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
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 s...
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| Veröffentlicht in: | PloS one 2019-12, Vol.14 (12), p.e0220272-e0220272 |
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| creator | Dolengevich-Segal, Helen Gonzalez-Baeza, Alicia Valencia, Jorge Valencia-Ortega, Eulalia Cabello, Alfonso Tellez-Molina, Maria Jesus Perez-Elias, Maria Jesus Serrano, Regino Perez-Latorre, Leire Martin-Carbonero, Luz Arponen, Sari Sanz-Moreno, Jose De la Fuente, Sara Bisbal, Otilia Santos, Ignacio Casado, Jose Luis Troya, Jesus Cervero-Jimenez, Miguel Nistal, Sara Cuevas, Guillermo Correas-Lauffer, Javier Torrens, Marta Ryan, Pablo |
| description | 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.
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 HIV-positive MSM who had engaged in slamsex and non-injecting sexualized drug use.
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).
Slamsex is closely associated with current psychiatric disorders and severe drug-related and psychiatric symptoms. |
| doi_str_mv | 10.1371/journal.pone.0220272 |
| format | Article |
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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 HIV-positive MSM who had engaged in slamsex and non-injecting sexualized drug use.
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).
Slamsex is closely associated with current psychiatric disorders and severe drug-related and psychiatric symptoms.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0220272</identifier><identifier>PMID: 31800575</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Analysis ; Anxiety ; Biology and Life Sciences ; Cross-Sectional Studies ; Dependence ; Depression (Mood disorder) ; Disease transmission ; Disorders ; Drug abuse ; Drug development ; Drug use ; Drugs ; Ecstasy ; Gays & lesbians ; Hepatitis ; Hepatitis C ; HIV ; HIV - drug effects ; HIV Infections - etiology ; HIV Infections - pathology ; HIV Infections - psychology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Infectious diseases ; Internal medicine ; Internet ; Intoxication ; Intravenous administration ; Male ; Medicine ; Medicine and Health Sciences ; Mens health ; Mental disorders ; Methamphetamine ; People and Places ; Physicians ; Polls & surveys ; Privacy ; Psychological symptoms ; Psychopathology ; Recreational use ; Risk taking ; Sex ; Sexual behavior ; Sexual Behavior - psychology ; Sexually transmitted diseases ; Signs and symptoms ; Social Sciences ; STD ; Substance Abuse, Intravenous - complications ; Suicidal behavior ; Viral infections ; Withdrawal</subject><ispartof>PloS one, 2019-12, Vol.14 (12), p.e0220272-e0220272</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Dolengevich-Segal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Dolengevich-Segal et al 2019 Dolengevich-Segal et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-9f6d0d9278ae74f98105bad9b3d08f1f872cd36f9504f2b5322acf938277043d3</citedby><cites>FETCH-LOGICAL-c593t-9f6d0d9278ae74f98105bad9b3d08f1f872cd36f9504f2b5322acf938277043d3</cites><orcidid>0000-0002-0148-2422 ; 0000-0003-1018-3034 ; 0000-0001-9387-7917 ; 0000-0001-5700-5257 ; 0000-0001-7323-114X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6892548/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6892548/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31800575$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Weinstein, Aviv M.</contributor><creatorcontrib>Dolengevich-Segal, Helen</creatorcontrib><creatorcontrib>Gonzalez-Baeza, Alicia</creatorcontrib><creatorcontrib>Valencia, Jorge</creatorcontrib><creatorcontrib>Valencia-Ortega, Eulalia</creatorcontrib><creatorcontrib>Cabello, Alfonso</creatorcontrib><creatorcontrib>Tellez-Molina, Maria Jesus</creatorcontrib><creatorcontrib>Perez-Elias, Maria Jesus</creatorcontrib><creatorcontrib>Serrano, Regino</creatorcontrib><creatorcontrib>Perez-Latorre, Leire</creatorcontrib><creatorcontrib>Martin-Carbonero, Luz</creatorcontrib><creatorcontrib>Arponen, Sari</creatorcontrib><creatorcontrib>Sanz-Moreno, Jose</creatorcontrib><creatorcontrib>De la Fuente, Sara</creatorcontrib><creatorcontrib>Bisbal, Otilia</creatorcontrib><creatorcontrib>Santos, Ignacio</creatorcontrib><creatorcontrib>Casado, Jose Luis</creatorcontrib><creatorcontrib>Troya, Jesus</creatorcontrib><creatorcontrib>Cervero-Jimenez, Miguel</creatorcontrib><creatorcontrib>Nistal, Sara</creatorcontrib><creatorcontrib>Cuevas, Guillermo</creatorcontrib><creatorcontrib>Correas-Lauffer, Javier</creatorcontrib><creatorcontrib>Torrens, Marta</creatorcontrib><creatorcontrib>Ryan, Pablo</creatorcontrib><creatorcontrib>U-SEX GESIDA 9416 Study</creatorcontrib><creatorcontrib>on Behalf of the U-SEX GESIDA 9416 Study</creatorcontrib><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</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
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 HIV-positive MSM who had engaged in slamsex and non-injecting sexualized drug use.
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).
