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Methamphetamine Use and Chemsex: An Emerging Threat for Gender and Sexually Diverse People

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Handbook of Substance Misuse and Addictions

Abstract

Chemsex refers to a practice which involves the use of substances to initiate, enhance, and prolong sexual intercourse. Although many substances are historically used to influence sexual practices, the literature documented methamphetamine as the most commonly used substance in chemsex globally. This book chapter aims to delineate the underlying contexts, bio-behavioral implications, and potential risk mitigation strategies for the use of methamphetamine among gender and sexually diverse people. Evidence revealed several underlying contexts which precipitated chemsex such as curiosity, the desire for assimilating into social groups, coping with emotional distress, and enhancing their sexual performance. Moreover, some behavioral changes emerged from chemsex such as multiple sex partners, engagement in transactional sex, coerced sex, and changes in sexual relationships and dynamics. This chapter also revealed some existing risk reduction strategies for mitigating the harms associated with chemsex.

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Abbreviations

APCOM:

Asia Pacific Coalition on Male Sexual Health

ATS:

Amphetamine-type stimulants

BCC:

Behavior change communication

BDSM:

Bondage and discipline, dominance and submission, sadism/masochism

DIC:

Drop-in center

HIV:

Human immunodeficiency virus

MSM:

Men who have sex with men

MSW:

Male sex worker

PWID:

People who inject drugs

PWUD:

People who use drugs

STI:

Sexually transmitted infections

TG:

Transgender (women)

UNODC:

United Nations Office on Drugs and Crime

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Correspondence to Sharful Islam Khan .

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Khan, S.I., Irfan, S.D., Khan, M.N.M. (2022). Methamphetamine Use and Chemsex: An Emerging Threat for Gender and Sexually Diverse People. In: Patel, V.B., Preedy, V.R. (eds) Handbook of Substance Misuse and Addictions. Springer, Cham. https://doi.org/10.1007/978-3-030-92392-1_146

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