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Of these men, 10.2% and 2.9% had taken HIV post- and pre-exposure prophylaxis (PrEP) at some time, respectively, and 10.8% were currently taking PrEP. Regarding sexual behaviors, 80.2% reported having had sex with an occasional male partner and 73.9% not having always used a condom with occasional partners.Īmong the participants who did not declare having HIV (n = 2,236), 64.8% had had the test in the last 12 months (44.4% in the last 6 months) and 11.6% reported never having done it HIV testing. 36.2% of the participants with at least one of these mental health problems had consulted or been diagnosed in the last 12 months. Among them, the most reported problems are: stress symptoms (63.6%), depression symptoms (60.1%) and anxiety symptoms (52.8%). 59.5% declared having consulted or having been diagnosed for at least one mental health problem. With regard to emotional well-being and mental health, in the last 2 weeks prior to the study, 17.4% of the participants stated that they had thought or wanted to die for a few days 1.1% and 1.4% had thought about it more than half the days and almost every day, respectively. 21.4% (n = 607) of the interviewees stated that they had an HIV diagnosis, the majority currently with an undetectable viral load (95.2%). Among the participants who indicated having been diagnosed with some disease or infection in the last 12 months (n = 1,531), STIs were the most self-reported (37.1%). 44.1% declared living with a chronic disease or a long-term health problem. The majority of informants declared that they were in good or very good health (86.7%), and good or excellent physical condition (65.6%). Regarding the use of web portals or search apps for sexual contact, only 5.6% of the participants stated that they never used them. A high prevalence of the participants reported having been the victim of insults (71%), threats (35%) and / or attacks (31%) at least once in their life, said percentages being 14% in the last year, 4 % and 2%, respectively. 77% declared they are attracted only to cis men, while 22.6% are attracted to cis men and other gender (s) (cis and / or trans women, and / or trans men). The vast majority of the participants defined themselves as homosexual or gay (85.2%). Most had university or higher education (60.7%), were professionally active (71.3% employed or self-employed), and close to half (48.5%) had an income level of at least 1,500 € monthly. Most were born in Spain (81.0%) and lived in medium, large or very large cities (68.7%). The participants who answered the survey (n = 2,843) had an average age of 39.9 years, with participants between 30 and 49 years of age being the most represented (59.7%). The data were collected through semi-structured interviews and focus groups carried out in December 2020, with an approximate duration of 80 minutes. Qualitative analysis was carried out to complement the survey and highlight quantitative data with life experience. The quantitative analysis was based on the results of an online survey, implemented between January 13 and February 8, 2021, aimed at GBHSH men in Spain, carried out by Stop Sida in collaboration with other LGTB organizations and promoted through banners and instant messages in sex contact search apps (Scruff, Wappo, Machobb). The study was carried out with a mixed methodology of quantitative and qualitative analysis. Homasalud2020 aims to describe the impact of chemsex on the sexual, mental and social health of GBHSH men to improve approach strategies and avoid or reduce its negative impact. This is one of the findings of the HomoSalud 2020 study that has been carried out by the Stop Sida organization with the collaboration of researchers from the Center for Epidemiological Studies on Sexually Transmitted Infections and AIDS of Catalonia (CEEISCAT), the French organization CoalitionPLUS and the Autonomous University of Barcelona. The Homosalud2020 study provides quantitative and qualitative data to understand the health needs of men who practice chemsex and the scope of the phenomenonĢ7.5% of gay, bisexual and other men who have sex with men (GBHSH) in Spain report having used drugs to maintain sex in the last twelve months and approximately 10% report having done so in chemsex contexts.