<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2025000100006</article-id>
<article-id pub-id-type="doi">10.55783/rcmf.180106</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Chemsex: un problema de salud pública desde la perspectiva de la Atención Primaria de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Chemsex: a public health problem from a Primary Health Care perspective]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila-Tomas]]></surname>
<given-names><![CDATA[José Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valentín-Tirado]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Ramírez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrasco-Munera]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cervera-Centenero]]></surname>
<given-names><![CDATA[Juan Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Santa Isabel  ]]></institution>
<addr-line><![CDATA[Leganés Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud Vicente Soldevilla  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Salud Lavapiés  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro de Salud Las Calesas  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro de Salud Los Ángeles  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Sociedad Española de Medicina de Familia y Comunitaria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2025000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2025000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2025000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El término chemsex describe el uso intencionado de drogas para facilitar o prolongar encuentros sexuales entre gais, bisexuales y otros hombres que tienen sexo con hombres (GBHSH). Las sustancias comúnmente implicadas, como la metanfetamina, el gamma hidroxibutirato (GHB)/gamma-butirolactona (GBL) y la mefedrona, son utilizadas para intensificar la experiencia sexual, desinhibir y prolongar la duración del acto. Este fenómeno ha ganado visibilidad en los últimos años debido a sus implicaciones para la salud pública, que van desde la transmisión de infecciones de transmisión sexual (ITS) hasta trastornos psicológicos y dependencia a las drogas. El chemsex no solo tiene un impacto sobre la salud física, sino también sobre la salud mental al estar asociado a problemas como la ansiedad, la depresión y el aislamiento social. Las características particulares de esta práctica hacen que los profesionales de la salud, en especial en Atención Primaria (AP), enfrenten desafíos tanto en el diagnóstico como en el manejo adecuado de estas personas. Es crucial que el personal médico de AP se prepare para reconocer este fenómeno y proporcionar una atención no estigmatizante, dada la posible reticencia de los pacientes a exponer sus comportamientos sexuales y el uso de sustancias. En este artículo de revisión, se explorarán aspectos clave del chemsex, incluyendo su contexto sociocultural, la epidemiología en España, las principales sustancias utilizadas y las pautas de diagnóstico y manejo en AP. Además, se abordará la necesidad de una estrecha coordinación entre distintos niveles asistenciales para proporcionar una atención integral y eficaz a este tipo de pacientes. La creciente prevalencia del chemsex subraya la urgencia de mejorar la formación médica y las estrategias de salud pública que aborden tanto los riesgos asociados como la prevención.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The term chemsex refers to the intentional use of drugs to facilitate or prolong sexual encounters, predominantly among men who have sex with men (MSM). Substances commonly involved, such as methamphetamine, GHB/GBL, and mephedrone, are used to enhance sexual experiences, lower inhibitions, and extend the duration of sexual activity. In recent years, chemsex has gained increased visibility due to its public health implications, ranging from the transmission of sexually transmitted infections (STIs), including HIV, to psychological disorders and drug dependence. Chemsex impacts both physical and mental health, being associated with conditions such as anxiety, depression, and social isolation. The distinctive characteristics of this practice present challenges for healthcare professionals, especially general practitioners, in diagnosing and managing affected patients. It is crucial for physicians to be equipped to recognise this phenomenon and provide non-stigmatising care, as patients may be reluctant to disclose their sexual behaviours and substance use. This review will explore key aspects of chemsex, including its sociocultural context, epidemiology in Spain, the primary substances used, and guidelines for diagnosis and management in primary care. Furthermore, it will address the need for close coordination between different levels of healthcare to provide comprehensive and effective care for these patients. The growing prevalence of chemsex underscores the urgency of improving medical education and public health strategies aimed at addressing both the associated risks and prevention efforts.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[chemsex]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria]]></kwd>
<kwd lng="en"><![CDATA[Chemsex]]></kwd>
<kwd lng="en"><![CDATA[Primary Care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soriano Ocón]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[del Amo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abordaje del fenómeno del chemsex. Una propuesta desde el Plan Nacional sobre el Sida]]></article-title>
<source><![CDATA[Rev Esp Salud Pública]]></source>
<year>2020</year>
<volume>94</volume>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schmidt]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Bourne]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Weatherburn]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Reid]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Marcus]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Hickson]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Illicit drug use among gay and bisexual men in 44 cities: Findings from the European MSM Internet Survey (EMIS)]]></article-title>
<source><![CDATA[International Journal of Drug Policy]]></source>
<year>2016</year>
<volume>38</volume>
<page-range>4-12</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Florêncio]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chemsex cultures: Subcultural reproduction and queer survival]]></article-title>
<source><![CDATA[Sexualities]]></source>
<year>2023</year>
<volume>26</volume>
<numero>5-6</numero>
<issue>5-6</issue>
<page-range>556-73</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanz Ugena]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Sexualidad y drogas. El fenómeno del Chemsex]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Pontificia de Comillas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pozo-Herce]]></surname>
<given-names><![CDATA[P del]]></given-names>
</name>
<name>
<surname><![CDATA[Tovar-Reinoso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Sabater]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chover-Sierra]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sufrate-Sorzano]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Saus-Ortega]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Exploration of Mental Health Elements in Chemsex Behavior: Interventions, Influencing Factors, and Attitudes towards Risk and Harm Reduction in Spain]]></article-title>
<source><![CDATA[Nursing Reports]]></source>
<year>2024</year>
<volume>14</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>2313-26</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pozo-Herce]]></surname>
