Substance use at sex on premises venues among GBMSM (gay, bisexual and other men who have sex with men)

Daken, Kirstie ORCID: https://orcid.org/0000-0003-3631-600X and Mullens, Amy B. and Lemoire, Jime and Brownlow, Charlotte and Howard, Chris and Coffey, Luke (2019) Substance use at sex on premises venues among GBMSM (gay, bisexual and other men who have sex with men). In: 2019 Australasian Professional Society on Alcohol and Other Drugs Conference (APSAD 2019), 10-13 Nov, 2019, Hobart, Australia.

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Abstract

Introduction and Aims
Sex on premises venues (SOPV) for GBMSM (gay, bisexual and other men who have sex with men) provide novel contexts for more sexually adventurous practices, including recreational substance use. This sub-group provides unique insight into experiences, sexual activity and substance use patterns of GBMSM and peer health workers.

Design and Methods
Participants were recruited as part of a larger HIV peer-testing project providing innovative HIV and STI asymptomatic screening. Health promotion was provided late on Friday and Saturday nights during themed sex parties to engage GBMSM in rarely studied after-hours context. Participants included venue patrons (n = 4) and peer testers (n = 5). Trained researchers (clinicians) conducted interviews with verbal consent provided. Thematic analysis was used to identify themes regarding substance use and harm reduction within these settings. Ethics approval was obtained.

Results
Four main themes (with sub-themes) were identified. 1) Substance use in the venues (e.g. amyl, alcohol, crystal, use in combination, desire to avoid); 2) How substances transform experiences (e.g. disinhibition, social enhancement); 3) How substances transform sexual experiences (e.g. enhances sexual performance, more adventurous); and 4) Harm reduction strategies (e.g., current practices, recommendations).

Discussions and Conclusions
Group sex parties at private clubs provide an opportunity for GBMSM to explore aspects of their personal/sexual identity. Recurrent themes suggest a culture that values health promotion despite engaging in activities associated with a higher risk for acquiring HIV or an STI. Innovative models of care require new health promotion hours and settings.

Implications for Practice or Policy (optional)
The findings demonstrate how peer-testers can support increasing awareness and promotion of harm reduction strategies among this subgroup within SOPV having implications for the development of policy and health promotion interventions.


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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Poster)
Refereed: No
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 19 Aug 2020 00:09
Last Modified: 09 Oct 2020 00:24
Uncontrolled Keywords: SOPV, substance use, GBMSM, health promotion
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
URI: http://eprints.usq.edu.au/id/eprint/38036

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