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Sex, drugs and smart phone applications: findings from semistructured interviews with men who have sex with men diagnosed with Shigella flexneri 3a in England and Wales

Gilbart, V L ; Simms, I ; Jenkins, C ; Furegato, M ; Gobin, M ; Oliver, I ; Hart, G ; Gill, O N ; Hughes, G

Sexually transmitted infections, 2015-12, Vol.91 (8), p.598-602 [Periódico revisado por pares]

England: BMJ Publishing Group LTD

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Título:
Sex, drugs and smart phone applications: findings from semistructured interviews with men who have sex with men diagnosed with Shigella flexneri 3a in England and Wales
Autor: Gilbart, V L ; Simms, I ; Jenkins, C ; Furegato, M ; Gobin, M ; Oliver, I ; Hart, G ; Gill, O N ; Hughes, G
Assuntos: Adult ; Chlamydia ; Dysentery, Bacillary - epidemiology ; Dysentery, Bacillary - psychology ; England - epidemiology ; HIV Seropositivity - epidemiology ; HIV Seropositivity - psychology ; Homosexuality, Male - statistics & numerical data ; Humans ; Interviews as Topic ; Lentivirus ; Male ; Risk-Taking ; Sexual Behavior - psychology ; Sexual Behavior - statistics & numerical data ; Sexual Partners - psychology ; Shigella flexneri ; Shigella flexneri - pathogenicity ; Smartphone ; Social Media ; Unsafe Sex ; Wales - epidemiology
É parte de: Sexually transmitted infections, 2015-12, Vol.91 (8), p.598-602
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: ObjectivesTo inform control strategies undertaken as part of an outbreak of Shigella flexneri 3a among men who have sex with men (MSM).MethodsAll men aged ≥18 years diagnosed with S flexneri 3a between October 2012 and May 2013 were invited to participate. Semistructured in-depth quantitative interviews were conducted to explore lifestyle and sexual behaviour factors.ResultsOf 53 men diagnosed, 42 were interviewed of whom 34 were sexually active MSM. High numbers of sexual partners were reported (median=22) within the previous year; most were casual encounters met through social media networking sites (21/34). 63% (20/32) were HIV-positive and actively sought positive partners for condomless sex. 62% (21/34) of men had used chemsex drugs (mephedrone, crystal methamphetamine and γ-butyrolactone/γ-hydroxybutrate), which facilitate sexually disinhibiting behaviour during sexual encounters. 38% (8/21) reported injecting chemsex drugs. Where reported almost half (12/23) had attended or hosted sex parties. All reported oral–anal contact and fisting was common (16/34). Many had had gonorrhoea (23/34) and chlamydia (17/34). HIV-positive serostatus was associated with both insertive anal intercourse with a casual partner and receptive fisting (adjusted OR=15.0, p=0.01; adjusted OR=18.3, p=0.03) as was the use of web applications that promote and facilitate unprotected sex (adjusted OR=19.8, p=0.02).ConclusionsHIV-positive MSM infected with S flexneri 3a used social media to meet sexual partners for unprotected sex mainly at sex parties. The potential for the transmission of S flexneri, HIV and other infections is clear. MSM need to be aware of the effect that chemsex drugs have on their health.
Editor: England: BMJ Publishing Group LTD
Idioma: Inglês

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Sex, drugs and smart phone applications: findings from semistructured interviews with men who have sex with men diagnosed with Shigella flexneri 3a in England and Wales

Gilbart, V L ; Simms, I ; Jenkins, C ; Furegato, M ; Gobin, M ; Oliver, I ; Hart, G ; Gill, O N ; Hughes, G

England: BMJ Publishing Group LTD

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