Needs and experiences of people practising chemsex with support services: toward chemsex-affirmative interventions
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Notice bibliographique
Résumé
Chemsex involves the use of specific psychoactive substances, namely, metham-phetamine, gamma-Hydroxybutyrate/gamma-Butyrolactone (GHB/GBL), ketamine and mephedrone, by sexually diverse men, trans and non-binary people, during sexual relations. This practice, when intensive and prolonged, can have repercussions on various aspects of people’s lives. In this context, many turn to support services for their substance use and their sexuality. The literature on interventions with people practising chemsex is fragmentary. This article aims to identify possible interventions adapted to this practice, based on this population’s needs and experiences with intervention services. Using community-based research, 64 semi-structured interviews were conducted among men and non-binary people residing in Quebec who use methamphetamine in a sexual context. Participants were mainly recruited by collaborating with addiction and sexual health community-based organizations and using snowball sampling. The sample composition shows diversity regarding the sexual orientation, gender identity, and cultural backgrounds of the participants. The themes addressed are needs and experiences with services, and ways to improve services to make them more responsive to the needs of this community. A thematic analysis was conducted. Participants identified intervention needs and community needs. Intervention needs refer to receiving support, according to one’s goals, from professionals who understand the practice of chemsex. As for the community needs, they stressed the importance to integrate into a community in order to be able to reflect on chemsex. Experiences reported by the participants show that services are not adequately meeting all of the needs of people who practise chemsex, while it was particularly difficult for them to talk about methamphetamine use hand in hand with sexuality. The results show the relevance of putting specific, adapted and varied interventions in place to respond to all of the needs of people practising chemsex. Affirmative intervention is identified as a posture that better responds to the needs of this community.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle