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International Journal of
            Population Studies                                        Chemsex among MSM during the COVID-19 pandemic



            challenges faced by individuals  engaging  in chemsex,   such as Europe, Africa, and South America. Third, this
            thereby enhancing care delivery and addressing the   review  did  not  incorporate  grey  literature,  which  could
            complex health-care needs in these unprecedented times.  have enriched the findings.
              Furthermore, the pandemic has significantly intensified   4. Conclusion
            mental health challenges among MSM, primarily due
            to  heightened  stress  and  isolation.  Roux  et al.  (2022)   The COVID-19 pandemic has significantly influenced
            advocated for specialized virtual counseling services,   chemsex practices among MSM, revealing complex
            such as cognitive-behavioral therapy, tailored to these   interplays  between  social  isolation,  health-care
            pandemic-associated challenges to foster healthier coping   accessibility, and mental health. The pandemic’s restrictions
            mechanisms. Addressing psychological distress and   have not only persisted but also evolved chemsex
            substance abuse, health-care providers offer individual   activities, exacerbating health risks and highlighting
            and group therapy sessions through online platforms.   the need for individualized health-care approaches. It
            Simultaneously,  the  creation  of  supportive  online   is crucial to recognize that no one-size-fits-all solution
            environments through virtual support groups, community   exists; interventions must be tailored to address the
            forums, and social media platforms is emphasized.   diverse needs within the MSM community. This review
            This initiative enables MSM to share experiences and   emphasizes the importance of comprehensive behavioral
            receive peer support, significantly reducing isolation and   health and health-care strategies, including digital health
            enhancing well-being among those engaging in chemsex   technologies, to provide inclusive and accessible services.
            during the pandemic.                               Future  research  should  focus  on understanding the
                                                               pandemic’s long-term effects on MSM’s sexual behaviors
              Promoting safe sex practices is crucial in mitigating   and health, considering varying demographics and
            the risk of STIs and HIV, especially during the pandemic   geographical contexts. Collaborative efforts among health-
            (Sanchez et al., 2020; Sousa et al., 2020; Shilo & Mor, 2020).   care providers, policymakers, behavioral scientists, public
            Despite the lockdown restrictions, many MSM continue to   health specialists, and the MSM community are essential
            engage in sexual activities, including chemsex, potentially   to develop effective, culturally sensitive interventions that
            compromising adherence to  safe sex  practices.  Health-  address both physical and mental health needs, ensure
            care  providers  are  thus  encouraged  to  creatively  adapt   equitable health-care access, and reduce stigma.
            by leveraging online platforms or virtual counseling to
            overcome lockdown measures, ensuring continued access   Acknowledgments
            to STI testing while observing social distancing protocols,
            and facilitating the distribution of condoms and lubricants.  None.

              In summary, the COVID-19 pandemic has highlighted   Funding
            the urgent need for health-care interventions designed   None.
            to manage chemsex practices among MSM. Health-care
            professionals who have received cultural competency and   Conflict of interest
            sensitivity training are crucial in addressing the heightened
            mental health challenges and risks associated with chemsex.   The authors declare they have no competing interests.
            Using virtual platforms for counseling, support groups, and   Author contributions
            the promotion of safe sex practices, they provide a holistic
            approach to care. These measures are critical in mitigating   Conceptualization:  Chawapon  Sarnkhaowkhom, Kobkul
            the pandemic’s effects and demonstrate the importance   Madican
            of adaptability and comprehensive care in safeguarding   Investigation:   Chawapon  Sarnkhaowkhom,  Kobkul
            health and safety.                                    Madican, Athichai Pankam
                                                               Methodology:  Chawapon  Sarnkhaowkhom, Kobkul
            3.8. Limitations                                      Madican
            This review has potential limitations. First, this review is   Formal analysis: All authors
            limited by the languages of the articles included, which   Writing – original draft: All authors
            were restricted to English and Thai. Publications in other   Writing – review & editing: Chawapon Sarnkhaowkhom,
            languages were not included. Second, the articles finalized   Kobkul Madican, Athichai Pankam
            for  inclusion  in this review  primarily  focused on  Asia,   Ethics approval and consent to participate
            Oceania, and North America. Further reviews should aim
            to cover geographic regions not covered in this review,   Not applicable.


            Volume 10 Issue 4 (2024)                        36                        https://doi.org/10.36922/ijps.2599
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