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February 8, 2026Harm Reduction JournalOpen Access

Leveraging mHealth interventions to reduce sex- and drug-related risk behaviors among chemsex-involved men who have sex with men: evidence from a qualitative study

Kamal Gautam Christopher Uyar Jeffrey A. Wickersham Kiran Paudel Ting Soo Frederick L. Altice Safaet Hossain Sujan Toan Ha Michael M. Copenhaver Roman Shrestha

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Key Points

Explore how mHealth interventions can address barriers to harm reduction for MSM involved in chemsex.
Conducted qualitative interviews with MSM engaged in chemsex in Malaysia.
Identified structural and social barriers affecting harm reduction.
Developed a mobile app tailored to user experiences and privacy needs.
Participants identified significant barriers to accessing harm reduction services.
The mobile app is viewed as a potential confidential tool for support and information.
Community trust in services is crucial for effective harm reduction.

Implication

Qualitative study highlights how a mobile app can provide harm reduction information to MSM, suggesting a way to overcome social barriers.

Abstract

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Cite This Study

Gautam et al. (2026) studied this question.

synapsesocial.com/papers/698c1bff267fb587c655e0da https://doi.org/10.1186/s12954-026-01417-x

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Effectiveness of Digital Interventions in Reducing Chemsex-Related Health Risks Among Men Who Have Sex with Men (MSM): A Systematic ReviewSystematic Review · 2026
2From potential to pause – missed opportunities in harm reduction: lessons learned and perspectives from a discontinued implementation study among young men who have sex with men in ThailandCohort Study · 2026 · 1 citations
3Community experiences and strategies of risk management within chemsex practices: a qualitative study2024 · 3 citations
4Assessing the Effectiveness of an mHealth Intervention to Support Men Who Have Sex With Men Engaging in Chemsex (Budd): Single-Case and Pre-Post Experimental Design Study2024 · 6 citations
5Impact of Mobile Phone-Based Interventions on Methamphetamine Use and High-risk Sexual Behaviors in Men Who Have Sex with Men (MSM): A Systematic Review.Systematic Review · 2020 · 6 citations

More related papers

Implementing a comprehensive harm reduction model for young men who have sex with men in Thailand across sexual health, legal, and community outreach settings: baseline findings from the CLYMAX-2 study2026
Syndemics of stigma, minority-stress, maladaptive coping, risk environments and littoral spaces among men who have sex with men using chemsex2017
Sexual, addiction and mental health care needs among men who have sex with men practicing chemsex – a cross-sectional study in the Netherlands2020

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