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Questions

  • What is the impact of sexualized drug use (specifically of chemsex and methamphetamine) on the health of men who have sex with men?
  • What are successful interventions and/or services that address chemsex and methamphetamine utilize among men who have sex with men (including prevention, harm reduction, engagement in care and treatment)?

 Key take-home messages

  • Risk behaviours associated with sexualized drug employ among men who have sex with men include engaging in condomless anal intercourse (1–5), having multiple partners (3, 6), participating in group sex (3, 5), and sex in exchange for drugs or wealth (1, 3, 5).
  • Men who have sex with men engaging in sexualized drug use have a greater likelihood of being diagnosed with HIV, bacterial sexually transmitted infections (STIs), and hepatitis C (7).
  • A range of mental health issues are reported among men who contain sex with men engaging in sexualized drug use, including depression (6, 8, 9), anxiety (6, 8, 9), psychosis (5, 9), and suicidality (6, 10).
  • Sexual violence among men who have sex with men appears

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