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The association between use of chemsex drugs and HIV clinic attendance among gay and bisexual men living with HIV in London
Objectives To investigate the association between chemsex drug use and HIV clinic attendance among gay and bisexual men in London. Methods A cross‐sectional survey of adults (> 18 years) diagnosed with HIV for > 4 months, attending seven London HIV clinics (May 2014 to August 2015). Participan...
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| Published in: | HIV medicine 2021-09, Vol.22 (8), p.641-649 |
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| Main Authors: | , , , , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c3883-21a9feccc76ea3308372d3230e7e4daf524247ee7523b1ed3860d297807b09173 |
| container_end_page | 649 |
| container_issue | 8 |
| container_start_page | 641 |
| container_title | HIV medicine |
| container_volume | 22 |
| creator | Howarth, AR Apea, V Michie, S Morris, S Sachikonye, M Mercer, CH Evans, A Delpech, VC Sabin, C Burns, FM |
| description | Objectives
To investigate the association between chemsex drug use and HIV clinic attendance among gay and bisexual men in London.
Methods
A cross‐sectional survey of adults (> 18 years) diagnosed with HIV for > 4 months, attending seven London HIV clinics (May 2014 to August 2015).
Participants self‐completed an anonymous questionnaire linked to clinical data. Sub‐optimal clinic attenders had missed one or more HIV clinic appointments in the past year, or had a history of non‐attendance for > 1 year.
Results
Over half (56%) of the 570 men who identified as gay or bisexual reported taking recreational drugs in the past 5 years and 71.5% of these men had used chemsex drugs in the past year. Among men reporting chemsex drug use (past year), 32.1% had injected any drugs in the past year. Sub‐optimal clinic attenders were more likely than regular attenders to report chemsex drug use (past year; 46.9% vs. 33.2%, P = 0.001), injecting any drugs (past year; 17.1% vs. 8.9%, P = 0.011) and recreational drug use (past 5 years; 65.5% vs. 48.8%, P |
| doi_str_mv | 10.1111/hiv.13103 |
| format | article |
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To investigate the association between chemsex drug use and HIV clinic attendance among gay and bisexual men in London.
Methods
A cross‐sectional survey of adults (> 18 years) diagnosed with HIV for > 4 months, attending seven London HIV clinics (May 2014 to August 2015).
Participants self‐completed an anonymous questionnaire linked to clinical data. Sub‐optimal clinic attenders had missed one or more HIV clinic appointments in the past year, or had a history of non‐attendance for > 1 year.
Results
Over half (56%) of the 570 men who identified as gay or bisexual reported taking recreational drugs in the past 5 years and 71.5% of these men had used chemsex drugs in the past year. Among men reporting chemsex drug use (past year), 32.1% had injected any drugs in the past year. Sub‐optimal clinic attenders were more likely than regular attenders to report chemsex drug use (past year; 46.9% vs. 33.2%, P = 0.001), injecting any drugs (past year; 17.1% vs. 8.9%, P = 0.011) and recreational drug use (past 5 years; 65.5% vs. 48.8%, P < 0.001). One in five sub‐optimal attenders had missed an HIV clinic appointment because of taking recreational drugs (17.4% vs. 1.8%, P < 0.001). In multivariable logistic regression, chemsex drug use was significantly associated with sub‐optimal clinic attendance (adjusted odds ratio = 1.71, 95% confidence interval: 1.10–2.65, P = 0.02).
Conclusions
Our findings highlight the importance of systematic assessment of drug use and development of tools to aid routine assessment. We suggest that chemsex drug use should be addressed when developing interventions to improve engagement in HIV care among gay and bisexual men.</description><identifier>ISSN: 1464-2662</identifier><identifier>EISSN: 1468-1293</identifier><identifier>DOI: 10.1111/hiv.13103</identifier><identifier>PMID: 33949070</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Bisexual ; Bisexuality ; chemsex ; Confidence intervals ; Cross-Sectional Studies ; Drug use ; Drugs ; gay men ; HIV ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; London - epidemiology ; Male ; patient engagement ; recreational drugs ; Recreational use ; Risk-Taking ; Sexual and Gender Minorities ; Sexual Behavior ; Statistical analysis ; Substance-Related Disorders - epidemiology</subject><ispartof>HIV medicine, 2021-09, Vol.22 (8), p.641-649</ispartof><rights>2021 The Authors. published by John Wiley & Sons Ltd on behalf of British HIV Association</rights><rights>2021 The Authors. HIV Medicine published by John Wiley & Sons Ltd on behalf of British HIV Association.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-21a9feccc76ea3308372d3230e7e4daf524247ee7523b1ed3860d297807b09173</citedby><cites>FETCH-LOGICAL-c3883-21a9feccc76ea3308372d3230e7e4daf524247ee7523b1ed3860d297807b09173</cites><orcidid>0000-0003-0598-5315 ; 0000-0002-9105-2441 ; 0000-0002-4220-5034 ; 0000-0002-0597-6614 ; 0000-0003-0063-6378 ; 0000-0002-5828-3563 ; 0000-0002-0533-8292 ; 0000-0002-9952-8109 ; 0000-0001-5173-2760</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33949070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Howarth, AR</creatorcontrib><creatorcontrib>Apea, V</creatorcontrib><creatorcontrib>Michie, S</creatorcontrib><creatorcontrib>Morris, S</creatorcontrib><creatorcontrib>Sachikonye, M</creatorcontrib><creatorcontrib>Mercer, CH</creatorcontrib><creatorcontrib>Evans, A</creatorcontrib><creatorcontrib>Delpech, VC</creatorcontrib><creatorcontrib>Sabin, C</creatorcontrib><creatorcontrib>Burns, FM</creatorcontrib><title>The association between use of chemsex drugs and HIV clinic attendance among gay and bisexual men living with HIV in London</title><title>HIV medicine</title><addtitle>HIV Med</addtitle><description>Objectives
To investigate the association between chemsex drug use and HIV clinic attendance among gay and bisexual men in London.
