{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:52:27Z","timestamp":1777855947699,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Mens Health"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Chemsex\u2014the use of drugs in a sexual context\u2014has been associated with more at-risk sexual practices and substance-related complications in men who have sex with men (MSM). To date, no study has focused on the impact of France\u2019s first coronavirus disease 2019 (COVID-19)-related lockdown on the mental health and drug\/alcohol use of MSM who practice chemsex. We implemented a web-based survey of 9,488 MSM living in France in June 2020 (after the country\u2019s first COVID-19 lockdown). Specifically, we first compared the subpopulation of MSM who self-reported practicing chemsex during their most recent sexual intercourse (defined as \u201cchemsexers\u201d) with other MSM, using five outcomes: increased 1\/tobacco use, 2\/alcohol use, and 3\/other psychoactive drug use. 4\/using psychotropic medication during the lockdown, and finally 5\/psychological distress. We then analyzed the outcomes\u2019 associations with the main explanatory variable \u201cchemsexer,\u201d after adjusting for all relevant variables. Among 7,195 MSM who had sexual intercourse with a man during the previous 6 months, 359 participants (5%) were identified as \u201cchemsexers.\u201d Multivariable analyses showed that during the first lockdown period, chemsexers were significantly more likely than non-chemsexers to have increased their use of tobacco, alcohol, and other psychoactive substances. Chemsexers were also more likely to have used psychotropic medication and to have experienced psychological distress during the previous month. Given the ongoing COVID-19 pandemic in France and worldwide, this finding highlights the need to develop psychosocial interventions and harm reduction services for MSM chemsexers, potentially via mobile health.<\/jats:p>","DOI":"10.1177\/15579883211073225","type":"journal-article","created":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T01:54:39Z","timestamp":1644803679000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Impact of COVID-19 Pandemic on Men Who Have Sex With Men That Practice Chemsex in France: Results From the National ERAS Web Survey"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5069-4982","authenticated-orcid":false,"given":"Perrine","family":"Roux","sequence":"first","affiliation":[{"name":"Aix-Marseille University, INSERM, IRD, U1252 SESSTIM, Sciences \u00e9conomiques & sociales de la sant\u00e9 & traitement de l\u2019information m\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3329-8408","authenticated-orcid":false,"given":"C\u00e9cile","family":"Donadille","sequence":"additional","affiliation":[{"name":"Aix-Marseille University, INSERM, IRD, U1252 SESSTIM, Sciences \u00e9conomiques & sociales de la sant\u00e9 & traitement de l\u2019information m\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Girard","sequence":"additional","affiliation":[{"name":"Aix-Marseille University, INSERM, IRD, U1252 SESSTIM, Sciences \u00e9conomiques & sociales de la sant\u00e9 & traitement de l\u2019information m\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Spire","sequence":"additional","affiliation":[{"name":"Aix-Marseille University, INSERM, IRD, U1252 SESSTIM, Sciences \u00e9conomiques & sociales de la sant\u00e9 & traitement de l\u2019information m\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christel","family":"Proti\u00e8re","sequence":"additional","affiliation":[{"name":"Aix-Marseille University, INSERM, IRD, U1252 SESSTIM, Sciences \u00e9conomiques & sociales de la sant\u00e9 & traitement de l\u2019information m\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Velter","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France, Saint Maurice, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,13]]},"reference":[{"key":"bibr1-15579883211073225","unstructured":"Abraham J. (2009). Metropolitan lovers\u2014The homosexuality of cities. University of Minnesota Press. https:\/\/www.academia.edu\/862717\/Abraham_Julie_2009_Metropolitan_Lovers_the_homossexuality_of_cities_Minneapolis_University_of_Minnesota_Press_357_pp_recens%C3%A3o_critica"},{"key":"bibr2-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.06.028"},{"key":"bibr3-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2019-054345"},{"key":"bibr4-15579883211073225","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.542301"},{"key":"bibr5-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2016-052674"},{"key":"bibr6-15579883211073225","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v45i11a01"},{"key":"bibr7-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2018.01.018"},{"key":"bibr8-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0190340"},{"key":"bibr9-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1016\/S0376-8716(98)00028-3"},{"key":"bibr10-15579883211073225","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2020.548704"},{"key":"bibr11-15579883211073225","doi-asserted-by":"publisher","DOI":"10.1071\/SH17159"},{"key":"bibr12-15579883211073225","unstructured":"G\u00e9rome C., Gandilhon M. (2020). Evolution des usages et de l\u2019offre de drogues au temps du COVID-19: Observations crois\u00e9es du dispositif TREND [Evolution of drug use and supply during the COVID-19 period: Crossed views of the TREND system] (No. 2; Bulletin TREND-COVID19, p. 20). 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