Abstracts
Résumé
Problématique et objectif : La consommation des substances en contexte sexuel – aussi connu sous le nom de chemsex – a surtout été documentée chez les hommes gais, bisexuels ou ayant des relations sexuelles avec d’autres hommes (gbHARSAH), avec de rares études incluant des hommes hétérosexuels. Par ailleurs, les motivations associées au chemsex demeurent sous-documentées, nonobstant l’orientation sexuelle primaire rapportée. Cette étude qualitative exploratoire visait à décrire les motivations associées à la pratique du chemsex chez les hommes et à explorer les possibles différences selon leur orientation sexuelle primaire.
Méthodologie : Onze hommes cisgenre (>18ans) rapportant avoir consommé en contexte sexuel au moins une des substances associées au chemsex (méthamphétamine, cocaïne, kétamine, MDMA ou GHB) dans la dernière année ont participé à un entretien semi-directif. Une analyse thématique a été réalisée en utilisant la théorie de l’autodétermination (Ryan et Deci, 2000) pour organiser et conceptualiser les thèmes émergents relatifs aux motivations intrinsèques et extrinsèques associées à la pratique du chemsex.
Résultats : Les motivations extrinsèques rapportées faisaient référence à (1) l’influence de normes sociosexuelles intériorisées ou (2) des partenaires sexuels dans l’initiation ou le maintien de la pratique du chemsex. Les motivations intrinsèques incluaient le désir (1) d’améliorer la performance sexuelle et des sensations physiques ; (2) de réduire les inhibitions lors d’interactions sexo-relationnelles ; (3) de favoriser la connexion émotionnelle au.x partenaire.s ; (4) d’atténuer l’impact d’émotions ou d’événement douloureux ou alors (5) de combler un besoin lié à une dépendance aux substances.
Discussion : Nos résultats relèvent les facettes multiples du chemsex en matière de facteurs individuels, relationnels ou culturels influençant sa pratique, de même que le caractère heuristique du modèle de l’autodétermination pour distinguer les profils d’utilisateurs relativement à leurs motivations et leur orientation sexuelle primaire.
Mots-clés :
- chemsex,
- motivations,
- hommes,
- orientation sexuelle,
- méthodologie qualitative
Abstract
Background and objective: Sexualized drug use, also known as chemsex, has been documented mostly among gay, bisexual, or men who have sex with men (gbMSM), with rare studies including heterosexual men. Furthermore, motivations associated with chemsex are under-documented, regardless of reported primary sexual orientation. The aims of this study were to describe the motivations associated with chemsex among men and explore possible differences by primary sexual orientation.
Methods: Semi-structured interviews were conducted with 11 cis men ( 18years) reporting sexual drug used of at least one substance related to chemsex (methamphetamine, cocaine, ketamine, MDMA, or GHB). A thematic analysis was conducted using self-determination theory (Ryan et Deci, 2000) to conceptualize emerging themes related to intrinsic and extrinsic motivations associated with chemsex practice.
Results: Extrinsic motivations reported referred to (1) the influence of internalized socio-sexual norms or (2) sexual partners in initiating or maintaining chemsex practice. Intrinsic motivations included the desire to (1) enhance sexual performance and physical sensations, (2) reduce inhibitions during sex-related interactions, (3) foster emotional connection to partners, (4) cope with painful emotions or events, or (5) fulfill a need related to substance dependence.
Discussion: Our results highlight the multiple facets of chemsex in terms of individual, relational or cultural factors influencing its practice, as well as the relevance of the self-determination model to distinguish user profiles with respect to their motivations and primary sexual orientation.
Keywords:
- Chemsex,
- motivations,
- men,
- sexual orientation,
- qualitative methods
Resumen
Problemática y objetivo: El consumo de sustancias en el contexto sexual, también conocido como sexdopaje o chemsex, se ha documentado principalmente en hombres gais, bisexuales o que tienen relaciones sexuales con otros hombres (gbHARSAH), con raros estudios que incluyen hombres heterosexuales. Por otra parte, las motivaciones asociadas al sexdopaje siguen estando muy poco documentadas, a pesar de la orientación sexual primaria documentada. Este estudio cualitativo exploratorio tuvo como objetivo describir las motivaciones asociadas a la práctica del sexdopaje en los hombres y explorar las posibles diferencias según su orientación social primaria.
Metodología: Once hombres cisgénero (mayores de 18 años) que habían consumido durante el último año por lo menos una de las sustancias relacionadas con el sexdopaje (metanfetamina, cocaína, ketamina, MDMA o GHB) participaron en una entrevista semidirigida. Se realizó un análisis temático utilizando la teoría de la autodeterminación (Ryan y Deci, 2000) para organizar y conceptualizar los temas emergentes relativos a las motivaciones intrínsecas y extrínsecas asociadas con la práctica del sexdopaje.
Resultados: Las motivaciones extrínsecas comunicadas se referían a lo siguiente: 1) la influencia de las normas socio-sexuales interiorizadas o 2) parejas sexuales en la iniciación o el mantenimiento de la práctica del sexdopaje. Las motivaciones intrínsecas incluían el deseo de: 1) mejorar el rendimiento sexual y las sensaciones físicas; 2) reducir las inhibiciones durante las interacciones sexo-relacionales; 3) favorecer la conexión emocional de las parejas; 4) atenuar el impacto de emociones o acontecimientos dolorosos o 5) satisfacer una necesidad relacionada con la dependencia de sustancias.
Discusión: Nuestros resultados señalan las múltiples facetas del sexdopaje con respecto a factores individuales, relacionales o culturales que influyen en su práctica, así como el carácter heurístico del modelo de autodeterminación para distinguir los perfiles de los usuarios en relación con sus motivaciones y su orientación sexual primaria.
Palabras clave:
- sexdopaje (chemsex),
- motivaciones,
- hombres,
- orientación sexual,
- metodología cualitativa
Appendices
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