Methods
A cross‐sectional survey of adults (> 18 years) diagnosed with HIV for > 4 months, attending seven London HIV clinics (May 2014 to August 2015).
Participants self‐completed an anonymous questionnaire linked to clinical data. Sub‐optimal clinic attenders had missed one or more HIV clinic appointments in the past year, or had a history of non‐attendance for > 1 year.
Results
Over half (56%) of the 570 men who identified as gay or bisexual reported taking recreational drugs in the past 5 years and 71.5% of these men had used chemsex drugs in the past year. Among men reporting chemsex drug use (past year), 32.1% had injected any drugs in the past year. Sub‐optimal clinic attenders were more likely than regular attenders to report chemsex drug use (past year; 46.9% vs. 33.2%, P = 0.001), injecting any drugs (past year; 17.1% vs. 8.9%, P = 0.011) and recreational drug use (past 5 years; 65.5% vs. 48.8%, P < 0.001). One in five sub‐optimal attenders had missed an HIV clinic appointment because of taking recreational drugs (17.4% vs. 1.8%, P < 0.001). In multivariable logistic regression, chemsex drug use was significantly associated with sub‐optimal clinic attendance (adjusted odds ratio = 1.71, 95% confidence interval: 1.10–2.65, P = 0.02).
Conclusions
Our findings highlight the importance of systematic assessment of drug use and development of tools to aid routine assessment. We suggest that chemsex drug use should be addressed when developing interventions to improve engagement in HIV care among gay and bisexual men.</description><subject>Adult</subject><subject>Bisexual</subject><subject>Bisexuality</subject><subject>chemsex</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Drug use</subject><subject>Drugs</subject><subject>gay men</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>London - epidemiology</subject><subject>Male</subject><subject>patient engagement</subject><subject>recreational drugs</subject><subject>Recreational use</subject><subject>Risk-Taking</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Behavior</subject><subject>Statistical analysis</subject><subject>Substance-Related Disorders - epidemiology</subject><issn>1464-2662</issn><issn>1468-1293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kT1PwzAQhi0EglIY-APIEgsMKf5I43hEiI9KlViANXLsS-sqsSFOWir-PKYtDEh4OUv33CP7XoTOKBnReK7ndjminBK-hwY0zfKEMsn3N_c0YVnGjtBxCAtCqOCSHKIjzmUqiSAD9Pk8B6xC8NqqznqHS-hWAA73AbCvsJ5DE-ADm7afBaycwY-TV6xr66zGquvAGeV0VDTezfBMrTdMaeNMr2rcRFNtlzb2Vrabb4atw1PvjHcn6KBSdYDTXR2il_u759vHZPr0MLm9mSaa5zlPGFWyAq21yEBxTnIumOGMExCQGlWNWcpSASDGjJcUDM8zYpgUORElkfHLQ3S59b61_r2H0BWNDRrqWjnwfSjYmDEuRSwRvfiDLnzfuvi6SGU0T6mQ40hdbSnd-hBaqIq31jaqXReUFN-JFDGRYpNIZM93xr5swPySPxFE4HoLrGwN6_9NRdzdVvkFY92Tvg</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Howarth, AR</creator><creator>Apea, V</creator><creator>Michie, S</creator><creator>Morris, S</creator><creator>Sachikonye, M</creator><creator>Mercer, CH</creator><creator>Evans, A</creator><creator>Delpech, VC</creator><creator>Sabin, C</creator><creator>Burns, FM</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0598-5315</orcidid><orcidid>https://orcid.org/0000-0002-9105-2441</orcidid><orcidid>https://orcid.org/0000-0002-4220-5034</orcidid><orcidid>https://orcid.org/0000-0002-0597-6614</orcidid><orcidid>https://orcid.org/0000-0003-0063-6378</orcidid><orcidid>https://orcid.org/0000-0002-5828-3563</orcidid><orcidid>https://orcid.org/0000-0002-0533-8292</orcidid><orcidid>https://orcid.org/0000-0002-9952-8109</orcidid><orcidid>https://orcid.org/0000-0001-5173-2760</orcidid></search><sort><creationdate>202109</creationdate><title>The association between use of chemsex drugs and HIV clinic attendance among gay and bisexual men living with HIV in London</title><author>Howarth, AR ; Apea, V ; Michie, S ; Morris, S ; Sachikonye, M ; Mercer, CH ; Evans, A ; Delpech, VC ; Sabin, C ; Burns, FM</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-21a9feccc76ea3308372d3230e7e4daf524247ee7523b1ed3860d297807b09173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Bisexual</topic><topic>Bisexuality</topic><topic>chemsex</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Drug use</topic><topic>Drugs</topic><topic>gay men</topic><topic>HIV</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - epidemiology</topic><topic>Homosexuality, Male</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>London - epidemiology</topic><topic>Male</topic><topic>patient