The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men.

IF 2.4 Q1 NURSING
Pablo Del Pozo-Herce, Enrique Baca-García, Antonio Martínez-Sabater, Rubén Pérez-Elvira, Vicente Gea-Caballero, Elena Chover-Sierra, Pedro José Satústegui-Dordá, Alberto Tovar-Reinoso, Francisco José Rodríguez-Velasco, Mercedes Sánchez-Barba, Jesús Pérez, Raúl Juárez-Vela
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引用次数: 0

Abstract

Background: Chemsex has been defined as the deliberate use of drugs for prolonged sexual intercourse between gay and bisexual men and other men who have sex with men (MSM). Drugs associated with chemsex can trigger mental health problems such as anxiety, depression, risk of psychosis and suicidal ideation, social isolation, stigmatization, and even loss of impulse control and lack of coping strategies. Currently, the increase in illicit drugs in a sexual context is considered an outbreak of a public health emergency. Objective: The aim of this study is the construction and validation of the Chem-Sex Inventory (CSI), a new scale to assess the mental health risk of chemsex behaviors. Methods: A cross-sectional design was conducted to study 563 participants. Data were collected through an online questionnaire between January and April 2023, and the construct validity of the CSI was assessed through exploratory and confirmatory factor analysis. Results: The sample was, on average, 36 years old (SD: ±9.2). The majority of gender identity was cisgender (97.7%). A factor structure was found that can be summarized in four dimensions: emotional instability, risk of psychosis, altered body perception, and risk of suicide. The confirmatory factor analysis (CFA) presents adequate reliability values, with a Cronbach's alpha above 0.87 for all dimensions and a McDonald's omega above 0.88 with a good fit of the 42 items. Conclusions: Our study has shown that the Chem-Sex Inventory (CSI) scale has factorial validity and could be used in clinical practice and research to measure the behavioral contribution of the chemsex phenomenon in MSM.

化学性行为量表(CSI):评估男男性行为者化学性行为心理健康风险的工具。
背景:"化学性交 "被定义为男同性恋、双性恋和其他男男性行为者(MSM)之间故意使用药物进行长时间性交。与 "化学性交 "相关的药物可引发心理健康问题,如焦虑、抑郁、精神病风险和自杀倾向、社会隔离、污名化,甚至失去冲动控制和缺乏应对策略。目前,性方面非法药物的增加被认为是公共卫生紧急事件的爆发。研究目的本研究旨在构建和验证化学性行为量表(CSI),这是一种评估化学性行为心理健康风险的新量表。研究方法对 563 名参与者进行了横断面设计研究。在 2023 年 1 月至 4 月期间,通过在线问卷收集数据,并通过探索性和确认性因子分析评估 CSI 的构造效度。研究结果样本平均年龄为 36 岁(标准差:±9.2)。大多数人的性别认同为顺性(97.7%)。发现的因子结构可概括为四个维度:情绪不稳定、精神病风险、身体感知改变和自杀风险。确证因子分析(CFA)显示出足够的可靠性,所有维度的 Cronbach's alpha 均高于 0.87,McDonald's omega 均高于 0.88,42 个项目的拟合度良好。结论我们的研究表明,化学性行为量表(CSI)具有因子效度,可用于临床实践和研究,以测量 MSM 化学性行为现象的行为贡献。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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