{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:57:39Z","timestamp":1783468659688,"version":"3.55.0"},"reference-count":29,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":513,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chemsex, a type of sexualised drug use, is expanding among gay, bisexual, and other men who have sex with men (GBMSM), with physical and mental health risks. Health-seeking behaviours of GBMSM practising chemsex is not clear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Harm reduction (HR) consultations for GBMSM engaging in chemsex and seeking comprehensive services including HR were offered in a Parisian infectious disease unit. From December 2021 to January 2022, HR consultation patients completed an online survey on their consumption, health, used services, and perspective on consultations. We generated descriptive statistics, and tested (\u03c72) the relationship between reporting a specialised follow-up and perceived usefulness of intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 172 patients, a total of 96 GBMSM (55.2%) completed the survey. Most ever consumed substance was 3-methylmethcathinone (3MMC; 92\/96; 95.8%). Before consultations, about half consumed at least once a week (50\/96; 52%), most reported negative impacts of chemsex on their social (60\/96, 62.5%), professional (56\/96, 58.3%), intimate (53\/96; 55.21%), or sexual life (52\/96; 54.17%). Also, more than two-thirds (n\u00a0=\u00a057; 69.38%) had received a follow-up in specialised services: one-third had been followed in addictology (28\/96, 29.2%) and\/or psychotherapy (32\/96, 33.3%), and one-fourth (24\/96, 25.0%) had used emergency services. After consultations, three-quarters perceived the intervention as useful (n\u00a0=\u00a074; 77.08%); we found no significant relationship with receiving a specialised follow-up; and most were satisfied with professionals\u2019 listening (90\/96; 93.8%), and reported reduced risks (80\/96; 83.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Multidisciplinary HR, preventive, diagnostical, and therapeutic sexological and psychiatric interventions are greatly needed among GBMSM practising chemsex. HR interventions accessible in services already attended by GBMSM are a valuable option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh23165","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T19:55:10Z","timestamp":1710186910000},"source":"Crossref","is-referenced-by-count":16,"title":["Harm reduction and multidisciplinary consultations for gay, bisexual, and other men who have sex with men practising chemsex based in a French infectious disease unit: patients\u2019 characteristics and perceptions"],"prefix":"10.1071","volume":"21","author":[{"given":"Alexandre","family":"Aslan","sequence":"first","affiliation":[{"name":"AUnit\u00e9 des maladies infectieuses et tropicales, H\u00f4pital Saint-Louis (Hopitaux de Paris - Assistance Publique de Paris), Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1151-3763","authenticated-orcid":true,"given":"David","family":"Lessard","sequence":"additional","affiliation":[{"name":"BCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, QC, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertrand","family":"Lebouch\u00e9","sequence":"additional","affiliation":[{"name":"BCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, QC, Canada."},{"name":"CChronic and Viral Illness Service, Division of Infectious Disease, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada."},{"name":"DDepartment of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"Bichard","sequence":"additional","affiliation":[{"name":"AUnit\u00e9 des maladies infectieuses et tropicales, H\u00f4pital Saint-Louis (Hopitaux de Paris - Assistance Publique de Paris), Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9n\u00e9dicte","family":"Loze","sequence":"additional","affiliation":[{"name":"AUnit\u00e9 des maladies infectieuses et tropicales, H\u00f4pital Saint-Louis (Hopitaux de Paris - Assistance Publique de Paris), Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonore","family":"Laussat","sequence":"additional","affiliation":[{"name":"AUnit\u00e9 des maladies infectieuses et tropicales, H\u00f4pital Saint-Louis (Hopitaux de Paris - Assistance Publique de Paris), Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Molina","sequence":"additional","affiliation":[{"name":"AUnit\u00e9 des maladies infectieuses et tropicales, H\u00f4pital Saint-Louis (Hopitaux de Paris - Assistance Publique de Paris), Paris, France."