engagement</topic><topic>recreational drugs</topic><topic>Recreational use</topic><topic>Risk-Taking</topic><topic>Sexual and Gender Minorities</topic><topic>Sexual Behavior</topic><topic>Statistical analysis</topic><topic>Substance-Related Disorders - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Howarth, AR</creatorcontrib><creatorcontrib>Apea, V</creatorcontrib><creatorcontrib>Michie, S</creatorcontrib><creatorcontrib>Morris, S</creatorcontrib><creatorcontrib>Sachikonye, M</creatorcontrib><creatorcontrib>Mercer, CH</creatorcontrib><creatorcontrib>Evans, A</creatorcontrib><creatorcontrib>Delpech, VC</creatorcontrib><creatorcontrib>Sabin, C</creatorcontrib><creatorcontrib>Burns, FM</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>HIV medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Howarth, AR</au><au>Apea, V</au><au>Michie, S</au><au>Morris, S</au><au>Sachikonye, M</au><au>Mercer, CH</au><au>Evans, A</au><au>Delpech, VC</au><au>Sabin, C</au><au>Burns, FM</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between use of chemsex drugs and HIV clinic attendance among gay and bisexual men living with HIV in London</atitle><jtitle>HIV medicine</jtitle><addtitle>HIV Med</addtitle><date>2021-09</date><risdate>2021</risdate><volume>22</volume><issue>8</issue><spage>641</spage><epage>649</epage><pages>641-649</pages><issn>1464-2662</issn><eissn>1468-1293</eissn><abstract>Objectives
To investigate the association between chemsex drug use and HIV clinic attendance among gay and bisexual men in London.
Methods
A cross‐sectional survey of adults (> 18 years) diagnosed with HIV for > 4 months, attending seven London HIV clinics (May 2014 to August 2015).
Participants self‐completed an anonymous questionnaire linked to clinical data. Sub‐optimal clinic attenders had missed one or more HIV clinic appointments in the past year, or had a history of non‐attendance for > 1 year.
Results
Over half (56%) of the 570 men who identified as gay or bisexual reported taking recreational drugs in the past 5 years and 71.5% of these men had used chemsex drugs in the past year. Among men reporting chemsex drug use (past year), 32.1% had injected any drugs in the past year. Sub‐optimal clinic attenders were more likely than regular attenders to report chemsex drug use (past year; 46.9% vs. 33.2%, P = 0.001), injecting any drugs (past year; 17.1% vs. 8.9%, P = 0.011) and recreational drug use (past 5 years; 65.5% vs. 48.8%, P < 0.001). One in five sub‐optimal attenders had missed an HIV clinic appointment because of taking recreational drugs (17.4% vs. 1.8%, P < 0.001). In multivariable logistic regression, chemsex drug use was significantly associated with sub‐optimal clinic attendance (adjusted odds ratio = 1.71, 95% confidence interval: 1.10–2.65, P = 0.02).
Conclusions
Our findings highlight the importance of systematic assessment of drug use and development of tools to aid routine assessment. We suggest that chemsex drug use should be addressed when developing interventions to improve engagement in HIV care among gay and bisexual men.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33949070</pmid><doi>10.1111/hiv.13103</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0598-5315</orcidid><orcidid>https://orcid.org/0000-0002-9105-2441</orcidid><orcidid>https://orcid.org/0000-0002-4220-5034</orcidid><orcidid>https://orcid.org/0000-0002-0597-6614</orcidid><orcidid>https://orcid.org/0000-0003-0063-6378</orcidid><orcidid>https://orcid.org/0000-0002-5828-3563</orcidid><orcidid>https://orcid.org/0000-0002-0533-8292</orcidid><orcidid>https://orcid.org/0000-0002-9952-8109</orcidid><orcidid>https://orcid.org/0000-0001-5173-2760</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | HIV medicine, 2021-09, Vol.22 (8), p.641-649 |
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| subjects | Adult Bisexual Bisexuality chemsex Confidence intervals Cross-Sectional Studies Drug use Drugs gay men HIV HIV Infections - drug therapy HIV Infections - epidemiology Homosexuality, Male Human immunodeficiency virus Humans London - epidemiology Male patient engagement recreational drugs Recreational use Risk-Taking Sexual and Gender Minorities Sexual Behavior Statistical analysis Substance-Related Disorders - epidemiology |
| title | The association between use of chemsex drugs and HIV clinic attendance among gay and bisexual men living with HIV in London |
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