Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

AbstractObjectiveTo understand the factors associated with the practice of chemsex among MSM in Brazil, especially during the Mpox health crisis, and to design effective prevention and intervention strategies specifically for this population.DesignA cross‐sectional and analytical study using an electronic survey, conducted from September to December 2022, during the peak of the Mpox outbreak in Brazil.SampleA total of 1452 MSM aged 18 and older.MeasurementsData were collected via the REDCap platform through a survey with 46 questions. These addressed demographic data, sexual affiliations, practices, experiences with Mpox, healthcare service usage, and stigma or fear related to Mpox.ResultsThe prevalence of chemsex was 19.42% (n = 282). Multivariate Poisson modeling indicated a high incidence of chemsex among those diagnosed with Mpox and those involved in high‐risk behaviors. The practice of chemsex was six times higher among those diagnosed with Mpox (95% CI: 4.73–9.10). MSM who engage in bugchasing had a prevalence twice that of the main outcome (95% CI: 1.31–3.16).ConclusionThere is a significant need for targeted interventions for MSM in Brazil, especially given the Mpox outbreak. This study highlights the strong relationships between chemsex, experiences with Mpox, and various sexual behaviors, underscoring the importance of effective public health initiatives.

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Details

Published: Mar 25, 2024
Vol/Issue: 41(3)
Pages: 589-601
License: View

Authors

G

Guilherme Reis de Santana Santos

Graduate Program in Nursing Federal University of Sergipe São Cristóvão Sergipe Brazil

C

Caíque Jordan Nunes Ribeiro

Graduate Program in Nursing Federal University of Sergipe São Cristóvão Sergipe Brazil; Departament of Nursing Federal University of Sergipe Lagarto Sergipe Brazil

S

Shirley Verônica Melo Almeida Lima

Graduate Program in Nursing Federal University of Sergipe São Cristóvão Sergipe Brazil; Departament of Nursing Federal University of Sergipe Lagarto Sergipe Brazil

J

João Cruz Neto

University for International Integration of the Afro‐Brazilian Lusophony Redenção Ceará Brazil

A

Anderson Reis de Sousa

School of Nursing Federal University of Bahia Salvador Bahia Brazil

C

Carolina da Silva Bulcao

School of Nursing Federal University of Bahia Salvador Bahia Brazil

P

Pedro Gabriel Dellagostini

Ribeirão Preto College of Nursing University of São Paulo Ribeirão Preto São Paulo Brazil

O

Odinea Maria Amorim Batista

Federal University of Piaui Teresina Brazil

L

Layze Braz de Oliveira

Ribeirão Preto College of Nursing University of São Paulo Ribeirão Preto São Paulo Brazil

I

Isabel Amélia Costa Mendes

Ribeirão Preto College of Nursing University of São Paulo Ribeirão Preto São Paulo Brazil

�

Álvaro Francisco Lopes de Sousa

NOVA National School of Public Health Public Health Research Center Comprehensive Health Research Center, CHRC NOVA University Lisbon Lisbon Portugal; Institute of Teaching and Research Sírio‐Libanese Hospital São Paulo São Paulo Brazil

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Award: 001‐2023

Cite This Article

Guilherme Reis de Santana Santos, Caíque Jordan Nunes Ribeiro, Shirley Verônica Melo Almeida Lima, et al. (2024). Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey. Public Health Nursing, 41(3), 589-601. https://doi.org/10.1111/phn.13308

Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey

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