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Earlier First Anal Sex Predicts Engagement in Chemsex Among Men Who Have Sex with Men in the United Kingdom.

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Title: Earlier First Anal Sex Predicts Engagement in Chemsex Among Men Who Have Sex with Men in the United Kingdom.
Authors: Avallone, Francesco, Marbaniang, Ivan, Engler, Kim, Cox, Joseph, Lebouché, Bertrand, Hickson, Ford
Source: Journal of Sex Research. Sep2025, Vol. 62 Issue 7, p1313-1321. 9p.
Subjects: Anal sex, Drugs & sex, Human sexuality, Men who have sex with men, Public health
Geographic Terms: United Kingdom
Abstract: Chemsex, a form of sexualized drug use, is prevalent among men who have sex with men (MSM) in the United Kingdom (UK), contributing to public health concerns like increased HIV transmission and overdose risk. This study explored the link between early first anal sex and chemsex engagement among MSM, a connection that has been underexplored in the UK. Analyzing data from 10,702 UK-based MSM from the European MSM Internet Survey (EMIS-2017), we used ordinal and binomial logistic regressions to assess how the age of first anal intercourse correlated with sexual risk behaviors and chemsex. The median age of anal sex debut was 17, with most participants (65%) reporting their first experience at 18 or older. A smaller group (7%) had their first anal intercourse at 13 or younger. Compared to those who had their first anal sex at 18 years or older, MSM who initiated anal sex at 17 years or younger were more likely to report having more non-steady condomless intercourse partners (aOR = 1.46, p <.001), using chemsex-associated drugs (aOR = 1.26, p =.013), engaging in non-sober sex (aOR = 1.22, p <.001), and recent involvement in chemsex (aOR = 1.48, p <.001). These findings highlight the need for interventions that address early sexual experiences to reduce sexual risk behaviors and chemsex among MSM. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Earlier First Anal Sex Predicts Engagement in Chemsex Among Men Who Have Sex with Men in the United Kingdom.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Sex+Research%22&quot;&gt;Journal of Sex Research&lt;/searchLink&gt;. Sep2025, Vol. 62 Issue 7, p1313-1321. 9p.
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  Data: Chemsex, a form of sexualized drug use, is prevalent among men who have sex with men (MSM) in the United Kingdom (UK), contributing to public health concerns like increased HIV transmission and overdose risk. This study explored the link between early first anal sex and chemsex engagement among MSM, a connection that has been underexplored in the UK. Analyzing data from 10,702 UK-based MSM from the European MSM Internet Survey (EMIS-2017), we used ordinal and binomial logistic regressions to assess how the age of first anal intercourse correlated with sexual risk behaviors and chemsex. The median age of anal sex debut was 17, with most participants (65%) reporting their first experience at 18 or older. A smaller group (7%) had their first anal intercourse at 13 or younger. Compared to those who had their first anal sex at 18 years or older, MSM who initiated anal sex at 17 years or younger were more likely to report having more non-steady condomless intercourse partners (aOR = 1.46, p &lt;.001), using chemsex-associated drugs (aOR = 1.26, p =.013), engaging in non-sober sex (aOR = 1.22, p &lt;.001), and recent involvement in chemsex (aOR = 1.48, p &lt;.001). These findings highlight the need for interventions that address early sexual experiences to reduce sexual risk behaviors and chemsex among MSM. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Sex Research is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=187695834
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/00224499.2024.2443011
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 1313
    Subjects:
      – SubjectFull: Anal sex
        Type: general
      – SubjectFull: Drugs & sex
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Men who have sex with men
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: United Kingdom
        Type: general
    Titles:
      – TitleFull: Earlier First Anal Sex Predicts Engagement in Chemsex Among Men Who Have Sex with Men in the United Kingdom.
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            NameFull: Avallone, Francesco
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            NameFull: Marbaniang, Ivan
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            NameFull: Engler, Kim
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            NameFull: Cox, Joseph
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            NameFull: Lebouché, Bertrand
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            – D: 01
              M: 09
              Text: Sep2025
              Type: published
              Y: 2025
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              Value: 62
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