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1.
Med. clín (Ed. impr.) ; 162(3): 95-102, Feb. 2024. tab, graf
Article Es | IBECS | ID: ibc-230150

Objetivo: Estimar la prevalencia de uso diario de profilaxis preexposición (PrEP) frente al VIH 6 meses después de aprobarse su financiación pública en España e identificar los factores asociados en una muestra nacional de hombres gais, bisexuales y otros hombres que tienen sexo con hombres (GBHSH). Material y métodos: Se analizaron 4.692 hombres GBHSH no diagnosticados de VIH reclutados mediante un cuestionario online difundido a nivel nacional a través de apps y webs de contacto gay entre mayo y julio de 2020. Se estimó la proporción de participantes que usaban PrEP diaria y se identificaron factores asociados mediante regresión de Poisson con variancia robusta. Resultados: El 2,8% (IC 95% 2,3-3,3) de los participantes refirió usar PrEP diariamente. El uso diario de PrEP se asoció de forma independiente con: haber sido reclutado en programas comunitarios, ser mayor de 30 años, residir en grandes ciudades, vivir abiertamente su vida sexual con hombres, haber tenido relaciones anales sin preservativo con más de 10 parejas sexuales, haber consumido drogas para sexo, especialmente drogas chemsex, y haber sido diagnosticado de alguna infección de transmisión sexual. Conclusión: Transcurridos 6 meses desde la aprobación de la PrEP en España, se observa una baja prevalencia de uso diario en una muestra nacional de hombres GBHSH. Es necesario promover el acceso, la demanda y el interés por la PrEP, especialmente entre los hombres GBHSH jóvenes, residentes en ciudades pequeñas y medianas y los que ocultan sus relaciones con otros hombres.(AU)


Objective: We aim to estimate the prevalence of daily HIV pre-exposure prophylaxis (PrEP) use 6 months after public funding approval in Spain and identify associated factors in a national sample of gay, bisexual and other men who have sex with men (GBMSM). Material and methods: We analysed 4692 HIV-undiagnosed GBMSM men recruited via an online questionnaire distributed nationally via gay contact apps and websites between May and July 2020. We estimated the proportion of participants using daily PrEP and identified associated factors using Poisson regression with robust variance. Results: Daily PrEP use was reported by 2.8% (95% CI 2.3-3.3) of all participants. Daily PrEP use was independently associated with being recruited into community programmes, being older than 30 years, living in a large city, living with men, having condomless anal intercourse with more than 10 sexual partners, using drugs for sex, especially chemsex drugs, and being diagnosed with a sexually transmitted infection. Conclusion: Six months after PrEP was approved in Spain, the prevalence of daily use is low in a national sample of GBMSM men. There is a need to promote access, demand and interest in PrEP, especially among young GBMSM men, those living in small and medium-sized cities, and those who hide their relationships with other men.(AU)


Humans , Male , Female , HIV , Pre-Exposure Prophylaxis , Prevalence , Sexual and Gender Minorities , HIV Infections/prevention & control , Communicable Diseases , Communicable Disease Control , Spain , Surveys and Questionnaires , Cross-Sectional Studies
2.
Med Clin (Barc) ; 162(3): 95-102, 2024 02 09.
Article En, Es | MEDLINE | ID: mdl-37813725

OBJECTIVE: We aim to estimate the prevalence of daily HIV pre-exposure prophylaxis (PrEP) use 6 months after public funding approval in Spain and identify associated factors in a national sample of gay, bisexual and other men who have sex with men (GBMSM). MATERIAL AND METHODS: We analysed 4692 HIV-undiagnosed GBMSM men recruited via an online questionnaire distributed nationally via gay contact apps and websites between May and July 2020. We estimated the proportion of participants using daily PrEP and identified associated factors using Poisson regression with robust variance. RESULTS: Daily PrEP use was reported by 2.8% (95% CI 2.3-3.3) of all participants. Daily PrEP use was independently associated with being recruited into community programmes, being older than 30 years, living in a large city, living with men, having condomless anal intercourse with more than 10 sexual partners, using drugs for sex, especially chemsex drugs, and being diagnosed with a sexually transmitted infection. CONCLUSION: Six months after PrEP was approved in Spain, the prevalence of daily use is low in a national sample of GBMSM men. There is a need to promote access, demand and interest in PrEP, especially among young GBMSM men, those living in small and medium-sized cities, and those who hide their relationships with other men.


