Evidence map›Paper›PMID 32226730›Full record

ArticlePreventive medicine reports2020

Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex - a cross-sectional study in the Netherlands.

Y J Evers, C J P A Hoebe, N H T M Dukers-Muijrers, C J G Kampman, S Kuizenga-Wessel, D Shilue, N C M Bakker, S M A A Schamp, H Van Buel, W C J P M Van Der Meijden and 1 more

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  9. Sexualized drug use factors among rural sexual minority men.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  10. South African harm reduction guideline for chemsex.Southern African journal of HIV medicine · 2025
    Article
  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Y J EversDepartment of Sexual Health, Infectious Diseases and Environmental Health, Public Health Service South Limburg, The Netherlands.
C J P A HoebeDepartment of Sexual Health, Infectious Diseases and Environmental Health, Public Health Service South Limburg, The Netherlands.
N H T M Dukers-MuijrersDepartment of Sexual Health, Infectious Diseases and Environmental Health, Public Health Service South Limburg, The Netherlands.
C J G KampmanDepartment of Sexual Health, Public Health Service Twente, The Netherlands.
S Kuizenga-WesselDepartment of Sexual Health, Public Health Service Haaglanden, The Netherlands.
D ShilueDepartment of Sexual Health, Public Health Service Middle Brabant, The Netherlands.
N C M BakkerDepartment of Sexual Health, Public Health Service Middle Gelderland, The Netherlands.
S M A A SchampDepartment of Sexual Health, Public Health Service Brabant South-East, The Netherlands.
H Van BuelDepartment of Sexual Health, Public Health Service Ijsselland, The Netherlands.
W C J P M Van Der MeijdenDepartment of Sexual Health, Public Health Service Gelderland South, The Netherlands.
G A F S Van LiereDepartment of Sexual Health, Infectious Diseases and Environmental Health, Public Health Service South Limburg, The Netherlands.
Maastricht University · NLGGD Amsterdam · NLGGD Haaglanden · NLIJsselland Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug use during sex ('chemsex') has been associated with sexually transmitted infections (STIs) and mental health harms. Little quantitative evidence exists on the health care needs of MSM practicing chemsex from a patient perspective. This study assessed self-perceived benefits and harms and the needs for professional counselling among MSM practicing chemsex. In 2018, 785 MSM were recruited at nine Dutch STI clinics and 511 (65%) completed the online questionnaire. Chemsex was defined as using cocaine, crystal meth, designer drugs, GHB/GBL, ketamine, speed and/or XTC/MDMA during sex <6 months. Chemsex was reported by 41% (209/511), of whom 23% (48/209) reported a need for professional counselling. The most reported topic to discuss was increasing self-control (52%, 25/48). Most MSM preferred to be counselled by sexual health experts (56%, 27/48). The need for professional counselling was higher among MSM who engaged in chemsex ≥2 times per month (30% vs. 17%, p = 0.03), did not have sex without drugs (sober sex) in the past three months (41% vs. 20%, p = 0.04), experienced disadvantages of chemsex (28% vs. 15%, p = 0.03), had a negative change in their lives due to chemsex (53% vs. 21%, p = 0.002), and/or had an intention to change chemsex behaviours (45% vs. 18%, p < 0.001). Our study shows that almost one in four MSM practicing chemsex expressed a need for professional counselling on chemsex-related issues. STI healthcare providers should assess the need for professional counselling in MSM practicing chemsex, especially in MSM with above mentioned characteristics, such as frequent users.

Indexed as

ChemsexGBL, γ-ButyrolactoneGHB, γ-hydroxybutyric acidHealth care needsMDMA, 3,4-Methyl-enedioxy-methamphetamineMen who have sex with menMSM, men who have sex with menProfessional counsellingSelf-perceived disadvantagesSTI, sexually transmitted infectionXTC, ecstasy

Identifiers

PMID32226730
PMCPMC7093829
OpenAlexW3009908805

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.