Domains of reinforcement associated with greater alcohol use among gay, bisexual and men who have sex with men (GBMSM) within ‘Chemsex’ contexts in Queensland

Fein, Erich ORCID: and Mullens, Amy ORCID: and Ray, Madeleine and Daken, Kirstie ORCID: and Garvey, Shane and Muscolino, Robert and Young, Ross (2019) Domains of reinforcement associated with greater alcohol use among gay, bisexual and men who have sex with men (GBMSM) within ‘Chemsex’ contexts in Queensland. In: 2019 Australasian Professional Society on Alcohol and Other Drugs Conference (APSAD 2019), 10-13 Nov, 2019, Hobart, Australia.

Text (Accepted Version)
APSAD Abstract - Factors Associated with Alcohol Use and Chemsex_Mullens.pdf

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Design and Methods
This study employed online cross-sectional questionnaires among 175 GBMSM ‘Queensland’, recruited through GBMSM media/networks; including demographics, sexual health, substance use, chemsex, and drinking expectancies (Drinking Expectancy Questionnaire - MSM).

Key Findings
All participants reported engaging in chemsex. Most (74%) participants reported alcohol use at least once a week, with 2-3 drinks/occasion. Most participants (80%) were from metropolitan areas, Anglo-Australian (82%), and 30-39 years. Methamphetamine and marijuana were commonly used during chemsex.

We investigated a range of perceived reinforcement associated with greater alcohol use, with ten expectancy items for general/sexual contexts. Of ten expectancy items, six were positively associated with alcohol frequency during chemsex (e.g. “I feel more stimulation during sex when I am drinking”, “My mood is better when I have been drinking”, “I feel more connected to other people when I drink”). HIV status, use of PrEP (biomedical HIV prevention), and STIs were unrelated to alcohol frequency.

Discussions and Conclusions
These results provide insight for motivations underpinning alcohol use during chemsex, and could be linked to health promotion and clinical intervention planning. Implications for chemsex participants and the wider GBMSM community are discussed and recommendations for future research are made, particularly in relation to harm reduction and support within the GBMSM community.

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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: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 18 Aug 2020 23:55
Last Modified: 07 Jun 2022 01:50
Uncontrolled Keywords: chemsex, substance use, expectancies, MSM, gay/bisexual, alcohol
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
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified

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