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The members of the first, low-drug-using group were by some measures, in multivariate analysis, more sexually active: they had more unprotected sex, more regular unprotected sex with casual partners and more regular unprotected sex with casual partners of different or unknown HIV status than the high drug-using group, and were not very much less likely to report group sex despite lower rates of using drugs while doing it. There were also six individuals who reported going to slam parties but not having bareback sex – but this is such a small number that it appears that in the minds of the respondents, a ‘slam party’ is defined more as a group sex party than one featuring drug use. They were much more likely to inject, spent more time in the parties actually consuming drugs, and were more likely to report poly-drug use of several substances at once.
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The other group had higher usage rates of all drugs than the first group, except for MDMA, but also were the main users of ‘harder’ drugs such as methamphetamine, other amphetamines, ketamine, crack cocaine and heroin. These men did not spend much time actively consuming substances in the party and by and large did not inject. Most of the men took drugs of one sort or other, but one group (116 men or 0.8% of respondents) was characterised by the use of one or two drugs that in gay circles tend to be specifically associated with sex – MDMA, GHB or GBL, erection drugs such as Viagra or Cialis, poppers (nitrites), snorted cocaine and drugs of the mephedrone family (‘miaow miaow’ or ‘bath salts’). However, the researchers found that two very distinct groups attended the parties.
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Only these men were asked whether they attended ‘slam parties’ and a total of 270 (1.9%) said they did. Over 14,000 gay men answered the last survey and of them 3115 (22%) reported that they had had ‘bareback sex’, defined by the researchers as unprotected anal sex with someone who is not a regular partner and is of different or unknown HIV status. It is also a movement for social justice built on a belief in, and respect for, the rights of people who use drugs. Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use (including safer use, managed use and abstinence). However, nowhere did the NGB define what a ‘slam party’ actually was: it wanted participants to decide whether they belonged to this subculture and then explain what they actually did. It asked the questions in both the section of the survey enquiring about sexual risk taking and in the section about drug use to ensure all relevant responses were captured. In response to concern about a similar scene developing in France, Net Gai Baromètre (NGB), a biennial internet survey of gay men in France, French territories and Quebec, asked users if they attended ‘slam parties’ in their last survey to gauge how common this activity actually was.
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Needless to say, these reports have created considerable alarm about the possibility of a new gay subculture that may amplify the spread of HIV and hepatitis C, and anecdotally, the large majority of gay men attending support services for drug users in London now report injecting. There has been considerable publicity in the gay, scientific and general media recently about so-called ‘slamming’ or ‘slam parties’, defined as group sex parties where gay men take drugs such as methamphetamine or mephedrone, often by injection, in order to facilitate prolonged sexual activity.