Links SU-Sex: development of a screening tool for health-risk sexual behaviours related to substance use among men who have sex with men
Mathieu Goyette A B C F , Jorge Flores-Aranda A B C , Karine Bertrand A B C , Frédérick Pronovost D , Valérie Aubut A , Roberto Ortiz E and Marianne Saint-Jacques A
+ Author Affiliations
- Author Affiliations
A Department of Community Health Sciences, Addiction Research Study Program, University of Sherbrooke, 150 Place Charles-Le-Moyne, bureau 200, Longueuil, QC, J4K 0A8, Canada.
B Centre de recherche – Hôpital Charles-Le Moyne, 150 Place Charles-Le Moyne, bureau 200, Longueuil, QC, J4K 0A8, Canada.
C Institut Universitaire sur les Dépendances, 950 rue Louvain Est, Montréal, QC, H2M 2E8, Canada.
D RÉZO – Santé et mieux-être des hommes gais et bisexuels, cisgenres et transgenres, 2075 rue Plessis, C.P. 246, Succursale C., Montréal, QC, H2L 4K1, Canada.
E MAX – Ottawa’s Health Connection for Guys into Guys, 251 rue Bank St., 5th floor, Ottawa, ON, K2P 1X3, Canada.
F Corresponding author. Email: mathieu.goyette@usherbrooke.ca
Sexual Health 15(2) 160-166 https://doi.org/10.1071/SH17134
Submitted: 1 August 2017 Accepted: 12 January 2018 Published: 16 March 2018
Abstract
Background: Men who have sex with men (MSM) have distinctive substance use (SU), which is more often linked to a sexual context than it is for their heterosexual peers. Screening of MSM’s SU, its sexual contexts and the associated risks, is of clinical and public health concern. This paper aims to describe the preliminary development of a screening tool for health-risk sexual behaviours related to SU and to make recommendations for its potential use. Methods: Community-based participatory research and transdisciplinary approaches guided the development process. The Links SU-Sex screening tool is the result of the integration of findings from a scoping review and from four meetings among SU and sexual health experts (n = 19), consisting of researchers, community stakeholders, as well as substance-using MSM. Results: The Links SU-Sex questionnaire consists of 64 items divided into 13 components that focus on the links between SU and sexual health. It addresses the contexts in which SU occurs, its frequency, its perceived influence, as well as MSM’s concerns about these various links. In accordance with current knowledge, the interpretation of the instrument offers feedback that is based on the respondents’ answers to the various components assessed. Conclusions: The Links SU-Sex represents a potential screening tool that rests on a robust development process supporting its content validity that aims to identify MSM at risk or with concerns surrounding the influence of their SU on their sexual health. The psychometric qualities and the interpretation validity both remain to be established.
Additional keywords: alcohol and drug use, chemsex, harm reduction, screening tool, sexual health, sex under the influence.
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