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
AuthorDolengevich-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
EntityUAM. 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)
PublisherPublic Library of Science
10.1371/journal.pone.0220272PLoS ONE 14.12 (2019): e0220272
Editor's Versionhttps://doi. org/10.1371/journal.pone.0220272
SubjectsHIV-positive men; Psychopathological symptoms; Drugs; Sex men with men; U-SEX GESIDA 9416; Medicina
Rights© 2019 Dolengevich-Segal et al.
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
Google Scholar: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
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