Fatores associados à prática de Chemsex em Portugal durante pandemia de COVID-19

Jeremias Salomão Chone; Shirley Verônica Melo Almeida  Lima; Inês Fronteira; Isabel Amélia Costa  Mendes; Ahmed Nabil  Shaaban; Maria do Rosário Oliveira  Martins; Alvaro Francisco Lopes de Sousa

doi:10.1590/SciELOPreprints.1524

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Jeremias Salomão Chone Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa. Lisboa, Portugal https://orcid.org/0000-0002-6212-723X
Shirley Verônica Melo Almeida Lima Universidade Federal do Sergipe, Aracaju, Brasil https://orcid.org/0000-0002-9062-0742
Inês Fronteira Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa. Lisboa, Portugal
Isabel Amélia Costa Mendes Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto, SP, Brasil.
Ahmed Nabil Shaaban Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa. Lisboa, Portugal
Maria do Rosário Oliveira Martins Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa. Lisboa, Portugal
Alvaro Francisco de Sousa Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo https://orcid.org/0000-0003-2710-2122

DOI:

https://doi.org/10.1590/SciELOPreprints.1524

Keywords:

Sexual and Gender Minorities, Coronavirus Infections, Coronavirus, Pandemics, Sexual Behavior, Illicit Drugs

Abstract

Objective: To investigate the factors associated with the practice of sex under the effect of drugs (chemsex), among men who have sex with Portuguese men during a period of social distance by COVID-19. Method: Online survey applied to a sample of 1301 participants residing in Portugal, recruited by Respondent Driven Sampling method adapted to the virtual environment. Descriptive, bivariate analysis and logistic regression were performed to calculate the adjusted Odds ratio (ORa). Results: The prevalence of chemsex practice was 20.2%. The chance of practicing chemsex increased with the practice of group sex (ORa: 28.35, 95% CI 16.93 - 47.49); sex without using a condom (ORa: 7.09 95% CI 4.57 - 10.99); Use PrEP (pre-exposure prophylaxis) as a protective measure for COVID-19 (ORa: 4.16, 95% CI 2.71 - 6.39) and; with testing for COVID-19 (ORa: 1.89, 95% CI 1.15 - 3.10). Conclusions: The practice of chemsex among men who have sex with men in the period of the COVID-19 pandemic in Portugal was high and can provide subsidies to understand the role and impact that sexual relations have in the current pandemic situation of COVID-19 in the country.