},{"name":"EUniversit\u00e9 Paris Cit\u00e9, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"issue":"10","key":"2025102615334183900_R1","doi-asserted-by":"publisher","first-page":"e717","DOI":"10.1016\/S2352-3018(22)00124-2","article-title":"HIV, chemsex, and the need for harm-reduction interventions to support gay, bisexual, and other men who have sex with men.","volume":"9","author":"Strong","year":"2022","journal-title":"Lancet HIV"},{"issue":"5","key":"2025102615334183900_R2","doi-asserted-by":"publisher","first-page":"762","DOI":"10.2174\/1570159X15666161117151148","article-title":"When \u201cChems\u201d meet sex: a rising phenomenon called \u201cChemSex\u201d.","volume":"15","author":"Giorgetti","year":"2017","journal-title":"Curr Neuropharmacol"},{"key":"2025102615334183900_R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.etdah.2022.100043","article-title":"Healthcare experiences and barriers for men who have sex with men - MSM - who engage in chemsex.","volume":"2","author":"Tangerli","year":"2022","journal-title":"Emerg Trends Drugs Addict Health"},{"issue":"4","key":"2025102615334183900_R4","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1136\/jfprhc-2016-101603","article-title":"A chemsex crucible: the context and the controversy.","volume":"42","author":"Stuart","year":"2016","journal-title":"J Fam Plann Reprod Health Care"},{"key":"2025102615334183900_R5","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.chb.2016.05.018","article-title":"How \u201cphubbing\u201d becomes the norm: the antecedents and consequences of snubbing via smartphone.","volume":"63","author":"Chotpitayasunondh","year":"2016","journal-title":"Comput Human Behav"},{"key":"2025102615334183900_R6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/00918369.2023.2170757","article-title":"Chemsex among men who have sex with men: a systematic scoping review of research methods.","author":"Amundsen","year":"2023","journal-title":"J Homosex"},{"key":"2025102615334183900_R7","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1097\/QAI.0000000000003153","article-title":"Is there a reduction in chemsex practice in men who have sex with men during Covid-19 lockdown? Results of the CheRRLock study.","volume":"92","author":"L\u2019Yavanc","year":"2023","journal-title":"J Acquir Immune Defic Syndr"},{"key":"2025102615334183900_R8","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2021.110743","article-title":"Chemsex\/slamsex-related intoxications: a case report involving gamma-hydroxybutyrate (GHB) and 3-methylmethcathinone (3-MMC) and a review of the literature.","volume":"321","author":"Drevin","year":"2021","journal-title":"Forensic Sci Int"},{"key":"2025102615334183900_R9","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.drugpo.2018.11.014","article-title":"Chemsex behaviours among men who have sex with men: a systematic review of the literature.","volume":"63","author":"Maxwell","year":"2019","journal-title":"Int J Drug Policy"},{"key":"2025102615334183900_R10"},{"issue":"1","key":"2025102615334183900_R11","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1108\/DAT-11-2018-0066","article-title":"The problematic chemsex journey: a resource for prevention and harm reduction.","volume":"19","author":"Platteau","year":"2019","journal-title":"Drugs Alcohol Today"},{"key":"2025102615334183900_R12","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2020.102927","article-title":"Digital chemsex support and care: the potential of just-in-time adaptive interventions.","volume":"85","author":"Platteau","year":"2020","journal-title":"Int J Drug Policy"},{"issue":"8","key":"2025102615334183900_R13","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1111\/hiv.13103","article-title":"The association between use of chemsex drugs and HIV clinic attendance among gay and bisexual men living with HIV in London.","volume":"22","author":"Howarth","year":"2021","journal-title":"HIV Med"},{"key":"2025102615334183900_R14","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.drugpo.2019.10.007","article-title":"Chemsex is not a barrier to self-reported daily PrEP adherence among PROUD study participants.","volume":"74","author":"O\u2019Halloran","year":"2019","journal-title":"Int J Drug Policy"},{"issue":"2","key":"2025102615334183900_R15","doi-asserted-by":"publisher","first-page":"e69","DOI":"10.1097\/QAI.0000000000001781","article-title":"Is on-demand HIV pre-exposure prophylaxis a suitable tool for men who have sex with men who practice chemsex? Results from a substudy of the ANRS-IPERGAY trial.","volume":"79","author":"Roux","year":"2018","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"3","key":"2025102615334183900_R16","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1136\/sextrans-2016-052695","article-title":"Motivations and values associated with combining sex and illicit drugs (\u2018chemsex\u2019) among gay men in South London: findings from a qualitative study.","volume":"93","author":"Weatherburn","year":"2017","journal-title":"Sex Transm