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Article ; Online: Playing at the edges, navigating sexual boundaries, and narrating sexual distress; Practices and perspectives of sexuality and gender diverse people who use GHB.

Freestone, Jack / Bourne, Adam / Layard, Eloise / Prestage, Garrett / Murray, Joel / Siefried, Krista J

The International journal on drug policy

2022  Volume 108, Page(s) 103811

Abstract: Background: Research addressing sexualised use of GHB to date has largely focussed on gay and bisexual men's GHB use in the context of chemsex, this research has highlighted risks and experiences associated with sexual violence. No studies have included ...

Abstract Background: Research addressing sexualised use of GHB to date has largely focussed on gay and bisexual men's GHB use in the context of chemsex, this research has highlighted risks and experiences associated with sexual violence. No studies have included people of diverse sexualities and genders and documented reported practices to ensure mutually gratifying and consensual sex in the context of sexualised drug use (SDU).
Methods: Semi-structured interviews were conducted with 31 people from sexuality and gender diverse communities living in Australia who reported three or more occasions of GHB use in the previous 12 months. Participants were asked about their use of GHB for sex, their experiences of GHB sex and their approaches to negotiating sexual boundaries. Data were analysed thematically.
Results: Most participants valued the sexual possibilities enabled by disinhibitory components of GHB and were cognisant of respecting other's sexual boundaries in the context of GHB sex. Participants reported strategies to ensure communication prior to and throughout GHB sex. However, several participants narrated experiences of GHB sex that they felt were distressing and, in some circumstances, sexually violent. In most instances participant's resisted terminology of sexual violence or non-consent as descriptors of their experience and none reported accessing sexual violence services.
Conclusion: Positive strategies to facilitate sexual communication prior to and throughout GHB sex should be reflected in health promotion and service level responses to promote affirmative and continuous consent among people who use GHB for sex. Education initiatives to help people engaged in SDU to recognise and respond to sexual violence if it occurs ought to be prioritised.
MeSH term(s) Female ; Gender Identity ; Homosexuality, Male ; Humans ; Male ; Sexual Behavior ; Sexual and Gender Minorities ; Sexuality ; Sodium Oxybate ; Substance-Related Disorders/epidemiology
Chemical Substances Sodium Oxybate (7G33012534)
Language English
Publishing date 2022-08-05
Publishing country Netherlands
Document type Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 2010000-0
ISSN 1873-4758 ; 0955-3959
ISSN (online) 1873-4758
ISSN 0955-3959
DOI 10.1016/j.drugpo.2022.103811
Database MEDical Literature Analysis and Retrieval System OnLINE

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