A community-led, harm-reduction approach to chemsex: case study from Australia's largest gay city.

Abstract:

:Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Community organisations with a history of HIV prevention, care, treatment are well-placed to respond. ACON's (formerly the AIDS Council of New South Wales) multi-dimensional response to 'chemsex' includes: direct client services support for individuals seeking to manage or reduce their use; health promotion activities that support peer education; partnerships with research institutions to better understand cultures of chemsex; and policy submissions that call for drug use to be approached as a health, rather than a criminal, issue. The approach speaks the language of Party and Play subcultures; employs culturally relevant terminology and imagery; uses content designed, created and delivered by peers; and operates within a pleasure-positive, harm-reduction and community-led framework. These interventions have led to increased service uptake, strong community engagement, robust research partnerships and the recognition of GBM as a priority population in relevant strategies.

journal_name

Sex Health

journal_title

Sexual health

authors

Stardust Z,Kolstee J,Joksic S,Gray J,Hannan S

doi

10.1071/SH17145

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

179-181

issue

2

eissn

1448-5028

issn

1449-8987

pii

SH17145

journal_volume

15

pub_type

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