ReviewJournal of the International Association of Providers of AIDS Care
Syndemic Effects of Covid-19 Lockdown on Chemsex and HIV Among MSM in Malaysia: A Narrative Review.
Review in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundChemsex, sexual activity under the influence of psychoactive substances, remains a major public health concern for men who have sex with men (MSM) globally. In Malaysia's conservative context, the convergence of chemsex and HIV transmission presents complex challenges. This narrative review examines how the Covid-19 pandemic and extended lockdown disrupted HIV services and intensified psychosocial stressors, amplifying chemsex, HIV, and mental health issues among Malaysian MSM.
methodsA systematic search of international databases (2018-2025) identified relevant studies through keyword screening of articles, abstracts, and full texts. KEY
findingsThe Covid-19 lockdown exacerbated psychosocial stressors such as isolation and minority stress, altered chemsex patterns, and increased drug use. Disruption of HIV testing and treatment delayed diagnoses and potentially heightened transmission, while PrEP uptake remained low (18.3%) despite awareness.
conclusionThe pandemic intensified syndemic interactions concerning chemsex, HIV, and mental health. Urgent, integrated, person-centered intervention is needed to address this multifaceted crisis.
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