Infect"},{"issue":"1","key":"2025102615334183900_R17","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.sxmr.2021.01.005","article-title":"Harm reduction in sexual medicine.","volume":"10","author":"Sansone","year":"2022","journal-title":"Sex Med Rev"},{"key":"2025102615334183900_R18","unstructured":"Colin J. Conception et \u00e9valuation d\u2019un outil d\u2019aide au rep\u00e9rage pr\u00e9coce et \u00e0 l\u2019intervention br\u00e8ve pour la pratique du Chemsex 2021. Doctoral thesis, Universit\u00e9 Clermont Auvergne, Facult\u00e9 de M\u00e9decine et des professions param\u00e9dicales, France; 2021. Available at https:\/\/dumas.ccsd.cnrs.fr\/dumas-03611600"},{"issue":"2","key":"2025102615334183900_R19","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1071\/SH17139","article-title":"Towards a continuum of care concerning chemsex issues.","volume":"15","author":"Bakker","year":"2018","journal-title":"Sex Health"},{"issue":"13","key":"2025102615334183900_R20","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1177\/09564624231188752","article-title":"Harm reduction services for people engaging in chemsex in Brighton, UK: a pilot qualitative study.","volume":"34","author":"McGaughey","year":"2023","journal-title":"Int J STD AIDS"},{"key":"2025102615334183900_R21","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.690242","article-title":"We have a lot to do: lack of sexual protection and information \u2013 results of the German-language online survey \u201cLet\u2019s Talk About Chemsex\u201d.","volume":"12","author":"Rosenberger","year":"2021","journal-title":"Front Psychiatry"},{"key":"2025102615334183900_R22","doi-asserted-by":"publisher","first-page":"4","DOI":"10.3399\/bjgp16X683029","article-title":"Safer \u2018chemsex\u2019: GPs\u2019 role in harm reduction for emerging forms of recreational drug use.","volume":"66","author":"Ma","year":"2016","journal-title":"Br J Gen Pract"},{"key":"2025102615334183900_R23","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2020.548704","article-title":"Complications related to sexualized drug use: what can we learn from literature?","volume":"14","author":"Donnadieu-Rigole","year":"2020","journal-title":"Front Neurosci"},{"issue":"1","key":"2025102615334183900_R24","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-12763-3","article-title":"Increasing emergency department admissions for chemsex-related intoxications in Barcelona, Spain, among people living with HIV: an observational study from 2018 to 2020.","volume":"22","author":"Vallecillo","year":"2022","journal-title":"BMC Public Health"},{"issue":"2","key":"2025102615334183900_R25","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s10508-020-01741-8","article-title":"Psychological and interpersonal factors associated with sexualized drug use among men who have sex with men: a mixed-methods systematic review.","volume":"50","author":"Lafortune","year":"2021","journal-title":"Arch Sex Behav"},{"issue":"2","key":"2025102615334183900_R26","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1071\/SH17166","article-title":"Chemsex as edgework: towards a sociological understanding.","volume":"15","author":"Hickson","year":"2018","journal-title":"Sex Health"},{"issue":"6","key":"2025102615334183900_R27","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1007\/s12160-016-9830-8","article-title":"Just-in-time adaptive interventions (JITAIs) in mobile health: key components and design principles for ongoing health behavior support.","volume":"52","author":"Nahum-Shani","year":"2018","journal-title":"Ann Behav Med"},{"issue":"4","key":"2025102615334183900_R28","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1177\/0956462416651229","article-title":"Chemsex and the city: sexualised substance use in gay bisexual and other men who have sex with men attending sexual health clinics.","volume":"28","author":"Hegazi","year":"2017","journal-title":"Int J STD AIDS"},{"issue":"6","key":"2025102615334183900_R29","doi-asserted-by":"publisher","first-page":"e6396","DOI":"10.1111\/hsc.14081","article-title":"Support, care and peer support for gay and bi men engaging in chemsex.","volume":"30","author":"Nagington","year":"2022","journal-title":"Health Soc Care Community"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH23165\/587866\/sh23165.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH23165\/587866\/sh23165.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:33:50Z","timestamp":1761507230000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/21\/2\/SH23165\/82218\/Harm-reduction-and-multidisciplinary-consultations"}},"subtitle":[],"editor":[{"given":"Eric","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,3,12]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4,11]]}},"URL":"https:\/\/doi.org\/10.1071\/sh23165","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,12]]},"article-number":"SH23165"}}