{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:32:39Z","timestamp":1790645559248,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T00:00:00Z","timestamp":1526947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2018,8]]},"abstract":"\n Objectives<\/jats:title>\n \n The aim of the study was to analyse associations between chemsex and new\n HIV<\/jats:styled-content>\n and sexually transmitted infection (\n STI<\/jats:styled-content>\n ) diagnoses among gay, bisexual and other men who have sex with men (\n GBMSM<\/jats:styled-content>\n ) accessing sexual health clinics.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective case note review was carried out for all\n GBMSM<\/jats:styled-content>\n attending two London sexual health clinics between 1 June 2014 and 31 July 2015.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Chemsex status was documented for 1734 of 1840 patients. Overall, 27.1% (\n n<\/jats:italic>\n = 463) disclosed current recreational drug use, of whom 286 (16.5%) disclosed chemsex participation and 74 of 409 (18.1%) injected drugs.\n GBMSM<\/jats:styled-content>\n who were already\n HIV<\/jats:styled-content>\n positive were more likely to disclose chemsex participation [adjusted odds ratio (\n AOR<\/jats:styled-content>\n ) 2.55; 95% confidence interval (\n CI<\/jats:styled-content>\n ) 1.89\u20133.44;\n P<\/jats:italic>\n < 0.001]. Those disclosing chemsex participation had higher odds of being newly diagnosed with\n HIV<\/jats:styled-content>\n infection (\n AOR<\/jats:styled-content>\n 5.06; 95%\n CI<\/jats:styled-content>\n 2.56\u201310.02;\n P<\/jats:italic>\n < 0.001), acute bacterial\n STI<\/jats:styled-content>\n s (\n AOR<\/jats:styled-content>\n 3.94; 95%\n CI<\/jats:styled-content>\n 3.00\u20135.17;\n P<\/jats:italic>\n < 0.001), rectal\n STI<\/jats:styled-content>\n s (\n AOR<\/jats:styled-content>\n 4.45; 95%\n CI<\/jats:styled-content>\n 3.37\u20136.06;\n P<\/jats:italic>\n < 0.001) and hepatitis C (\n AOR<\/jats:styled-content>\n 9.16; 95%\n CI<\/jats:styled-content>\n 2.31\u201336.27;\n P<\/jats:italic>\n = 0.002).\n HIV<\/jats:styled-content>\n \u2010negative chemsex participants were also more likely to have accessed post\u2010exposure prophylaxis for\n HIV<\/jats:styled-content>\n in the study period and to report sex with a discordant\n HIV<\/jats:styled-content>\n \u2010 or hepatitis C virus\u2010infected partner (\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Chemsex disclosure in sexual health settings is associated with higher rates of\n STI<\/jats:styled-content>\n diagnoses, including\n HIV<\/jats:styled-content>\n infection and hepatitis C.\n GBMSM<\/jats:styled-content>\n attending sexual health services should therefore be assessed for chemsex participation and disclosure should prompt health promotion, harm minimization and wellbeing interventions.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hiv.12629","type":"journal-article","created":{"date-parts":[[2018,5,23]],"date-time":"2018-05-23T01:53:51Z","timestamp":1527040431000},"page":"485-490","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":127,"title":["Chemsex and new HIV diagnosis in gay, bisexual and other men who have sex with men attending sexual health clinics"],"prefix":"10.1111","volume":"19","author":[{"given":"M","family":"Pakianathan","sequence":"first","affiliation":[{"name":"Wandsworth Integrated Sexual Health The Courtyard Clinic St George's University Hospital Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Whittaker","sequence":"additional","affiliation":[{"name":"Centre for Health Economics University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MJ","family":"Lee","sequence":"additional","affiliation":[{"name":"Wandsworth Integrated Sexual Health The Courtyard Clinic St George's University Hospital Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Avery","sequence":"additional","affiliation":[{"name":"Wandsworth Integrated Sexual Health The Courtyard Clinic St George's University Hospital Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Sexual Health The Wolverton Centre Kingston Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department of Sexual Health The Wolverton Centre Kingston Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6864-8183","authenticated-orcid":false,"given":"A","family":"Hegazi","sequence":"additional","affiliation":[{"name":"Wandsworth Integrated Sexual Health The Courtyard Clinic St George's University Hospital Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,22]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"KirwanPD ChauC BrownAE GillON DelpechVC Contributors.HIV in the UK \u20102016 report. 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