Harm Reduction Practices and Needs in a Belgian Chemsex Context: Findings from a Qualitative Study

Corinne Herrijgers, Karolien Poels, Heidi Vandebosch, Tom Platteau, Jacques van Lankveld and Eric Florence
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Corinne Herrijgers: Department of Clinical Sciences, Institute of Tropical Medicine, 2000 Antwerp, Belgium
Karolien Poels: Department of Communication Studies, Faculty of Social Sciences, University of Antwerp, 2000 Antwerp, Belgium
Heidi Vandebosch: Department of Communication Studies, Faculty of Social Sciences, University of Antwerp, 2000 Antwerp, Belgium
Tom Platteau: Department of Clinical Sciences, Institute of Tropical Medicine, 2000 Antwerp, Belgium
Jacques van Lankveld: Department of Psychology, Open University, 6400 Heerlen, The Netherlands
Eric Florence: Department of Clinical Sciences, Institute of Tropical Medicine, 2000 Antwerp, Belgium

IJERPH, 2020, vol. 17, issue 23, 1-18

Abstract: Chemsex is a growing public health concern, with little evidence-based care and support available. The aim of this study is to understand current risk reduction practices, and the information and care needs of gay, bisexual, and other men who have sex with men (GBMSM) who engage in chemsex. Between January and March 2020, semi structured in-depth interviews with drug-using GBMSM ( n = 20) were conducted. Data were analyzed thematically. The reported preparatory measures were: deliberately scheduling chemsex sessions, and discussing preferences regarding setting and attendees. During the event, a logbook is kept to monitor drugs taken by each participant. People try to take care of each other, but this is often counteracted. Respondents highlighted needs: reliable and easily-accessible information, anonymous medical and psychological healthcare, chemsex-specific care, and a value-neutral safe space to talk about chemsex experiences. Results imply two types of users: planned and impulsive users. Adherence to intended harm reduction practices are complicated by drug effects, peer pressure, and feelings of distrust among users.

Keywords: chemsex; GBMSM; harm reduction; needs; mobile health intervention; high-risk behavior (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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