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Impact of Covid-19 Pandemic on Men Who Have Sex With Men That Practice Chemsex in France

Results From the National Eras Web Survey

Bibliographic Data

ID21748459
AuthorsP Roux (0000-0002-5069-4982, Inserm, corresponding author), Cécile Donadille (0000-0003-3329-8408, Inserm), Garance Girard (0000-0001-9756-0458, Inserm), Gabriel Girard (Aix-Marseille University, INSERM, IRD, U1252 SESSTIM, Sciences économiques & sociales de la santé & traitement de l’information médicale, ISSPAM, Marseille, France), Bruno Spire (0000-0002-3546-8020, Inserm), Christel Protière (0000-0002-5602-9617, Inserm), Annie Velter (0000-0003-3188-9108, Santé Publique France)
Year2022
Volume16
Issue1
Pages15579883211073225-15579883211073225
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Men s Health (JOURNAL)
Journal identifiersISSN: 1557-9883 • E-ISSN: 1557-9891
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/15579883211073225
PMID35156425
OpenAlexW4212823813
LanguageEN
Citations received4
References cited41

Chemsex—the use of drugs in a sexual context—has 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’s 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’s 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 “chemsexers”) 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’ associations with the main explanatory variable “chemsexer,” 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 “chemsexers.” 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

Disease · Distress · Environmental health · Family medicine · Harm reduction · Homosexuality · Men who have sex with men · Pandemic · Population · Psychiatry · Psychological intervention · Psychosocial · Reproductive health · Sexual intercourse · Syphilis · Clinical Psychology · Demography · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology

  • Diversity of Chemsex Experiences among Men Who Have Sex with Men

    Open Access•Christel Protière, Abdourahmane Sow et al.•Archives of Sexual Behavior•2025

  • The sociodynamics of chemsex

    Open Access•Nicolas Khatmi, Perrine Roux et al.•SSM - Qualitative Research in…•2025

  • Chemsex Among Men Who Have Sex With Men

    Open Access•Eirik Amundsen, Ashley Elizabeth Muller et al.•Journal of Homosexuality•2023

  • Chemical sex in France

    Open Access•Vincent Estellon•Psychoanalysis Culture & Society•2025

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    Matthew Hibbert, Caroline Brett et al.•Sexually Transmitted Infections•2019

  • Sexualised drug taking among men who have sex with men

    Open Access•Andrew Tomkins, Ryan George et al.•Perspectives in Public Health•2019

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  • Association of Sexualized Drug Use Patterns with HIV/STI Transmission Risk in an Internet Sample of Men Who Have Sex with Men from Seven European Countries

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  • Psychological and Interpersonal Factors Associated with Sexualized Drug Use Among Men Who Have Sex with Men

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  • Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of Covid-19 and the Covid-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men

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  • Prevalence and correlates of recent injecting drug use among gay and bisexual men in Australia

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    Open Access•Álvaro Francisco Lopes De Sousa, Artur Acelino Francisco Luz Nunes Queiroz et…•Cadernos de Saude Publica•2020

  • Une épidémie peut en cacher une autre

    Caroline Izambert, Matthias Thibeaud et al.•Mouvements•2021

  • Associations Between Physical Distancing and Mental Health, Sexual Health and Technology Use Among Gay, Bisexual and Other Men Who Have Sex With Men During the Covid-19 Pandemic

    Ian W Holloway, Alex Garner et al.•Journal of Homosexuality•2021

Unique citing works4
Citations per year1,33
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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