Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia

• Bedoya Mejia, Sebastián ^[1] ; Cardona Arango , Doris ^[2] ; Agudelo Cifuentes, Maite Catalina ^[3] ; Ramos-Jaraba, Sara Milena ^[4] ; Matagira-Rondón, Giselly ^[5] ; Segura-Cardona, Ángela M ^[6] ; Berbesí-Fernández, Dedsy Yajaira ^[3]
  1. [1] Professor, PhD student in Epidemiology and Biostatistics, CES University, Medellín, Colombia.
  2. [2] Professor, PhD in demographic, Medellín, Colombia.
  3. [3] Professor, PhD in Epidemiology and BiostatisticsFaculty of Nursing, CES University, Medellín, Colombia.
  4. [4] Professor, Master in Collective Health, Faculty of Nursing, CES University, Medellín, Colombia.
  5. [5] Professor, master’s in public health, Faculty of Nursing, CES University, Medellín, Colombia.
  6. [6] Professor, PhD in Epidemiology, Graduate School, CES University, Medellín, Colombia.

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• Localización: Revista CUIDARTE, ISSN 2216-0973, ISSN-e 2346-3414, Vol. 15, Nº. 2, 2024 (Ejemplar dedicado a: May-August)
• Idioma: inglés
• DOI: 10.15649/cuidarte.3477
• Títulos paralelos:
  • Prevalência de uso substâncias psicoativas homens que se relacionam com homens, Colômbia
  • Prevalencia de consumo de sustancias psicoactivas en hombres que tienen relaciones sexuales con hombres, Colombia
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Introducción: El uso de sustancias psicoactivas en la población es un problema actual, que afecta a una gran parte de la humanidad, con diversas consecuencias.   Objetivo: Analizar los factores asociados al consumo de sustancias psicoactivas en hombres que tienen sexo con otros hombres (HSH) en tres ciudades de Colombia.   Materiales y Métodos: Este estudio descriptivo transversal utilizó el método de muestreo respondent-driven sampling y logró una muestra de 1301 HSH. Se evaluó la asociación entre las características sociodemográficas y personales y el consumo de sustancias psicoactivas mediante la prueba chi-cuadrado. Las razones de prevalencia se calcularon con sus intervalos de confianza del 95%. En el análisis multivariado, se empleó una regresión de Poisson con enlace logarítmico y estimador robusto, para explorar los factores asociados con el uso de sustancias psicoactivas. Resultados: La prevalencia de consumo de sustancias psicoactivas en el último año fue del 87%, predominando el consumo de alcohol, marihuana y poppers. Tener parejas ocasionales (RP: 0,44; IC 95% 0,29-0,67), asistir a lugares públicos o establecimientos como bares y saunas (RP: 3,39; IC 95% 2,34 - 4,91), el trabajo sexual y no usar condón en la última relación sexual (RP: 2,10; IC 95%: 1,37 - 3,22) son factores asociados con el consumo de estas sustancias. Discusión: Se evidencia una alta prevalencia de consumo recreativo de sustancias psicoactivas, incluso superior a la encontrada en población general.   Conclusión: Se confirma una alta prevalencia y asociación con conductas sexuales de riesgo, lo que requiere acciones de promoción y prevención para reducir el uso de estas sustancias.

    Como citar este artículo: Bedoya Mejia Sebastián, Cardona Arango Doris, Agudelo Cifuentes Maite Catalina, Ramos-Jaraba Sara Milena, Matagira-Rondón Giselly, Segura-Cardona Ángela M, Berbesí-Fernández Dedsy Yajaira. Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia. Revista Cuidarte. 2024;15(2):e3477. https://doi.org/10.15649/cuidarte.3477

