{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:25:43Z","timestamp":1783650343595,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:00:00Z","timestamp":1758931200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"crossref","award":["#2024\/15320-5"],"award-info":[{"award-number":["#2024\/15320-5"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"crossref","award":["2025\/04763-6"],"award-info":[{"award-number":["2025\/04763-6"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"crossref","award":["#405741\/2024-3"],"award-info":[{"award-number":["#405741\/2024-3"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["#88887.916785\/2023-00"],"award-info":[{"award-number":["#88887.916785\/2023-00"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["#001"],"award-info":[{"award-number":["#001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Chemsex, the intentional use of psychoactive substances to enhance sexual experiences, is an emerging public health issue in Brazil, associated with increased risks of sexually transmitted infections and complex psychosocial vulnerabilities. Despite the universal coverage provided by the Unified Health System (SUS), individuals who practice chemsex often encounter barriers to healthcare, including stigma, discrimination, and a lack of specialized services. To date, no comprehensive reviews appear to synthesize evidence on how this population accesses healthcare in the Brazilian context; existing knowledge remains fragmented across individual studies. Objectives: The aim is to map and synthesize the available evidence regarding access to health services among people who engage in chemsex in Brazil, identifying health needs, professional demands, barriers, and facilitators. Methods: The protocol follows the Joanna Briggs Institute methodology for scoping reviews and PRISMA-ScR guidelines. A systematic search will be conducted in MEDLINE (PubMed), Embase, Scopus, SciELO, and LILACS for studies published between 2014 and 2024 in Portuguese, English, or Spanish. Data will be summarized using descriptive and narrative synthesis, presented in tables and thematic categories. Studies will be included if they address chemsex or sexualized drug use in Brazil and report on healthcare access, regardless of gender identity, sexual orientation, or drug type. Studies that do not address chemsex, focus on drug use outside a sexual context, or are unrelated to Brazil will be excluded. Expected results: The review is expected to identify key barriers and facilitators to healthcare access, highlight knowledge gaps for underrepresented groups, and support recommendations for research, policy, and practice to improve care for people engaging in chemsex in Brazil. By focusing on an underexplored intersection of drug use, sexuality, and healthcare access in Latin America, this study aims to provide an innovative contribution to public health literature.<\/jats:p>","DOI":"10.3390\/nursrep15100353","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T12:59:46Z","timestamp":1759150786000},"page":"353","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Healthcare Access Among Individuals Who Practice Chemsex in Brazil: A Scoping Review Protocol"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6800-971X","authenticated-orcid":false,"given":"Isadora Silva","family":"de Carvalho","sequence":"first","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5374-2293","authenticated-orcid":false,"given":"Lariane Angel","family":"Cepas","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2710-2122","authenticated-orcid":false,"given":"\u00c1lvaro Francisco Lopes","family":"de Sousa","sequence":"additional","affiliation":[{"name":"Institute of Teaching and Research, Hospital S\u00edrio-Liban\u00eas, S\u00e3o Paulo 01308-050, SP, Brazil"},{"name":"Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA University Lisbon, 1099-085 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1916-6348","authenticated-orcid":false,"given":"Talita Morais","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Ribeir\u00e3o Preto Faculty of Medicine, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto 05508-900, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6974-7389","authenticated-orcid":false,"given":"Talia Gomes","family":"Luz","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0175-0703","authenticated-orcid":false,"given":"Jean Carlos Soares","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augusto","family":"da Silva Marques","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9767-3938","authenticated-orcid":false,"given":"Ca\u00edque Jordan Nunes","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Graduate Program of Nursing, Federal University of Sergipe, S\u00e3o Crist\u00f3v\u00e3o 49107-230, SE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9062-0742","authenticated-orcid":false,"given":"Shirley Veronica Melo 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(2024). Sexualized drug use and chemsex among men who have sex with men in Europe: A systematic review and meta-analysis. J. Clin. Med., 13.","DOI":"10.3390\/jcm13061812"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.35919\/rbsh.v34.1136","article-title":"Chemsex entre HSH: Revis\u00e3o integrativa","volume":"34","author":"Souza","year":"2023","journal-title":"Rev. Bras. Sex Hum."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1080\/13691058.2023.2192256","article-title":"Pampalibog: Chemsex, desire and pleasure in the Philippines","volume":"26","author":"Lasco","year":"2024","journal-title":"Cult. Health Sex"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1177\/13634607211026223","article-title":"Critical chemsex studies: Interrogating cultures of sexualized drug use beyond the risk paradigm","volume":"26","author":"Hakim","year":"2023","journal-title":"Sexualities"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1177\/1363460720986922","article-title":"Chemsex cultures: Subcultural reproduction and queer survival","volume":"26","year":"2023","journal-title":"Sexualities"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1108\/DAT-10-2018-0058","article-title":"Chemsex: Origins of the word, a history of the phenomenon and a respect to the culture","volume":"19","author":"Stuart","year":"2019","journal-title":"Drugs Alcohol Today"},{"key":"ref_7","first-page":"13","article-title":"Is Chemsex a displacement of the AIDS risk? From epidemiological data to a psychoanalytical approach","volume":"26","author":"Bonny","year":"2025","journal-title":"Stud. Gend. Sex."