1. Lysa Silveira Remy, BA, MSc.
Psychiatric Symptoms and Sexual Risk Behaviors in a Sample of Brazilian Men Who Have Sex With Male Ecstasy and LSD users
Lysa Silveira Remy, BA, MSc.

2. Club Drugs primarily among MSM
high rates of HIV
“Every night is like New Year’s Eve on South Beach, and drugs and sex are all part of it.”
mix numerous drugs during binges  highly vulnerable population.

3. Primary Aim
Recruit a sample of out-of-treatment MSM club drug users, and assess their histories of drug abuse, Mental health and Sexual risk behavior onset;

4. Client Recruitment Respondent-driven Sampling (RDS)
Targeted Canvassing (TARC)
Ethnographic Fieldwork (EFW)
Face-to-face interviews - Substance use, sexual behavior and prevention of diseases, mental health and professional life

5. Demographics (n=30) Education Middle/junior high school 80%
Elementary school %
High school / some college % Income
Up to US$ %
No Income %
More than US$ %
Occupation
Student %
Employed %
Student and Employed %
No study/no work %
Sexual Abuse ,3%

6. Lifetime drug use

7. Recent Drug Use
Alcohol

8. Mental Health Status Depression in Past Year Moderate 47%
Severe %
None/Low %
Anxiety in Past Year
Moderate %
Severe %
None/Low %
Traumatic Stress in Past Year
Severe %
Moderate %
None/Low %

9. Sexual Risk Behaviors
Had anal sex (insertive or receptive) 96.7% Unprotected anal sex (90 days) 76.7% Unprotected vaginal sex (90 days) 64.3% Unprotect sex 33.3% Feminine partner 30% Pain during sex 30% Ever exchanged sex for money 20% Sex while intoxicated 16.7% Ever exchanged money for sex 13.3% Number of sex partners (90 days) 5 [2;11]

10. Conclusions club drug users: extremely high rates of drug abuse.
interventions:
sexual risk reduction
prevention and treatment for substance abuse and mental health.