Drug behaviors, sexually transmitted infection prevention, and sexual consent during chemsex: insights generated in the Budd app after each chemsex session

Bibliographic Details
Title: Drug behaviors, sexually transmitted infection prevention, and sexual consent during chemsex: insights generated in the Budd app after each chemsex session
Authors: Tom Platteau, Corinne Herrijgers, Eric Florence, Karolien Poels, Peter Verboon, Ludwig Apers, Heidi Vandebosch
Source: Frontiers in Public Health, Vol 11 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Public aspects of medicine
Subject Terms: chemsex, drug use, sexual health, STI prevention, sexual consent, Public aspects of medicine, RA1-1270
More Details: Chemsex refers to the intentional use of drugs before or during sex in a specific context, typically involving prolonged sex sessions with multiple partners. Engaging in chemsex is associated with a wide range of health risks and related risk behaviors. We developed a mobile phone application (‘Budd-app’) to support and inform chemsex participants, reduce potential negative impacts associated with chemsex (e.g., physical, psychological and social health harms), and encourage more reasoned participation. During Budd’s development process, 11 participants completed a survey after each chemsex session they attended. This data collection approach provided precise experiences on drug related behavior, prevention measures for sexually transmitted infection and sexual consent on 63 chemsex sessions. The mean duration of chemsex sessions was 17.5 h. Polydrug use was reported during 95% of chemsex sessions with an average of 3.5 agents per session. Unsafe dosing occurred at 49% of chemsex sessions, and 9/11 participants dosed unsafely at least once. Seven participants did not consistently take measures to prevent STI transmission. Nine had experienced peer pressure, both regarding drug use and sexual health. The same number reported sex without consent, not respecting others’ boundaries as well as their own boundaries not being respected. Many participants experienced negative impact of their chemsex behavior during (7/9) and after (8/9) chemsex. Through participants’ behavior assessment during multiple chemsex sessions, ‘within-person’ variability can be clarified. This clarification provides valuable insights in personal, emotional and contextual vulnerabilities. These insights can direct an individualized care and support trajectory aimed at addressing those vulnerabilities.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-2565
Relation: https://www.frontiersin.org/articles/10.3389/fpubh.2023.1160087/full; https://doaj.org/toc/2296-2565
DOI: 10.3389/fpubh.2023.1160087
Access URL: https://doaj.org/article/6c5c6cf3d3584ee2ad3a5e08e08520bf
Accession Number: edsdoj.6c5c6cf3d3584ee2ad3a5e08e08520bf
Database: Directory of Open Access Journals
More Details
ISSN:22962565
DOI:10.3389/fpubh.2023.1160087
Published in:Frontiers in Public Health
Language:English