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e3474","DOI":"10.1590\/1518-8345.4975.3474","article-title":"Fatores associados \u00e0 pr\u00e1tica de chemsex em Portugal durante a pandemia da COVID-19","volume":"29","author":"Chone","year":"2021","journal-title":"Rev. Latino-Am. Enfermagem."},{"key":"ref_9","doi-asserted-by":"crossref","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":"ref_10","doi-asserted-by":"crossref","unstructured":"Schifano, F., Bonaccorso, S., Arillotta, D., Guirguis, A., Corkery, J.M., Floresta, G., Papanti Pelletier, G.D., Scherbaum, N., and Schifano, N. (2025). Drugs used in \u201cchemsex\u201d\/sexualized drug behaviour\u2014Overview of the related clinical psychopharmacological issues. Brain Sci., 15.","DOI":"10.3390\/brainsci15050424"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1111\/phn.13308","article-title":"Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey","volume":"41","author":"Santos","year":"2024","journal-title":"Public Health Nurs."},{"key":"ref_12","doi-asserted-by":"crossref","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":"ref_13","doi-asserted-by":"crossref","unstructured":"Incera-Fern\u00e1ndez, D., Gamez-Guadix, M., and Moreno-Guill\u00e9n, S. (2021). Mental health symptoms associated with sexualized drug use (chemsex) among men who have sex with men: A systematic review. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182413299"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.apnu.2019.11.003","article-title":"Violence and substance use in sexual minorities: Data from the Second Brazilian National Alcohol and Drugs Survey (II BNADS)","volume":"34","author":"Diehl","year":"2020","journal-title":"Arch. Psychiatr. Nurs."},{"key":"ref_15","doi-asserted-by":"crossref","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."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e00202420","DOI":"10.1590\/0102-311x00202420","article-title":"Pr\u00e1tica de chemsex entre homens que fazem sexo com homens (HSH) durante per\u00edodo de isolamento social por COVID-19: Pesquisa online multic\u00eantrica","volume":"36","author":"Sousa","year":"2020","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"ref_17","unstructured":"Brasil (2025, September 05). Lei n\u00ba 8.080, de 19 de Setembro de 1990. Disp\u00f5e Sobre as Condi\u00e7\u00f5es Para a Promo\u00e7\u00e3o, Prote\u00e7\u00e3o e Recupera\u00e7\u00e3o da Sa\u00fade, a Organiza\u00e7\u00e3o e o Funcionamento dos Servi\u00e7os Correspondentes e d\u00e1 Outras Provid\u00eancias. Di\u00e1rio Oficial da Uni\u00e3o. 20 set, Available online: https:\/\/www.planalto.gov.br\/ccivil_03\/leis\/l8080.htm."},{"key":"ref_18","first-page":"e20230004","article-title":"Chemsex and its repercussions on the health of men who have sex with men (MSM): A global health perspective","volume":"76","author":"Sousa","year":"2023","journal-title":"Rev. Bras. Enferm."},{"key":"ref_19","first-page":"e200684","article-title":"Implementa\u00e7\u00e3o da Pol\u00edtica Nacional de Sa\u00fade Integral de L\u00e9sbicas, Gays, Bissexuais, Travestis e Transexuais (PNSILGBT) no Paran\u00e1: Desafios para forma\u00e7\u00e3o profissional e supera\u00e7\u00e3o do estigma","volume":"25","author":"Silva","year":"2021","journal-title":"Interface"},{"key":"ref_20","unstructured":"Public Health England (2015). Substance Misuse Services for Men Who Have Sex with Men Involved in Chemsex, PHE."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"S35","DOI":"10.1111\/j.1521-0391.2012.00294.x","article-title":"Attitudes toward methamphetamine use and HIV risk behavior in men who have sex with men","volume":"21","author":"Benotsch","year":"2012","journal-title":"Am J Addict."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1016\/j.drugpo.2015.07.013","article-title":"\u201cChemsex\u201d and harm reduction need among gay men in South London","volume":"26","author":"Bourne","year":"2015","journal-title":"Int J Drug Policy."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/XEB.0000000000000277","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"19","author":"Peters","year":"2021","journal-title":"JBI Evid. Implement."},{"key":"ref_24","first-page":"20499361231206918","article-title":"Intention to use PrEP among men who have sex with men and engage in chemsex: An international descriptive study","volume":"10","author":"Sousa","year":"2023","journal-title":"Ther. Adv. Infect. Dis."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"112800","DOI":"10.1016\/j.drugalcdep.2025.112800","article-title":"Prevalence of chemsex and sexualized drug use among men who have sex with men: A systematic review and meta-analysis","volume":"275","author":"Georgiadis","year":"2025","journal-title":"Drug Alcohol Depend."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/s12954-024-01094-8","article-title":"Experiences of harm and mental ill-health among gay, bisexual and other men-who-have-sex-with-men who use methamphetamine or GHB\/GBL in different combinations: Findings from the COMeT study in Taiwan","volume":"21","author":"Hsu","year":"2024","journal-title":"Harm Reduct. J."},{"key":"ref_27","first-page":"e159","article-title":"Como a aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade pode fortalecer a alimenta\u00e7\u00e3o adequada enquanto direito na Am\u00e9rica Latina?","volume":"42","author":"Botelho","year":"2017","journal-title":"Rev. Panam. Salud Publica"},{"key":"ref_28","unstructured":"Brasil (1988). Constitui\u00e7\u00e3o da Rep\u00fablica Federativa do Brasil de 1988, Senado Federal."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/1748-5908-5-69","article-title":"Scoping studies: Advancing the methodology","volume":"5","author":"Levac","year":"2010","journal-title":"Implement. Sci."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/10\/353\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T10:40:21Z","timestamp":1760092821000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/10\/353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,27]]},"references-count":30,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["nursrep15100353"],"URL":"https:\/\/doi.org\/10.3390\/nursrep15100353","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,27]]}}}