There is consistent evidence that the prevalence of club drugs and NPS is higher among lesbian, gay, bisexual and transgender (LGBT) people in comparison to the general population. There is also increasing evidence that there are three distinct, but overlapping, areas in which gay men and other men who have sex with men (MSM) bear a disproportionate burden of ill health: sexual health (notably HIV infection), mental health, and the use of alcohol, drugs and tobacco.

The document below describes patterns of club drug use among LGBT populations, as reported in the literature. It examines the factors that may impact on the use of substances and discusses drug-related and other harms.

The document also examines drug use in sexual contexts, sometimes referred to as ‘chemsex’, and associated risks. It also addresses treatment responses to club drug use for MSM and is intended to guide improved service and treatment planning.

Drug Use and LGBT paper