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ssh-chemsex-study-final-main-report

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TABLE OF CONTENTS<br />

Acknowledgements................................................................................................................................................2<br />

Glossary of key terms.............................................................................................................................................6<br />

1. Introducing ‘<strong>chemsex</strong>’............................................................................................................................................8<br />

1.1 Understanding the prevalence of <strong>chemsex</strong> in London................................................................10<br />

1.2 The public health problem....................................................................................................................10<br />

1.3 Chemsex in Lambeth, Southwark and Lewisham........................................................................... 11<br />

1.4 Chemsex in an international context................................................................................................. 13<br />

1.5 Overview of <strong>report</strong>.................................................................................................................................. 13<br />

2. Methods....................................................................................................................................................................14<br />

2.1. Secondary analysis of EMIS Survey data......................................................................................... 15<br />

2.2 Qualitative interviews............................................................................................................................ 15<br />

2.3 Focus groups with members of local gay community................................................................. 16<br />

2.4 Focus group & interviews with community and clinical service providers............................ 16<br />

3. Drug use among MSM living in Lambeth, Southwark and Lewisham:<br />

survey data from EMIS......................................................................................................................................... 17<br />

3.1 The EMIS Sample..................................................................................................................................... 18<br />

3.2 Sample demographic characteristics................................................................................................ 18<br />

3.3 Injecting drug use................................................................................................................................... 19<br />

3.4 Recency of drug use by men in LSL.................................................................................................20<br />

3.5 Drug use in LSL compared with elsewhere.................................................................................... 22<br />

3.6 Variation in drug behaviours and needs across demographic groups................................... 23<br />

3.6.1 Age............................................................................................................................................................. 23<br />

3.6.2 HIV testing history................................................................................................................................. 24<br />

3.7 Use of gay settings................................................................................................................................ 25<br />

3.8 Setting use and drug use..................................................................................................................... 26<br />

3.8.1 Gay café/bar/pub use and drug use................................................................................................. 26<br />

3.8.2 Saunas and drug use............................................................................................................................. 27<br />

3.8.3 Backrooms/sex clubs and drug use.................................................................................................. 28<br />

3.8.4 Private sex parties and drug use....................................................................................................... 29<br />

3.9 Summary........................................................................................................................................................30<br />

The Chemsex Study 03

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