<given-names><![CDATA[P del]]></given-names>
</name>
<name>
<surname><![CDATA[Baca-García]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Sabater]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chover-Sierra]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gea-Caballero]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Curto-Ramos]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Descriptive study on substance uses and risk of sexually transmitted infections in the practice of Chemsex in Spain]]></article-title>
<source><![CDATA[Front Public Health]]></source>
<year>2024</year>
<volume>12</volume>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Dávila]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA["Sesión de sexo, morbo y vicio": una aproximación holística para entender la aparición del fenómeno Chemsex entre hombres gais, bisexuales y otros hombres que tienen sexo con hombres en España]]></article-title>
<source><![CDATA[Revista Multidisciplinar del Sida]]></source>
<year>2016</year>
<page-range>41-65</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soriano Ocón]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El Chemsex y sus vínculos con el uso de aplicaciones de geolocalización entre hombres que tienen sexo con hombres en España: un análisis etnográfico virtual]]></article-title>
<source><![CDATA[Revista Multidisciplinar del Sida]]></source>
<year>2017</year>
<volume>5</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>8-20</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Memorias y archivos LGTBI en España]]></article-title>
<source><![CDATA[Tábula]]></source>
<year>2017</year>
<volume>20</volume>
<page-range>25-42</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mármol]]></surname>
<given-names><![CDATA[CI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La voz de la comunidad en el fenómeno del chemsex]]></article-title>
<source><![CDATA[Revista Multidisciplinar del Sida]]></source>
<year>2019</year>
<volume>7</volume>
<numero>16</numero>
<issue>16</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosas Cancio-Suárez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ron]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Álvarez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Sanz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Serrano-Villar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence, characteristics, and associated risk factors of drug consumption and chemsex use among individuals attending an STI clinic (EpITs STUDY)]]></article-title>
<source><![CDATA[Front Public Health]]></source>
<year>2023</year>
<volume>11</volume>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Folch]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Dávila]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Soriano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Díez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Casabona]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alto consumo de drogas recreativas y conductas sexuales de riesgo en hombres que tienen relaciones sexuales con hombres]]></article-title>
<source><![CDATA[Medicina Clínica]]></source>
<year>2015</year>
<volume>145</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>102-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<collab>Energy Control</collab>
<source><![CDATA[Energy Control]]></source>
<year>2024</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martín Zurro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atención Primaria de Salud]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Martín Zurro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cano Pérez]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<source><![CDATA[Atención Primaria. Conceptos, organización y práctica clínica]]></source>
<year>2008</year>
<edition>6.ª</edition>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<collab>Ministerio de Sanidad</collab>
<source><![CDATA[Abordaje del fenómeno chemsex. Informe de estudios e investigación]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Sanidad]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García de Yébenes]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
<name>
<surname><![CDATA[Larrégola]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Rufo]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Rincón]]></surname>
<given-names><![CDATA[JMR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La entrevista sexual]]></article-title>
<source><![CDATA[FMC - Formación Médica Continuada en Atención Primaria]]></source>
<year>2024</year>
<volume>31</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>191-4</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mascort]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alastrue]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Zarco]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Aguado]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Profilaxis pre-exposición de la infección por el VIH y Atención Primaria (AP)]]></article-title>
<source><![CDATA[Atención Primaria]]></source>
<year>2020</year>
<volume>52</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>137-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allison]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Widman]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Stewart]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Perry]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adherence to Pre-Exposure Prophylaxis in Adolescents and Young Adults: A Systematic Review and Meta-Analysis]]></article-title>
<source><![CDATA[Journal of Adolescent Health]]></source>
<year>2022</year>
<volume>70</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28-41</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<collab>Grupo de Trabajo de chemsex del Plan Nacional sobre el sida</collab>
<source><![CDATA[Informe sobre chemsex en España]]></source>
<year>2019</year>
<publisher-name><![CDATA[Dirección General de Salud Pública Calidad e Innovación]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Íncera]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gámez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ibarguchi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zaro]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Aproximación al Chemsex en España 2021]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Apoyo Positivo e Imagina Más]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tomkins]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[George]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kliner]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sexualised drug taking among men who have sex with men: a systematic review]]></article-title>
<source><![CDATA[Perspect Public Health]]></source>
<year>2019</year>
<volume>139</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-33</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miltz]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Rodger]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sewell]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gilson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Allan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Scott]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recreational drug use and use of drugs associated with chemsex among HIV-negative and HIV-positive heterosexual men and women attending sexual health and HIV clinics in England]]></article-title>
<source><![CDATA[Int J Drug Policy]]></source>
<year>2021</year>
<volume>91</volume>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
