Descriptive analysis of chemsex users undergoing treatment for addictions in the city of Madrid

Background: Chemsex has become a public health issue due to its consequences on physical, psychological, sexual, and social health. These stem not only from high-risk sexual activities, but also from substance use. The aim of this study has been to analyse the profile of chemsex users undergoing treatment for addiction, including sociodemographic and clinical characteristics, as well as information about substance use and potentially traumatic events. Methods: A cross-sectional, retrospective, descriptive analysis was conducted in a sample of 529 people undergoing treatment between 1st January 2021 and 30th June 2022 in the Centres for Addiction Treatment (CAD) of Madrid City Council. Results: Sociodemographic profile: Cis Men (99,1%), 39,1 years (mean), Spanish (60,9%), higher education (53,9%), employed (62,4%). Clinical profile: HIV + (59,8%), HCV (22,2%), STIs (75,5%), mental health diagnose (56%), PrEP (45,5%). Violence: history of violence (37,2%): hate violence (20,6%), intra-family violence (13,4%), intimate partner violence (10,6%), sexual violence (10,4%); sex work (10,6%). Substance use: polydrug use (65%), mephedrone (76,9%), GHB (41,8%), amphetamines and its derivatives (29,3%); intravenous use (49,7%), abscesses (18,1%), solitary drug use (35,1%), history of overdose (17,5%). Conclusion: The results obtained suggest that information about the profile and situation of chemsex users undergoing addiction treatment be systematically collected, and specific addiction-oriented interventions be designed in order to better adapt the treatment to their needs.