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Healthcare
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Chemsex, LGBTIQ+ and Mental Disorders
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Chemsex, LGBTIQ+ and Mental Disorders

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 5771

Special Issue Editors

Prof. Dr. Raúl Juárez Vela

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Guest Editor
Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain
Interests: cardiovascular risk factors; atherosclerosis; nutrition; obesity; nursing interventions; suicidal behaviours
Special Issues, Collections and Topics in MDPI journals
Dr. Antonio Martinez-Sabater

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Guest Editor
1. Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 València, Spain
2. Nursing Department, Facultat d’Infermeria i Podologia, Universitat de València, 46010 València, Spain
3. Grupo Investigación en Cuidados (INCLIVA), Hospital Clínico Universitario de Valencia, 46010 València, Spain
Interests: addictions; primary health care; intensive care; digital divide; simulation; nursing education; health literacy; patients’ education
Special Issues, Collections and Topics in MDPI journals
Dr. Vicente Gea-Caballero

E-Mail Website
Guest Editor
Faculty of Health Sciences, International University of Valencia, 46002 Valencia, Spain
Interests: advanced practice nursing; epidemiology; nursing work environment
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear colleagues,

Substance use during sexual activity has increased in recent years. This phenomenon, recently named chemsex, is derived from the words "chems" (chemical substances) and "sex". The European ChemSex Forum document defines chemsex as "a particular type of sexualized substance use practice, among gay and bisexual men, trans and non-binary people and men who have sex with men and participate in the culture of casual or uncommitted gay sex”. A strong association has been seen between substance use in chemsex contexts and mental health problems, such as anxiety, depression, risk of psychosis and suicidal ideation, social isolation, stigmatization, loss of impulse control, and even a lack of coping strategies. The aim of this Special Issue is to be a space where publications about chemsex, LGTBIQ+, and mental health disorders can be published, to the end of sharing science and knowledge.

Prof. Dr. Raúl Juárez-Vela
Prof. Dr. Antonio Martínez-Sabater
Dr. Vicente Gea-Caballero
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

 

Keywords

  • chemsex
  • drugs
  • mental health
  • substance use

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Published Papers (2 papers)

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Research

13 pages, 274 KiB  
Article
A Cross-Sectional Study of Spanish Grindr Users: Sociodemographic Characteristics, Sexual Health Trends, and Attitudes toward HIV Testing
by Eduardo Ibáñez-Tomás and Ángel Gasch-Gallén
Healthcare 2024, 12(17), 1722; https://doi.org/10.3390/healthcare12171722 - 29 Aug 2024
Viewed by 942
Abstract
Men who have sex with men are at an increased risk of acquiring sexually transmitted infections, and although behavioral and contextual interventions have improved, infections continue to spread. Therefore, a new focus on recent trends in sexual health in this population is needed. [...] Read more.
Men who have sex with men are at an increased risk of acquiring sexually transmitted infections, and although behavioral and contextual interventions have improved, infections continue to spread. Therefore, a new focus on recent trends in sexual health in this population is needed. The aim of this study was to describe the relationship between sociodemographic and behavioral characteristics according to Grindr usage patterns, the prevalence of sexually transmitted infections (STIs), and attitudes toward HIV testing. In January 2020, a cross-sectional study was conducted using a sample of 881 men who have sex with men (MSM) who completed an online questionnaire. We evaluated their Grindr use patterns (moderate or intensive) and explored the associations of these with sociodemographic behavioral characteristics, STIs, and attitudes toward HIV testing. Of 881 participants in total, 587 (66.6%) were intensive Grindr users. Compared to moderate users, these participants reported significantly higher numbers of casual sexual partners (76.2% vs. 23.8%; p < 0.001), were more likely to participate in Chemsex (77.3% vs. 22.7%: p = 0.031), and had a higher self-reported number of STIs (69.9% vs. 30.1; p = 0.046). They also demonstrated better attitudes toward HIV testing (69.7% vs. 30.3%; p = 0.045) and perceived themselves to be at moderate risk of HIV (71.2% vs. 28.8%: p = 0.048). Moreover, intensive Grindr users were 1.36 times more likely than moderate users to test positive for STIs (95%CI = 1.15–1.91; p = 0.048). With some limitations, age, sexual partners, intensive Grindr users, and PrEP uses were associated with the risk of STIs in the sample of Spanish Grindr users studied. As Grindr users are vulnerable to sociodemographic and behavioral factors that determine STIs and HIV infection, mainly among intensive users, it is necessary to highlight the importance of new trends such as online dating apps, PrEP use, substance use in sex, and Chemsex, and these need to be incorporated into online public health strategies. Full article
(This article belongs to the Special Issue Chemsex, LGBTIQ+ and Mental Disorders)
16 pages, 884 KiB  
Article
Application of the Delphi Method for Content Validity Analysis of a Questionnaire to Determine the Risk Factors of the Chemsex
by Pablo del Pozo-Herce, Antonio Martínez-Sabater, Elena Chover-Sierra, Vicente Gea-Caballero, Pedro José Satústegui-Dordá, Carles Saus-Ortega, Clara Isabel Tejada-Garrido, Mercedes Sánchez-Barba, Jesús Pérez, Raúl Juárez-Vela, Iván Santolalla-Arnedo and Enrique Baca-García
Healthcare 2023, 11(21), 2905; https://doi.org/10.3390/healthcare11212905 - 5 Nov 2023
Cited by 4 | Viewed by 3325
Abstract
Chemsex is understood as “the intentional use of stimulant drugs to have sex for an extended time among gay, bisexual, and other men who have sex with men”. It is a public health problem because of the increased incidence of cases and because [...] Read more.
Chemsex is understood as “the intentional use of stimulant drugs to have sex for an extended time among gay, bisexual, and other men who have sex with men”. It is a public health problem because of the increased incidence of cases and because of the consequences on the physical and mental health of those who practice it. Aim: This study aimed to analyze, with the help of the Delphi method, the content validity of a new instrument to assess the risk of behaviors associated with the chemsex phenomenon. Method: First, a bank of items identified from the literature was elaborated. Secondly, 50 experts with knowledge of the chemsex phenomenon at the national level were contacted. A Delphi group was formed with them to carry out two rounds of item evaluation. The linguistic evaluation (comprehension and appropriateness) was assessed using a Likert scale from 1 to 5 for each item. Items that did not reach a mean score of 4 were eliminated. Content assessment was calculated using each item’s content validity index (CVI) and Aiken’s V (VdA). A minimum CVI and VdA value of 0.6 was established to include the items in the questionnaire. Results: A total of 114 items were identified in the literature. In the first round of Delphi evaluation, 36 experts evaluated the items. A total of 58 items were eliminated for obtaining a CVI or VdA of less than 0.6, leaving 56 items. In a second Delphi round, 30 experts re-evaluated the 56 selected items, where 4 items were eliminated for being similar, and 10 items were also eliminated for not being relevant to the topic even though they had values higher than 0.6, leaving the scale finally composed of 52 items. Conclusion: A questionnaire has been designed to assess the risk of behaviors associated with the chemsex phenomenon. The items that make up the questionnaire have shown adequate content and linguistic validity. The Delphi method proved to be a helpful technique for the proposed objective. Full article
(This article belongs to the Special Issue Chemsex, LGBTIQ+ and Mental Disorders)
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