Diversity of Chemsex Experiences among Men Who Have Sex with Men: Results from the French ANRS PaacX Study Using Q-Methodology.
Chemsex is mostly approached through the prism of risk-taking, neglecting the pleasure and social linking dimensions. However, feedback from the field and few studies highlights a diversity of chemsex practices and relationships to chemsex (RtC). Using Q-methodology, we identified the main RtC and t...
| Published in: | Archives of Sexual Behavior Vol. 54; no. 3; pp. 1129 - 1141 |
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| Main Authors: | , , , , , , , , , , , , , |
| Format: | Article |
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Springer Nature
Mar2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=183893387&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 183893387 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: Mar2025 vid: 54 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 183893387 10.1007/s10508-024-03007-z ppf: 1129 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P size: 967KB tig: atl: Diversity of Chemsex Experiences among Men Who Have Sex with Men: Results from the French ANRS PaacX Study Using Q-Methodology. aug: au: Protiere, Christel Sow, Abdourahmane Estellon, Vincent Bureau, Morgane Leclercq, Vincent Grégoire, Muriel Bladou, Fred Spire, Bruno Michels, David Roux, Perrine Charpentier, Nicolas Leclerq, Vincent Milhet, Maitena Moudachirou, Khafil affil: Aix-Marseille Univ, Inserm, IRD, U1252 SESSTIM, Sciences Économiques & Sociales de la Santé & Traitementde l'Information Médicale, ISSPAM, 19-21 Bd Jean Moulin, 13005, Marseille, France https://ror.org/05f82e368 Institut Humanités, Sciences et Sociétés, Université Paris Cité, Paris, France Coalition PLUS, Community-Based Research Laboratory, Paris, France CSAPA La Villa Floréal, Aix-en-Provence, France AIDES, Paris, France su: Men who have sex with men Risk-taking behavior Drug abuse Sexual orientation Harm reduction sug: subj: Men who have sex with men Risk-taking behavior Drug abuse Sexual orientation Harm reduction keyword: Chemsex Medical and Health Sciences Public Health and Health Services Q-methodology Sexualized drug use Chemsex Medical and Health Sciences Public Health and Health Services Q-methodology Sexualized drug use ab: Chemsex is mostly approached through the prism of risk-taking, neglecting the pleasure and social linking dimensions. However, feedback from the field and few studies highlights a diversity of chemsex practices and relationships to chemsex (RtC). Using Q-methodology, we identified the main RtC and their divergences and convergences, to help develop tailored prevention and care programs. Q-methodology enables the exploration of complex subjective structures and provides a multifaceted picture of a phenomenon. In 2019–2020, we asked 126 men who have sex with men living in France and practicing chemsex to rank order 37 statements. RtC were defined through by-person factor analysis and interpreted using a holistic process. Five RtC emerged, highlighting various motivations for practicing chemsex, relationships to substance use and to sexuality, and regulation strategies implemented: (1) From compensation to fulfillment; (2) The pleasure-seeking manager; (3) Between addiction and management; (4) From curiosity to the destruction of sexuality; and (5) From the hope of compensation to disillusion. Respondents all agreed on two statements: the need to first accept oneself as a drug user in order to be able to manage drug use, and the possibility of harm reduction during chemsex sessions. Our results are the first to elicit the main RtC and the intricacies between the dimensions at stake. The five analysis-based narratives derived from RtC might facilitate discussion during interviews or support groups on chemsex, and could serve as a standardized survey tool. Our findings advocate longitudinal studies to identify factors associated with shifting from one RtC to another. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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