ssh-chemsex-study-final-main-report

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FIGURE 3.2 Cumulative recency of use of gay social settings by MSM in LSL Cumulative % 100 90 80 70 60 50 40 30 20 10 website cafe/bar disco/club cruising site sauna backroom/public sex party community centre 0 24 hr 7 day 4 wks 6 mth 12 mth 5 yrs ever Within this time period private sex party porn cinema 3.8 SETTING USE AND DRUG USE In considering the association between setting use and drug use we have concentrated here on the four drugs currently causing most concern for gay men in LSL – crystal meth, mephedrone, GHB/GBL and ketamine. In the following sections we look at how recently men using each of these four drugs have used four settings: gay cafés/bars/pubs; saunas; backrooms and sex-clubs; and sex parties at private homes. 3.8.1 Gay café/bar/pub use and drug use The following figure shows the cumulative proportion of men who had used a gay café, bar or pub within increasing time periods before the survey. Each line represents the group of men who had used that drug in the last four weeks, with a fifth line showing the group of men who had used none of these four drugs in the last four weeks. The four drug use groups are therefore not exclusive groups (since some men had used more than one of these drugs). Although attendance at gay cafes, bars and pubs was common among all groups, it was more common among men who used each of the four drugs than it was among those who used none of these four drugs. So for example, 47% of men in LSL who had used none of these four drugs had been to a gay café/bar/pub in the last four weeks compared with 61% - 71% of those who had used these drugs. The Chemsex Study | 3. DRUG USE SURVEY DATA FROM EMIS 26
FIGURE 3.3 Cumulative recency of attending a gay cafe/bar/pub by use of different drugs in last 4 weeks 100 90 Cumulative % 80 70 60 50 40 30 Crystal meth GHB/GBL Ketamine Mephedrone 20 10 None of these 0 24 hr 7 day 4 wks 6 mth 12 mth 5 yrs ever Within this time period 3.8.2 Saunas and drug use The following figure shows how recently men living in LSL had been to a sauna, according to whether they had used each of four drugs in the past four weeks, or none of these four drugs. The four drug-using groups are fairly closely bunched together and are some distance from the group who had used none of these drugs. This suggests that while sauna use is associated with all four of these drugs, no one drug in particular is associated with sauna use. FIGURE 3.4 Cumulative recency of attending a sauna by use of different drugs in last 4 weeks 100 90 Cumulative % 80 70 60 50 40 30 Crystal meth GHB/GBL Ketamine Mephedrone 20 10 None of these 0 24 hr 7 day 4 wks 6 mth 12 mth 5 yrs ever Within this time period The Chemsex Study | 3. DRUG USE SURVEY DATA FROM EMIS 27
Page 1 and 2: The Chemsex Study: drug use in sexu
Page 3 and 4: TABLE OF CONTENTS Acknowledgements.
Page 5 and 6: 8. Managing drug use and getting he
Page 7 and 8: TERM Gay Commercial Scene G hole or
Page 9 and 10: TABLE 1 Drugs commonly associated w
Page 11 and 12: high-risk sexual behaviour (Fisher
Page 13 and 14: 1.4 CHEMSEX IN AN INTERNATIONAL CON
Page 15 and 16: 2.1 SECONDARY ANALYSIS OF EMIS SURV
Page 17 and 18: 3. DRUG USE AMONG MSM LIVING IN LAM
Page 19 and 20: 3.3 INJECTING DRUG USE EMIS asked t
Page 21 and 22: used it in the last 12 months. This
Page 23 and 24: 3.6 VARIATION IN DRUG BEHAVIOURS AN
Page 25: The most common drug (alcohol) and
Page 29 and 30: 3.8.4 Private sex parties and drug
Page 31 and 32: 4. THE CONTEXT OF CHEMSEX This is t
Page 33 and 34: still used it. In comparison, cryst
Page 35 and 36: he told him never to slam, he did a
Page 37 and 38: DARREN’S STORY Darren is 41. He h
Page 39 and 40: a “Mecca” for drug use and chem
Page 41 and 42: 5. THE IMPACT OF DRUGS ON SEXUAL PL
Page 43 and 44: ‘Many participants described how
Page 45 and 46: 5.4 SEXUAL LONGEVITY AND PARTNER TU
Page 47 and 48: 5.6 SEXUAL (UN)HAPPINESS AND MAKING
Page 49 and 50: 6. THE ROLE OF DRUGS IN HIV/STI TRA
Page 51 and 52: “I am being absolutely open and h
Page 53 and 54: A few men described a very clear tr
Page 55 and 56: ‘Men in this group described a gr
Page 57 and 58: 7. NEGATIVE EXPERIENCES AND HARMS A
Page 59 and 60: The effects of overdosing were dive
Page 61 and 62: 7.4 HARMS RELATED TO EMPLOYMENT AND
Page 63 and 64: 8. MANAGING DRUG USE AND GETTING HE
Page 65 and 66: were hugely divergent. While many o
Page 67 and 68: ‘There was a common perception th
Page 69 and 70: 8.6 SUMMARY • While around a thir
Page 71 and 72: 10. REFERENCES Bauermeister JA (200

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