Pablo
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Behalf of the U-SEX GESIDA 9416 Study
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