Slamsex is closely associated with current psychiatric disorders and severe drug-related and psychiatric symptoms.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Biology and Life Sciences</subject><subject>Cross-Sectional Studies</subject><subject>Dependence</subject><subject>Depression (Mood disorder)</subject><subject>Disease transmission</subject><subject>Disorders</subject><subject>Drug abuse</subject><subject>Drug development</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Ecstasy</subject><subject>Gays & lesbians</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>HIV</subject><subject>HIV - drug effects</subject><subject>HIV Infections - etiology</subject><subject>HIV Infections - pathology</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Internal medicine</subject><subject>Internet</subject><subject>Intoxication</subject><subject>Intravenous administration</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mens health</subject><subject>Mental disorders</subject><subject>Methamphetamine</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Polls & surveys</subject><subject>Privacy</subject><subject>Psychological symptoms</subject><subject>Psychopathology</subject><subject>Recreational use</subject><subject>Risk taking</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexually transmitted diseases</subject><subject>Signs and symptoms</subject><subject>Social Sciences</subject><subject>STD</subject><subject>Substance Abuse, 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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</title><author>Dolengevich-Segal, Helen ; Gonzalez-Baeza, Alicia ; Valencia, Jorge ; Valencia-Ortega, Eulalia ; Cabello, Alfonso ; Tellez-Molina, Maria Jesus ; Perez-Elias, Maria Jesus ; Serrano, Regino ; Perez-Latorre, Leire ; Martin-Carbonero, Luz ; Arponen, Sari ; Sanz-Moreno, Jose ; De la Fuente, Sara ; Bisbal, Otilia ; Santos, Ignacio ; Casado, Jose Luis ; Troya, Jesus ; Cervero-Jimenez, Miguel ; Nistal, Sara ; Cuevas, Guillermo ; Correas-Lauffer, Javier ; Torrens, Marta ; Ryan, Pablo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-9f6d0d9278ae74f98105bad9b3d08f1f872cd36f9504f2b5322acf938277043d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acquired immune deficiency 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Marta</creatorcontrib><creatorcontrib>Ryan, Pablo</creatorcontrib><creatorcontrib>U-SEX GESIDA 9416 Study</creatorcontrib><creatorcontrib>on Behalf of the U-SEX GESIDA 9416 Study</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS 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BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dolengevich-Segal, Helen</au><au>Gonzalez-Baeza, Alicia</au><au>Valencia, Jorge</au><au>Valencia-Ortega, Eulalia</au><au>Cabello, Alfonso</au><au>Tellez-Molina, Maria Jesus</au><au>Perez-Elias, Maria Jesus</au><au>Serrano, Regino</au><au>Perez-Latorre, Leire</au><au>Martin-Carbonero, Luz</au><au>Arponen, Sari</au><au>Sanz-Moreno, Jose</au><au>De la Fuente, Sara</au><au>Bisbal, Otilia</au><au>Santos, Ignacio</au><au>Casado, Jose Luis</au><au>Troya, Jesus</au><au>Cervero-Jimenez, Miguel</au><au>Nistal, Sara</au><au>Cuevas, Guillermo</au><au>Correas-Lauffer, Javier</au><au>Torrens, Marta</au><au>Ryan, Pablo</au><au>Weinstein, Aviv M.</au><aucorp>U-SEX GESIDA 9416 Study</aucorp><aucorp>on Behalf of the U-SEX GESIDA 9416 Study</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-12-04</date><risdate>2019</risdate><volume>14</volume><issue>12</issue><spage>e0220272</spage><epage>e0220272</epage><pages>e0220272-e0220272</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
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 HIV-positive MSM who had engaged in slamsex and non-injecting sexualized drug use.
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).
Slamsex is closely associated with current psychiatric disorders and severe drug-related and psychiatric symptoms.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31800575</pmid><doi>10.1371/journal.pone.0220272</doi><orcidid>https://orcid.org/0000-0002-0148-2422</orcidid><orcidid>https://orcid.org/0000-0003-1018-3034</orcidid><orcidid>https://orcid.org/0000-0001-9387-7917</orcidid><orcidid>https://orcid.org/0000-0001-5700-5257</orcidid><orcidid>https://orcid.org/0000-0001-7323-114X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-12, Vol.14 (12), p.e0220272-e0220272 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2321682507 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adult AIDS Analysis Anxiety Biology and Life Sciences Cross-Sectional Studies Dependence Depression (Mood disorder) Disease transmission Disorders Drug abuse Drug development Drug use Drugs Ecstasy Gays & lesbians Hepatitis Hepatitis C HIV HIV - drug effects HIV Infections - etiology HIV Infections - pathology HIV Infections - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Infectious diseases Internal medicine Internet Intoxication Intravenous administration Male Medicine Medicine and Health Sciences Mens health Mental disorders Methamphetamine People and Places Physicians Polls & surveys Privacy Psychological symptoms Psychopathology Recreational use Risk taking Sex Sexual behavior Sexual Behavior - psychology Sexually transmitted diseases Signs and symptoms Social Sciences STD Substance Abuse, Intravenous - complications Suicidal behavior Viral infections Withdrawal |
| 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 |
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