ArticleSexuality research & social policy : journal of NSRC : SR & SP2026
Work, Sex, and Substances: Differences in Self-Reported Chemsex Behaviors Between MSM Sex Workers and Digital Content Creators.
Article in Sexuality research & social policy : journal of NSRC : SR & SP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Background: Chemsex, the use of psychoactive substances to enhance sexual activity, may vary by occupational context. This study compared its prevalence, substance-specific patterns, and acquisition behaviors among two groups: male sex workers who have sex with men (MSM) and MSM who create sexually explicit digital content. Methods: Cross-sectional web-based survey of HIV-negative U.S. MSM (N = 769) with verified platform profiles. Group differences were assessed using chi-square tests with Benjamini-Hochberg correction, and independent associations were examined using multivariable logistic regression. Results: Sex workers reported higher prevalence of criminalized or controlled psychoactive substance use in occupational contexts than digital content creators (47.7% vs. 21.6%), with occupational group emerging as the strongest independent predictor of use (aOR = 3.36, 95% CI 2.41-4.69). Sex workers also reported greater use of poppers and erectile dysfunction medications more frequently obtained through unregulated acquisition channels. Conclusions: Occupational context shapes distinct chemsex use profiles among MSM, underscoring the need for occupation sensitive harm reduction and clinical outreach. Policy Implications: MSM sex workers and digital content creators represent occupationally distinct populations with divergent substance use profiles. Harm reduction, clinical screening, and outreach should be tailored to the risk environments and substances characteristic of each group, rather than treating all MSM engaged in sexual labor as a single, undifferentiated population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.