Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia

Authors

DOI:

https://doi.org/10.15649/cuidarte.3477

Keywords:

Sexual Behavior, Social Discrimination, Substance-Related Disorders, Sex Work

Abstract

Highlights

  • There is a high prevalence of consumption of psychoactive substances, especially alcohol, marijuana, and popper.
  • Popper is one of the psychoactive substances that is emerging among the population; it must be carefully monitored.
  • The consumption of psychoactive substances is statistically and epidemiologically associated with having casual couples and sexual work.
  • The consumption of psychoactive substances increases the probability of having unprotected sexual intercourses.

Introduction: The use of psychoactive substances (PS) in the population is a current problem that affects a large part of humanity, with diverse consequences.   Objective: To analyze the factors associated with the consumption of PS among men who have sex with other men (MSM) in three Colombian cities. Material and Methods: This cross-sectional descriptive study used the respondent-driven sampling (RDS) method and obtained a sample of 1301 MSM. The association between the sociodemographic and personal characteristics and the consumption of PS was assessed using the chi-square test. Prevalence ratios were calculated along with their 95% confidence intervals. For the multivariate analysis, a Poisson regression with a log link and robust estimator was employed to explore the factors associated with PS use. Result: The prevalence of consumption of PS in the last year was 87%, prevailing the consumption of alcohol, marijuana, and poppers. Having occasional partners (PR: 0.44; 95% CI 0.29 - 0.67), attending public places or establishments such as bars and saunas (PR: 3.39; 95% CI 2.34 - 4.91), sex work, and not using a condom in the last sexual encounter (PR: 2.10 95% CI 1.37 - 3.22) are factors associated with the use of these substances.   Discussion: There is evidence of a high prevalence of recreational use of PS, even higher than that found in the general population. Conclusion: A high prevalence and association with risky sexual behaviors is confirmed, which requires promotion and prevention actions to reduce the use of these substances.

How to cite this article: Bedoya Mejia Sebastián, Cardona Arango Doris, Agudelo Cifuentes Maite Catalina, Ramos-Jaraba Sara Milena, Matagira-Rondón Giselly, Segura-Cardona Ángela M, Berbesí-Fernández Dedsy Yajaira. Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia. Revista Cuidarte. 2024;15(2):e3477. https://doi.org/10.15649/cuidarte.3477

Author Biographies

Sebastián Bedoya Mejia, Professor, PhD student in Epidemiology and Biostatistics, CES University, Medellín, Colombia.

Professor, PhD student in Epidemiology and Biostatistics, CES University, Medellín, Colombia.

Doris Cardona Arango , Professor, PhD in demographic, Medellín, Colombia.

Professor, PhD in demographic, Medellín, Colombia.

Maite Catalina Agudelo Cifuentes, Professor, PhD in Epidemiology and BiostatisticsFaculty of Nursing, CES University, Medellín, Colombia.

Professor, PhD in Epidemiology and BiostatisticsFaculty of Nursing, CES University, Medellín, Colombia.

Sara Milena Ramos-Jaraba, Professor, Master in Collective Health, Faculty of Nursing, CES University, Medellín, Colombia.

Professor, Master in Collective Health, Faculty of Nursing, CES University, Medellín, Colombia.

Giselly Matagira-Rondón, Professor, master’s in public health, Faculty of Nursing, CES University, Medellín, Colombia.

Professor, master’s in public health, Faculty of Nursing, CES University, Medellín, Colombia.

Ángela M Segura-Cardona, Professor, PhD in Epidemiology, Graduate School, CES University, Medellín, Colombia.

Professor, PhD in Epidemiology, Graduate School, CES University, Medellín, Colombia.

Dedsy Yajaira Berbesí-Fernández, Professor, PhD in Epidemiology and Biostatistics, Faculty of Nursing, CES University, Medellín, Colombia.

Professor, PhD in Epidemiology and Biostatistics, Faculty of Nursing, CES University, Medellín, Colombia.

