How prevalent is chemsex use among gay men with HIV in England and Wales?

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Chemsex Use Among Gay Men with HIV in England and Wales

In England and Wales, a survey of HIV clinics revealed that 29 percent of gay men diagnosed with HIV reported engaging in chemsex. This practice, which involves using drugs to enhance sexual experiences, has become a significant concern for health professionals in the region.
Drug-Fueled Sexual Encounters

Chemsex involves the use of potent synthetic drugs, such as next-generation methamphetamines, GBL, GHB, and cathinone, to lower inhibitions and prolong sexual activity. This phenomenon is particularly prevalent within certain segments of the gay community, often facilitated by dating apps that allow for the simultaneous arrangement of drug acquisition and sexual encounters.
Health Risks and Addiction Potential

The combination of sex and drugs carries numerous risks, including addiction, overdose, and increased susceptibility to sexually transmitted infections. Experts note that the addictive potential of these substances is very high, with many individuals, particularly those over 40, rapidly escalating their consumption. The practice of injecting drugs, known as "slamming," further heightens these dangers.
Increased STI Rates and Treatment Challenges

Chemsex users frequently forgo condom use due to diminished risk perception while under the influence of drugs, leading to a surge in sexually transmitted infections like gonorrhoea and syphilis, including reinfections. A notable finding from British and Irish researchers indicated that 29 percent of gay men with HIV in a survey of 30 clinics in England and Wales were engaged in chemsex. Furthermore, individuals involved in chemsex often do not perceive themselves as addicts, complicating their integration into traditional addiction treatment settings.

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How prevalent is chemsex use among gay men with HIV in England and Wales?

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