{"id":1057,"date":"2015-02-02T15:07:20","date_gmt":"2015-02-02T15:07:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=1057"},"modified":"2015-02-02T13:48:04","modified_gmt":"2015-02-02T13:48:04","slug":"chemsex-and-hcv-transmission-among-uk-msm","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2015\/02\/02\/chemsex-and-hcv-transmission-among-uk-msm\/","title":{"rendered":"ChemSex and HCV transmission among UK MSM"},"content":{"rendered":"

Reports of\u00a0substantial rises\u00a0in the incidence of HCV among MSM populations\u00a0in the UK\u00a0\u00a0(STI\/Yaphe & Klein<\/a>;\u00a0 STI\/Ghosn & Chaix<\/a>) have attracted some attention in STI journal.\u00a0 Not least because intravenous drug use is the most obvious mode of transmission for this blood-borne virus, and MSM have in the past tended not to use this route of administration.\u00a0 The question then arises what specific factors in the environment of these MSM populations are increasing their risk?\u00a0 The question is all the more urgent as – whatever those factors may be – MSM populations seem as yet largely incapable of reducing them – to judge by the large proportion of successfully treated MSM who become re-infected within two years (40% according to a N. London hospital). A number of recent contributions to STI journal consider the role of MSM sex in HCV transmission (STI\/Stall & McFarland<\/a>; STI\/Valencia & Salas<\/a>), and what it is in the practices or lifestyle of MSM that puts them at particular risk. Associations have been identified with number of partners, casual anal sex, sex parties (STI\/Marcellin & Spire<\/a>): specific practices such as fisting, rimming, recreational use of intra-nasal drugs (STIs\/Turner & Stephenson<\/a>): interactions between these practices and certain self-described MSM lifestyle groups such as \u201cleather\u201d, or \u201clycra & rubber\u201d (STI\/Matser & van der Loeff<\/a>).<\/p>\n

A recently published guide for health professionals (ChemSex & Hepatitis C<\/a>), claiming to be based on c.500 conversations with MSM clients, offers an illuminating, ground-level account of one risk environment:\u00a0events involving \u201cChemSex\u201d, or the collective use of recreational drugs to enhance sexual experience. The authors claim that ChemSex parties are a growing HCV risk for MSM for three reasons: greater availability of certain non-injection drugs; increased injecting drug use; more widespread use of smartphone Apps and online \u201chooking-up\u201d sites.\u00a0\u00a0MSM involved in Chemsex, they claim, are a particularly hard-to-reach group for health professionals because of their use of informal private venues (rather than clubs, or the street), and a lack of exposure and openness\u00a0to IDU service messages owing to a past preference among MSM for non-intravenous drugs.<\/p>\n

Before\u00a0health professionals\u00a0can communicate effectively with these clients about the potentially stigma-laden issue of HCV\u00a0they need to develop an\u00a0awareness of the various elements of risk in the ChemSex environment.\u00a0\u00a0\u00a0\u00a0 The booklet aims to guide health professionals on this path. This it is does by means of an illustrative \u201ccase study\u201d, as well as by a systematic itemization of potential risk factors in the ChemSex environment, including some less obvious transmission routes\u00a0 – such as blood on douching tools or shower hoses, or blood on the lube pump, or snorting straw. \u00a0\u00a0Language, of course, is at the heart of communication.\u00a0 The booket, therefore, includes a handy list of current popular terms, as well as suggested \u00a0questions to ask at consultations.<\/p>\n","protected":false},"excerpt":{"rendered":"

Reports of\u00a0substantial rises\u00a0in the incidence of HCV among MSM populations\u00a0in the UK\u00a0\u00a0(STI\/Yaphe & Klein;\u00a0 STI\/Ghosn & Chaix) have attracted some attention in STI journal.\u00a0 Not least because intravenous drug use is the most obvious mode of transmission for this blood-borne virus, and MSM have in the past tended not to use this route of administration.\u00a0 […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4366,3901],"tags":[],"class_list":["post-1057","post","type-post","status-publish","format-standard","hentry","category-drugs-and-hcv-transmission","category-hepatitis-c"],"yoast_head":"\nChemSex and HCV transmission among UK MSM - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/sti\/2015\/02\/02\/chemsex-and-hcv-transmission-among-uk-msm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ChemSex and HCV transmission among UK MSM - Sexually Transmitted Infections\" \/>\n<meta property=\"og:description\" content=\"Reports of\u00a0substantial rises\u00a0in the incidence of HCV among MSM populations\u00a0in the UK\u00a0\u00a0(STI\/Yaphe & Klein;\u00a0 STI\/Ghosn & Chaix) have attracted some attention in STI journal.\u00a0 Not least because intravenous drug use is the most obvious mode of transmission for this blood-borne virus, and MSM have in the past tended not to use this route of administration.\u00a0 [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/sti\/2015\/02\/02\/chemsex-and-hcv-transmission-among-uk-msm\/\" \/>\n<meta property=\"og:site_name\" content=\"Sexually Transmitted Infections\" \/>\n<meta property=\"article:published_time\" content=\"2015-02-02T15:07:20+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2015\\\/02\\\/02\\\/chemsex-and-hcv-transmission-among-uk-msm\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2015\\\/02\\\/02\\\/chemsex-and-hcv-transmission-among-uk-msm\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"ChemSex and HCV transmission among UK MSM\",\"datePublished\":\"2015-02-02T15:07:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2015\\\/02\\\/02\\\/chemsex-and-hcv-transmission-among-uk-msm\\\/\"},\"wordCount\":482,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\"},\"articleSection\":[\"Drugs and HCV transmission\",\"Hepatitis C\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2015\\\/02\\\/02\\\/chemsex-and-hcv-transmission-among-uk-msm\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2015\\\/02\\\/02\\\/chemsex-and-hcv-transmission-among-uk-msm\\\/\",\"name\":\"ChemSex and HCV transmission among UK MSM - 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