References

United Nations Office on Drugs and Crime. Policy conclusions and implications World Drug Report [Internet] 2022 [cited: 2023, Aug 11];65. Available from: https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2022.html

Lorenzo P, Leza JC, Lizasoain I, Ladero JM. Drug dependencies: Pharmacology, pathology, psychology. Health and drugs. 2003;3(2):125-126. https://www.redalyc.org/articulo.oa?id=83930208

Organization of American States. The drug problem in the Americas. [Internet] 2023 [cited: 2022, Oct 23] Available from: http://www.cicad.oas.org/drogas/elinforme/informeDrogas2013/drugsPublicHealth_ESP.pdf

Salomon EA, Mimiaga MJ, Husnik MJ, Welles SL, Manseau MW, Montenegro AB, et al. Depressive Symptoms, Utilization of Mental Health Care, Substance Use and Sexual Risk Among Young Men Who have Sex with Men in EXPLORE: Implications for Age-Specific Interventions. AIDS Behav. 2009;13(4):811–21.http://link.springer.com/10.1007/s10461-008-9439-4

Carpenter A KD, Fletcher JB, Swendeman D, Reback CJ. Associations between sociodemographic characteristics and substance use disorder severity among methamphetamine-using men who have sex with men. Subst Use Misuse. 2019;54(11):1763–73. https://www.tandfonline.com/doi/full/10.1080/10826084.2019.1610445

Fernández Dávila DP. Sex, morbidity and vice session: a holistic approach to understand the emergence of the ChemSex phenomenon among gay, bisexual and other men who have sex with men in Spain. Minist Sanid. 2016;4(7):41–65. https://www.revistamultidisciplinardelsida.com/download/sesion-de-sexo-morbo-y-vicio-una-aproximacion-holistica-para-entender-la-aparicion-del-fenomeno-chemsex-entre-hombres-gais-bisexuales-y-otros-hombres-que-tienen-sexo-con-hombres-en-espana/

Perelló R, Aused M, Saubí N, Quirós C, Blanco JL, Martínez Rebollar M, et al. Acute drug intoxication in HIV patients: role of chemsex. Emergencias. 2018;30(6):405–7.https://emergenciasojs.portalsemes.org/index.php/emergencias/article/view/1279

Losilla-Rodriguez B, López-Zúñiga MA, Espadafor-López B, López-Ruz MÁ. Study of ChemSex in HIV positive and negative homosexual patients. Actual Medica. 2019;104(806):24–30.https://www.actualidadmedica.es/archivo/2019/806/or04.html

Betancourt CF. Bareback, sexual practices of resistance between men. contributions from genealogy to HIV prevention [Master's thesis in interdisciplinary social research]. Francisco José de Caldas Bogotá DC; 2017. https://repository.udistrital.edu.co/handle/11349/6394

Coll J, Fumaz CR. Recreational drugs and sex in men who have sex with men: chemsex. Risks, health problems associated with its consumption, emotional factors and intervention strategies. Rev Enf Emerg. 2016;15(2):8. http://enfermedadesemergentes.com/resumen.php?id_articulo=42

Drug Observatory of Colombia. National Study on the Consumption of Psychoactive Substances in Colombia 2013. [Internet] 2014 [cited: 2022, Oct 20];182. Available from: https://www.asivamosensalud.org/actualidad/estudio-nacional-de-consumo-de-sustancias-psicoactivas-en-colombia-2013

Berbesi Fernández D, Segura Cardona AM, Martínez Rocha A, Molina Estrada A, Ramos Jaraba S, Bedoya Mejia S. Sexual behavior and HIV prevalence in men who have sex with men in three cities of Colombia. CES Editor. 2019;1. Available from: https://editorial.ces.edu.co/libros/comportamiento-sexual-y-prevalencia-de-vih-en-hombres-que-tienen-relaciones-sexuales-con-hombres-en-tres-ciudades-de-colombia/

Spiller MW, Cameron C, Heckathorn DD, Heckathorn D, Barash V, Volz E. RDS Analysis Tool 7.1. Cornell Univ. 2012; Available from: http://www.respondentdrivensampling.org/

Amon J, Brown T, Hogle J, MacNeil J, Magnani R, Mills S, et al. Behavioral surveillance surveys (BSS): guidelines for repeated behavioral surveys in populations at risk of HIV. Arlington: Family Health International. [Internet] 2000 [cited: 2022, Oct 29];114–117. Available from:https://www.aidsdatahub.org/sites/default/files/resource/bss-guidelines-repeated-behavioral-surveys-populations-risk-hiv.pdf

Bedoya Mejia S, Cardona Arango D, Agudelo Cifuentes MC, Ramos-Jaraba SM, Matagira-Rondón G, Segura-Cardona AM et al. “Use psychoative substances MSM”, Mendeley Data, V1. 2024https://data.mendeley.com/datasets/n8ywzkd9zj/1

