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

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dc.contributor.author Dolengevich-SegalI, Helen
dc.contributor.author González-Baeza, Alicia
dc.contributor.author Valencia, Jorge
dc.contributor.author Valencia-Ortega, Eulalia
dc.contributor.author Cabello, Alfonso
dc.contributor.author Téllez-Molina, María Jesús
dc.contributor.author Pérez-Elías, María Jesús
dc.contributor.author Serrano, Regino
dc.contributor.author Pérez-Latorre, Leire
dc.contributor.author Martín-Carbonero, Luz
dc.contributor.author Arponen, Sari
dc.contributor.author Sanz-Moreno, José
dc.contributor.author De la Fuente, Sara
dc.contributor.author Bisbal, Otilia
dc.contributor.author Santos, Ignacio
dc.contributor.author Casado, José Luis
dc.contributor.author Troya, Jesús
dc.contributor.author Cervero-Jiménez, Miguel
dc.contributor.author Nistal, Sara
dc.contributor.author Cuevas, Guillermo
dc.contributor.author Correas-Lauffer, Javier
dc.contributor.author Torrens, Marta
dc.contributor.author Ryan, Pablo
dc.contributor.author Behalf of the U-SEX GESIDA 9416 Study
dc.contributor.other UAM. Departamento de Psicología Biológica y de la Salud es_ES
dc.contributor.other Instituto de Investigación Sanitaria Fundación Jiménez Díaz (ISS-FJD) es_ES
dc.contributor.other Instituto de Investigación Sanitaria Hospital Universitario de La Paz (IdiPAZ) es_ES
dc.date.accessioned 2020-10-26T11:18:41Z
dc.date.available 2020-10-26T11:18:41Z
dc.date.issued 2019-12-04
dc.identifier.citation PLoS ONE 14.12 (2019): e0220272 en_US
dc.identifier.issn 1932-6203 es_ES
dc.identifier.uri http://hdl.handle.net/10486/692319
dc.description.abstract 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 en_US
dc.format.extent 16 pag. es_ES
dc.format.mimetype application/pdf en
dc.language.iso eng en_US
dc.publisher Public Library of Science en_US
dc.relation.ispartof PLoS ONE en_US
dc.rights © 2019 Dolengevich-Segal et al. en_US
dc.subject.other HIV-positive men en_US
dc.subject.other Psychopathological symptoms en_US
dc.subject.other Drugs en_US
dc.subject.other Sex men with men en_US
dc.subject.other U-SEX GESIDA 9416 en_US
dc.title 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 en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.relation.publisherversion https://doi. org/10.1371/journal.pone.0220272 es_ES
dc.identifier.doi 10.1371/journal.pone.0220272 es_ES
dc.identifier.publicationfirstpage e0220272-1 es_ES
dc.identifier.publicationissue 12 es_ES
dc.identifier.publicationlastpage e0220272-16 es_ES
dc.identifier.publicationvolume 14 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion en
dc.rights.accessRights openAccess en
dc.authorUAM González Baeza, Alicia (267975)
dc.authorUAM Cabello Úbeda, Alfonso (319336)

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