  • português

    Introdução: O uso de substâncias psicoativas pela população é um problema atual que atinge grande parte da humanidade, com diversas consequências. Objetivo:  Analisar os fatores associados ao uso de substâncias psicoativas em homens que fazem sexo com homens (HSH) em três cidades da Colômbia. Materiais e Métodos: Esse estudo descritivo transversal usou o método de amostras respondent-driven sampling e obteve uma amostra de 1301 HSH. A associação entre as características sociodemográficas e pessoais e o uso de substâncias psicoativas foi avaliada por meio do teste do qui-quadrado. As razões de prevalência foram obtidas com seus intervalos de confiança de 95%. Na análise multivariada, foram construídos regressão de Poisson, log link e estimador robusto para explorar os fatores associados ao uso de substâncias psicoativas.   Resultado: A prevalência de consumo de substâncias psicoativas no último ano foi de 87%, prevalecendo o consumo de álcool, maconha e poppers. Ter parceiros ocasionais (RP: 0,44; IC 95% 0,29 – 0,67), frequentar locais e locais públicos como bares e saunas (RP: 3,39; IC 95% 2,34-4,91), trabalho sexual e não usar camisinha na última relação sexual (RP: 2,10 IC 95% 1,37 - 3,22) são fatores associados ao consumo dessas substâncias. Discussão: Existem evidências de elevada prevalência de uso recreativo de substâncias psicoativas, ainda maior do que as encontradas na população em geral. Conclusão: Confirma-se uma elevada prevalência e associação com comportamentos sexuais de risco, o que requer ações de promoção e prevenção para reduzir o uso destas substâncias.

    Como citar este artigo: Bedoya Mejia Sebastián, Cardona Arango Doris, Agudelo Cifuentes Maite Catalina, Ramos-Jaraba Sara Milena, Matagira-Rondón Giselly, Segura-Cardona Ángela M, Berbesí-Fernández Dedsy Yajaira. Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia. Revista Cuidarte. 2024;15(2):e3477. https://doi.org/10.15649/cuidarte.3477

  • English

    Highlights There is a high prevalence of consumption of psychoactive substances, especially alcohol, marijuana, and popper.

    Popper is one of the psychoactive substances that is emerging among the population; it must be carefully monitored.

    The consumption of psychoactive substances is statistically and epidemiologically associated with having casual couples and sexual work.

    The consumption of psychoactive substances increases the probability of having unprotected sexual intercourses.

    Introduction: The use of psychoactive substances (PS) in the population is a current problem that affects a large part of humanity, with diverse consequences.   Objective: To analyze the factors associated with the consumption of PS among men who have sex with other men (MSM) in three Colombian cities. Material and Methods: This cross-sectional descriptive study used the respondent-driven sampling (RDS) method and obtained a sample of 1301 MSM. The association between the sociodemographic and personal characteristics and the consumption of PS was assessed using the chi-square test. Prevalence ratios were calculated along with their 95% confidence intervals. For the multivariate analysis, a Poisson regression with a log link and robust estimator was employed to explore the factors associated with PS use. Result: The prevalence of consumption of PS in the last year was 87%, prevailing the consumption of alcohol, marijuana, and poppers. Having occasional partners (PR: 0.44; 95% CI 0.29 - 0.67), attending public places or establishments such as bars and saunas (PR: 3.39; 95% CI 2.34 - 4.91), sex work, and not using a condom in the last sexual encounter (PR: 2.10 95% CI 1.37 - 3.22) are factors associated with the use of these substances.   Discussion: There is evidence of a high prevalence of recreational use of PS, even higher than that found in the general population. Conclusion: A high prevalence and association with risky sexual behaviors is confirmed, which requires promotion and prevention actions to reduce the use of these substances.

    How to cite this article: Bedoya Mejia Sebastián, Cardona Arango Doris, Agudelo Cifuentes Maite Catalina, Ramos-Jaraba Sara Milena, Matagira-Rondón Giselly, Segura-Cardona Ángela M, Berbesí-Fernández Dedsy Yajaira. Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia. Revista Cuidarte. 2024;15(2):e3477. https://doi.org/10.15649/cuidarte.3477

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