Feasibility, acceptability, and perceived usefulness of a community-evidence-based harm reduction intervention for sexualized stimulant use among Mexican gay, bisexual, and other men who have sex with men

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dc.contributor.affiliationFaculty of Psychology, Universidad Nacional Autónoma de México, Circuito Ciudad Universitaria 04510, Coyoacan, Mexico City, Mexico
dc.contributor.emailcrafful@comunidad.unam.mx (Claudia Rafful)
dc.creatorRafful, Claudia
dc.creatorOrozco, Ricardo
dc.creatorPeralta, Daniela
dc.creatorJiménez-Rivagorza, Leonardo
dc.creatorMedina-Mora, María Elena
dc.creatorGutiérrez, Nely
dc.creatorMorales-Gutierrez, Missael
dc.creator.identificadorhttps://orcid.org/0000-0003-0083-7276 (Rafful, Claudia)
dc.creator.identificadorhttps://orcid.org/0000-0002-6580-585X (Orozco, Ricardo)
dc.creator.identificadorhttps://orcid.org/0009-0006-6639-7495 (Peralta, Daniela)
dc.creator.identificadorhttps://orcid.org/0009-0009-6024-7965 (Jiménez-Rivagorza, Leonardo)
dc.creator.identificadorhttps://orcid.org/0000-0001-9300-0752 (Medina-Mora, María Elena)
dc.creator.identificadorhttps://orcid.org/0009-0001-0274-0227 (Gutiérrez, Nely)
dc.date2024
dc.date.accessioned2026-05-29T20:16:11Z
dc.date.issued2024
dc.date.published2024
dc.descriptionBackground: The use of stimulants and other substances with the purpose of enhancing, maintaining, and prolonging sexual activity is known as sexualized substance use. Also known as chemsex, this pattern of use has been mainly explored in high-income countries. The aim of this article was to assess the feasibility, acceptability, and usefulness of a community- evidence-based harm reduction intervention among Mexican gay, bisexual, and other men who have sex with men (gbMSM) adults who reported sexualized stimulant use in the past 6 months and who were not enrolled in any psychosocial treatment. Methods: The in-person intervention was designed in partnership with gbMSM who used substances. It consisted of 39 harm reduction strategies before, during, and after episodes of use. The components of the intervention were health and self-care, safety, and psychopharmacology. The intervention was delivered at a university campus, a public recreational space, and an HIV public clinic. Feasibility to deliver the intervention was assessed based on enrolment and completion rates; acceptability through a 28-item, 5-point Likert scale (140 max.) constructed and validated for the Mexican population with good reliability coefficients; usefulness through a 5-point Likert scale ("not useful"-"very useful") for each of the 39 strategies; and potential behavioral change by subtracting the likelihood of implementing each strategy minus the frequency of use of the technique before the intervention. Results: Participants (n = 19; recruitment rate = 35.2%; completion rate = 84.2%) rated the intervention as acceptable with a mean score of 121.6 (SD = 7.5). The highest potential for behavioral change was regarding the use of information about the half-life of stimulants, polysubstance use, and overdose prevention. Conclusions: This intervention is feasible when provided within public health services where potential participants are already in contact. Harm reduction strategies need to surpass sexually transmitted infections prevention and HIV care and focus on substance use and mental health strategies.
dc.formatPDF
dc.identifierJC24DIEP24
dc.identifier.doi10.1186/s12954-024-01020-y
dc.identifier.eissn1477-7517
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/39
dc.identifier.urihttps://doi.org/10.1186/s12954-024-01020-y
dc.language.isoeng
dc.publisherBioMed Central
dc.relation21(1):95
dc.relation.jnabreviadoHARM REDUCT J
dc.relation.journalHarm Reduction Journal
dc.rightsAcceso Cerrado
dc.subject.kwStimulant use
dc.subject.kwHarm reduction
dc.subject.kwCommunity‑based interventions
dc.subject.kwSexual diversity
dc.subject.kwSexual minorities
dc.titleFeasibility, acceptability, and perceived usefulness of a community-evidence-based harm reduction intervention for sexualized stimulant use among Mexican gay, bisexual, and other men who have sex with men
dc.typeArtículo

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