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Article: Chemsex, HIV, and Psychiatric Diagnosis in Gay or Bisexual Men in Hong Kong
Title | Chemsex, HIV, and Psychiatric Diagnosis in Gay or Bisexual Men in Hong Kong |
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Authors | |
Issue Date | 1-Apr-2023 |
Publisher | Taylor and Francis Group |
Citation | Substance Use & Misuse, 2023, v. 58, n. 7, p. 841-850 How to Cite? |
Abstract | Background: Psychotropic substance use, for chemsex in particular, is common in gay or bisexual men (GBM) with HIV infection. This case-control study examined the association between Axis I psychiatric disorders and active psychotropic substance use, and identified factors affecting the prevalence of psychiatric disorders in HIV-infected GBM. Methods: Participants were 62 HIV-infected self-identified GBM who reported psychotropic substance use in the past 1 year (cases), and 55 HIV-infected self-identified GBM without psychotropic substance use in the past 1 year and had negative toxicology tests at recruitment (controls). The Chinese-bilingual Structured Clinical Interview for DSM-IV (Axis I, Patient version) was followed to establish the psychiatric diagnoses. Socio-demographic data, level of social support, HIV-related data, and pattern of psychotropic substance use were collected. Results: Cases had lower level of social support, more depressive disorders (AOR 3.4, 95% CI 1.3-8.7, p=0.01) and psychotic disorders (AOR 7.2, 95% CI 1.2-41, p=0.03) but not anxiety disorders. Significant difference in the prevalence of psychiatric disorders was only evident for disorders with onset after HIV diagnosis. Methamphetamine dependence, weekly methamphetamine use for 2 years or more, using methamphetamine beyond chemsex, duration of HIV diagnosis were significant predictors for psychiatric disorders in the cases. Conclusion: Active psychotropic substance use in HIV-infected gay or bisexual men was associated with an overall 3-fold increase in Axis I psychiatric disorders. Coordinated efforts from HIV, psychiatric and substance use services are needed to prevent harms arising from chemsex and to identify those in need and facilitate treatment access. |
Persistent Identifier | http://hdl.handle.net/10722/328530 |
ISSN | 2023 Impact Factor: 1.8 2023 SCImago Journal Rankings: 0.675 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Lee, KCK | - |
dc.contributor.author | Chung, AKK | - |
dc.contributor.author | Wong, BCK | - |
dc.date.accessioned | 2023-06-28T04:45:47Z | - |
dc.date.available | 2023-06-28T04:45:47Z | - |
dc.date.issued | 2023-04-01 | - |
dc.identifier.citation | Substance Use & Misuse, 2023, v. 58, n. 7, p. 841-850 | - |
dc.identifier.issn | 1082-6084 | - |
dc.identifier.uri | http://hdl.handle.net/10722/328530 | - |
dc.description.abstract | <p><em>Background</em>: Psychotropic substance use, for chemsex in particular, is common in gay or bisexual men (GBM) with HIV infection. This case-control study examined the association between Axis I psychiatric disorders and active psychotropic substance use, and identified factors affecting the prevalence of psychiatric disorders in HIV-infected GBM. <em>Methods</em>: Participants were 62 HIV-infected self-identified GBM who reported psychotropic substance use in the past 1 year (cases), and 55 HIV-infected self-identified GBM without psychotropic substance use in the past 1 year and had negative toxicology tests at recruitment (controls). The Chinese-bilingual Structured Clinical Interview for DSM-IV (Axis I, Patient version) was followed to establish the psychiatric diagnoses. Socio-demographic data, level of social support, HIV-related data, and pattern of psychotropic substance use were collected. <em>Results</em>: Cases had lower level of social support, more depressive disorders (AOR 3.4, 95% CI 1.3-8.7, p=0.01) and psychotic disorders (AOR 7.2, 95% CI 1.2-41, p=0.03) but not anxiety disorders. Significant difference in the prevalence of psychiatric disorders was only evident for disorders with onset after HIV diagnosis. Methamphetamine dependence, weekly methamphetamine use for 2 years or more, using methamphetamine beyond chemsex, duration of HIV diagnosis were significant predictors for psychiatric disorders in the cases. <em>Conclusion</em>: Active psychotropic substance use in HIV-infected gay or bisexual men was associated with an overall 3-fold increase in Axis I psychiatric disorders. Coordinated efforts from HIV, psychiatric and substance use services are needed to prevent harms arising from chemsex and to identify those in need and facilitate treatment access.<br></p> | - |
dc.language | eng | - |
dc.publisher | Taylor and Francis Group | - |
dc.relation.ispartof | Substance Use & Misuse | - |
dc.title | Chemsex, HIV, and Psychiatric Diagnosis in Gay or Bisexual Men in Hong Kong | - |
dc.type | Article | - |
dc.identifier.doi | 10.1080/10826084.2023.2177970 | - |
dc.identifier.hkuros | 344823 | - |
dc.identifier.volume | 58 | - |
dc.identifier.issue | 7 | - |
dc.identifier.spage | 841 | - |
dc.identifier.epage | 850 | - |
dc.identifier.eissn | 1532-2491 | - |
dc.identifier.isi | WOS:000963323100001 | - |
dc.identifier.issnl | 1082-6084 | - |