Chemsex是在性背景下与男性发生性关系(MSM)的男性使用物质的相互作用。少数群体压力模型和认同过程理论是解释模型。在这项研究中,我们调查了(I)是否存在某些社会心理方面的差异(即,羞耻,酷儿身份的各个方面,和性自我概念)存在于chemsex使用者和非使用者之间,以及(Ii)哪些因素会影响对使用chemsex的人的负面影响的认识。我们进行了一个匿名的,横截面,在线调查,包括社会人口学,性史,物质使用的历史,羞愧倾向的验证量表,酷儿身份的各个方面,和性自我概念。我们的分析包括描述性统计数据,t检验,斯皮尔曼的相关性,和多元线性回归模型。我们共记录了3257个数据集,其中107个chemsex用户。Chemsex使用者表现出更高的危险性行为率。羞愧倾向的价值观,酷儿身份的更多负面方面,在意识到负面影响的情况下,chemsex使用者的性自我概念得到了提高。性焦虑,静脉注射物质的使用,经历了一个艰难的过程,这是感受到负面影响的重要预测因素。羞耻的方面,酷儿身份方面,性自我概念在化学领域发挥着重要作用。不同的解释模型似乎与不同的chemsex使用者亚组有关。意识到问题的Chemsex使用者特别脆弱和痛苦,但变革的动机最高。预防,咨询,和护理可能会受益于这些方面的纳入。需要进一步的反污名运动和医疗保健系统的专业化。注册:DRKS00022336,日期:10月29日,2020年。
Chemsex is the interplay of substance use by men who have sex with men (MSM) in sexual contexts. The minority stress model and the identity process theory are explanatory models. In this study, we investigated whether (i) differences in certain psychosocial aspects (i.e., shame, aspects of queer identity, and sexual self-concepts) exist between chemsex users and non-users, and (ii) which factors influence an awareness of negative impacts in
chemsex users. We conducted an anonymous, cross-sectional, online survey, including sociodemography, sexual history, history of substance use, validated scales for shame-proneness, aspects of queer identity, and sexual self-concepts. Our analysis comprised descriptive statistics, t-tests, Spearman\'s correlations, and a multiple linear regression model. We recorded a total of 3257 datasets with 107
chemsex users.
Chemsex users showed higher rates for risky sexual behavior. Values for shame proneness, more negative aspects of queer identity, and sexual self-concepts were elevated in chemsex users with an awareness of negative impacts. Sexual anxiety, intravenous substance use, and having had a difficult process coming out were significant predictors of feeling negative impacts. Aspects of shame, queer identity aspects, and sexual self-concepts play an important role in the field of chemsex. Different explanatory models seem to be relevant for different subgroups of
chemsex users. Chemsex users with an awareness of a problem were particularly vulnerable and distressed but had the highest motivation for change. Prevention, counseling, and care might profit from the inclusion of these aspects. Further anti-stigma campaigns and a specialization of the healthcare system are needed. Registration: DRKS00022336, date: 29th of October, 2020.