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

Zahra Stardust*, Johann Kolstee, Stefan Joksic, James Gray, Siobhan Hannan

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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 educationpartnerships with research institutions to better understand cultures of chemsexand 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 subculturesemploys culturally relevant terminology and imageryuses content designed, created and delivered by peersand 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.

Original languageEnglish
Pages (from-to)179-181
Number of pages3
JournalSexual Health
Volume15
Issue number2
DOIs
Publication statusPublished - 29 Mar 2018
Externally publishedYes

Keywords

  • Community intervention
  • drug use
  • gay men
  • health promotion
  • sexual practices

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