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Sex, drugs and smart phone applications: findings from semistructured interviews with men who have sex with men diagnosed with Shigella flexneri 3a in England and Wales: Table 1
Open accessAbstract
OBJECTIVES: To inform control strategies undertaken as part of an outbreak of Shigella flexneri 3a among men who have sex with men (MSM). METHODS: All men aged ≥18 years diagnosed with S flexneri 3a between October 2012 and May 2013 were invited to participate. Semistructured in-depth quantitative interviews were conducted to explore lifestyle and sexual behaviour factors. RESULTS: Of 53 men diagnosed, 42 were interviewed of whom 34 were sexually active MSM. High numbers of sexual partners were reported (median=22) within the previous year; most were casual encounters met through social media networking sites (21/34). 63% (20/32) were HIV-positive and actively sought positive partners for condomless sex. 62% (21/34) of men had used chemsex drugs (mephedrone, crystal methamphetamine and γ-butyrolactone/γ-hydroxybutrate), which facilitate sexually disinhibiting behaviour during sexual encounters. 38% (8/21) reported injecting chemsex drugs. Where reported almost half (12/23) had attended or hosted sex parties. All reported oral-anal contact and fisting was common (16/34). Many had had gonorrhoea (23/34) and chlamydia (17/34). HIV-positive serostatus was associated with both insertive anal intercourse with a casual partner and receptive fisting (adjusted OR=15.0, p=0.01; adjusted OR=18.3, p=0.03) as was the use of web applications that promote and facilitate unprotected sex (adjusted OR=19.8, p=0.02). CONCLUSIONS: HIV-positive MSM infected with S flexneri 3a used social media to meet sexual partners for unprotected sex mainly at sex parties. The potential for the transmission of S flexneri, HIV and other infections is clear. MSM need to be aware of the effect that chemsex drugs have on their health.
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“Global increases in the incidence of shigellosis among adult MSM have been more recently observed (252–256).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [253]
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“Specific behaviors associated with sexually transmitted enteric infections among MSM involve attendance at sex parties and recreational drug use including chem sex (i.e., using crystal methamphetamine, gamma-butyrolactone, or mephedrone before or during sex), which might facilitate condomless sex, group sex, fisting, use of sex toys, and scat play (253,271).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [253]
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Metadata
- Authors
- Gilbart, V. L., Simms, I., Jenkins, C., Furegato, M., Gobin, M., Oliver, I., Hart, G., Gill, O. N., & Hughes, G.
- Affiliations
- Public Health England (GB)
- University College London (GB)
- Corresponding author
- Simms, I
- Venue
- Sexually Transmitted Infections
- Publisher
- BMJ
- Published
- 2015-04-28
- Volume
- 91
- Issue
- 8
- Pages
- 598-602
- ISSN
- 0007-134X (ISSN-L)
- 1368-4973
- 1472-3263
- OpenAlex
- W2050192744
- Cited by
- 170
- References
- 24
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 13 · 2023: 7 · 2022: 16 · 2021: 16 · 2020: 35 · 2019: 11 · 2018: 21 · 2017: 15 · 2016: 19 · 2015: 5
- FWCI
- 15.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sexually Transmitted Infections (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0611-10255)
- Public Health England
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Keywords
- men who have sex with men, chemsex, HIV-positive men, social media, unprotected sex, sexual behavior, fisting, gonorrhea, chlamydia, mobile application, epidemic control, mephedrone, gamma-hydroxybutyric acid
- MeSH terms
- Smartphone, Adult, Dysentery, Bacillary, England, HIV Seropositivity, Humans, Interviews as Topic, Male, Risk-Taking, Sexual Behavior, Sexual Partners, Shigella flexneri, Wales, Homosexuality, Male, Unsafe Sex, Social Media
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