HIV Infections , Pre-Exposure Prophylaxis , Sexual and Gender Minorities , Male , Humans , Homosexuality, Male , Prevalence , Spain/epidemiology , HIV Infections/epidemiology , HIV Infections/prevention & control , Sexual Behavior
3.
Rev. esp. drogodepend ; 48(4): 16-37, 2023. tab, graf
Article Es | IBECS | ID: ibc-229506

El chemsex, una actividad recreativa y ocasional para la mayoría de los hombres gais,bisexuales y otros hombres que tienen sexo con hombres (GBHSH) que lo practican, se ha asociado aconsecuencias negativas en distintas esferas de la salud. Sin embargo, apenas existe evidencia sobre lapreocupación por el consumo de drogas entre usuarios de chemsex. Objetivos: Estimar la proporciónde hombres GBHSH usuarios de chemsex preocupados por su consumo de drogas e identificar susprincipales determinantes, así como las drogas asociadas a mayor preocupación. Materiales y métodos:Se realizó un estudio online entre mayo y julio de 2020, en el que se analizaron 779 hombres GBHSHque habían participado en sesiones de chemsex en los últimos 12 meses. Se estimó la prevalencia depreocupación por consumo de drogas y se realizó un análisis multivariante para identificar los factoresasociados mediante regresión de Poisson con varianza robusta. Resultados: La preocupación porconsumo de drogas en los últimos 12 meses (31,6%) se asoció de forma independiente con: tenermenos de 40 años, haber pagado dinero a cambio de sexo, el consumo de las drogas más asociadascon la práctica del chemsex, así como con el consumo regular y la inyección de drogas en cualquiercircunstancia. Metanfetamina y mefedrona fueron las drogas que más preocuparon a los usuariosde chemsex. Conclusión: Se evidencia la necesidad de implementar medidas dirigidas a identificar yfavorecer el acceso de los usuarios de chemsex preocupados por su consumo de drogas a los recursossociosanitarios. Asimismo, es importante incrementar la conciencia acerca de los riesgos asociados alconsumo de drogas en esta población, especialmente entre los usuarios con patrones potencialmenteproblemáticos como el uso regular o inyectado de drogas. (AU)


Chemsex, a recreational and occasional activity for the majority of gay, bisexual, and othermen who have sex with men (GBMSM) who engage in it, has been associated with negative consequences in various health spheres. However, there is scarce evidence regarding concerns about drug useamong chemsex users. Objectives: To estimate the proportion of GBMSM engaged in chemsex who areconcerned about their drug use and identify its main determinants, as well as the drugs associated withgreater concern. Materials and Methods: An online study was conducted between May and July 2020,analyzing 779 GBMSM engaged in chemsex sessions in the last 12 months. The prevalence of concernabout drug use was estimated, and a multivariate analysis was performed to identify associated factorsusing Poisson regression with robust variance. Results: Concern about drug use in the last 12 months(31.6%) was independently associated with being under 40 years old, having paid for sex, the use ofdrugs most associated with chemsex practice, as well as regular drug use and drug injection in any circumstance. Methamphetamine and mephedrone were the drugs that most concerned chemsex users.Conclusion: These results show the need to implement measures aimed at identifying and promotingthe access of chemsex users concerned about their drug use to social and health resources. Likewise, itis important to increase awareness about the risks associated with drug use in this population, especiallyamong users with potentially problematic patterns such as regular or injecting drug use. (AU)


Humans , Substance Abuse, Oral , Homosexuality , Coitus , Pharmaceutical Preparations , Sexual and Gender Minorities
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