ArticleHarm reduction journal2025
Barriers to uptake of harm reduction techniques for GBMSM who use drugs in night-clubs and sex-on-premises venues in London and the Southeast: a mixed-methods, qualitative study.
Article in Harm reduction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- "When" matters: Differences in fatal opioid-related overdose events in Massachusetts by time of day, 2019-2023.Drug and alcohol dependence · 2026Article
- Welfare first: transforming harm reduction at UK festivals.Harm reduction journal · 2025Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundDrug-related harm is a significant public health concern in the UK, particularly among underserved groups such as gay, bisexual, and other men who have sex with men (GBMSM). This study explores the role of night-time venues (for example night clubs or sex-on-premises venues) in promoting harm reduction strategies for GBMSM who use drugs, highlighting unique challenges within these spaces.
methodsThe study used a mixed-methods approach, including an online survey (n = 53) and semi-structured interviews (n = 8). Participants included GBMSM with lived experience of substance use in night-time venues, as well as those providing support to this population. Data was collected through a Likert-scale survey and thematic analysis of qualitative responses.
resultsFindings reveal dissatisfaction among survey respondents about the level of support for harm reduction provided by night-time venues, which are perceived as inconsistent in their approach towards substance use. The study also identifies economic and legal barriers faced by venues that prevent the endorsement of harm reduction techniques.
conclusionsAddressing these barriers could transform night-time venues into effective sites for harm reduction, particularly by targeting "afters" culture (the phenomenon where club-goers will return to a residential setting and continue substance use for prolonged periods 'after' the night-time venue closes or the event ends) and promoting safer practices. This research suggests that coordinated efforts with local government and policy reform are crucial to fostering safer environments for GBMSM.
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