Folch C, Fernández-Dávila P, Ferrer L, Soriano R, Díez M, Casabona J. High recreational drug use and risky sexual behaviors in men who have sex with men. Med Clin 2015;145(3):102–7.https://linkinghub.elsevier.com/retrieve/pii/S002577531400582X

Stall R, Wiley J. A comparison of alcohol and drug use patterns of homosexual and heterosexual men: The San Francisco Men’s Health Study. Drug Alcohol Depend. 1988;22(1–2):63–73.https://doi.org/10.1016/0376-8716(88)90038-5

Woody GE, VanEtten Lee ML, McKirnan D, Donnell D, Metzger D, Seage G, et al. Substance Use Among Men Who Have Sex With Men: Comparison With a National Household Survey. JAIDS J Acquir Immune Defic Syndr. 2001;27(1):86–90. https://pubmed.ncbi.nlm.nih.gov/11404525/

Andrinopoulos K, Peacock E, Hembling J. Patterns of Alcohol, Illicit Drug, and Risky Sexual Behavior Among MSM and Transgender Women in San Salvador. Chapel Hill, NC: MEASURE Evaluation. 2014. https://pdf.usaid.gov/pdf_docs/PA00K3WQ.pdf

Ramirez-Valles J, Garcia D, Campbell RT, Diaz RM, Heckathorn DD. HIV Infection, Sexual Risk Behavior, and Substance Use Among Latino Gay and Bisexual Men and Transgender Persons. Am J Public Health. 2008;98(6):1036-42. http://ajph.aphapublications.org/doi/10.2105/AJPH.2006.102624

De Sá AIC. Consumo de drogas e comportamentos sexuais de risco em HSH: um estudo exploratório. [Dissertação no Mestrado Integrado em Psicologia ] Universidade do Porto; 2024. Disponível em:https://repositorio-aberto.up.pt/bitstream/10216/78706/2/34362.pdf

Daskalopoulou M, Rodger A, Phillips AN, Sherr L, Speakman A, Collins S, et al. Recreational drug use, polydrug use, and sexual behaviour in HIV-diagnosed men who have sex with men in the UK: results from the cross-sectional ASTRA study. Lancet HIV. 2014;1(1):e22–31.https://doi.org/10.1016/S2352-3018(14)70001-3

Rusakova M, Rakhmetova A, Strathdee SA. Why are sex workers who use substances at risk for HIV?. Lancet. 2015;385(9964):211–212. https://doi.org/10.1016/S0140-6736(14)61042-4

Jacques-Aviñó C, Andrés AD, Roldán L, Fernández-Quevedo M, Olalla PG, Díez, E, et al. Male sex workers: between safe sex and risk. Ethnography in a gay sauna in Barcelona, Spain. Cien Saude Colet. 2019;24(12):4707–16. https://www.scielosp.org/article/csc/2019.v24n12/4707-4716/

Mueses Marín HF, Tello Bolívar IC, Galindo Quintero J. Characteristics in men who have sex with HIV+ men in Cali-Colombia 2012-2015. Rev Fac Nac Public health. 2017;35(2):206–15.https://doi.org/10.17533/udea.rfnsp.v35n2a05

Koblin BA, Husnik MJ, Colfax G, Huang Y, Madison M, Mayer K, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006;20(5):731–9. https://journals.lww.com/00002030-200603210-00013

Santos GM, Rapues J, Wilson EC, Macias O, Packer T, Colfax G, et al. Alcohol and substance use among transgender women in San Francisco: Prevalence and association with human immunodeficiency virus infection. Drug Alcohol Rev. 2014;33(3):287–95. http://doi.wiley.com/10.1111/dar.12116

Baez Hernandez FJ, Márquez Vega MA, Benavides Torres RA, Nava Navarro V. Social discrimination and sexual behavior of men who have sex with men in Latin America: A systematic review. Cult los Cuid. 2019;23(55):113. https://doi.org/10.14198/cuid.2019.55.11

Downloads

Published

2024-07-26

How to Cite

1.
Bedoya Mejia S, Cardona Arango D, Agudelo Cifuentes MC, Ramos-Jaraba SM, Matagira-Rondón G, Segura-Cardona Ángela M, et al. Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia. Revista Cuidarte [Internet]. 2024 Jul. 26 [cited 2024 Jul. 27];15(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/3477

Funding data

Altmetrics

Downloads

Download data is not yet available.