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Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Community organisations with a history of HIV prevention, care, treatment are well-placed to respond. ACON’s (formerly the AIDS Council of New South Wales) multi-dimensional response to ‘chemsex’ includes: direct client services support for individuals seeking to manage or reduce their use; health promotion activities that support peer education; partnerships with research institutions to better understand cultures of chemsex; and policy submissions that call for drug use to be approached as a health, rather than a criminal, issue. The approach speaks the language of Party and Play subcultures; employs culturally relevant terminology and imagery; uses content designed, created and delivered by peers; and operates within a pleasure-positive, harm-reduction and community-led framework. These interventions have led to increased service uptake, strong community engagement, robust research partnerships and the recognition of GBM as a priority population in relevant strategies.

This study examines partner abuse in LBGTI relationships, with focus on the associations with emotional distress and protective factors. Two hundred and eighty-seven participants took part. Partner abuse (victimisation) comprised three factors; conflict orientated aggression; hostile ignorance and control of communication; and social control and possessiveness (including threats to possessions). Perpetration factors were similar. Significant differences across sexuality or gender were limited to the perpetration of abuse relating to suspicion and possessiveness, where men were more likely to report this than the other gender groups, and women were less likely to report this. Of those reporting abuse in their current relationship, over half reported experiencing abuse in a primary relationship previously, with 60 per cent reporting exposure to abuse as a child. Partner abuse in their current relationship predicted current levels of increased emotional distress, with reduced satisfaction with the current relationship having an indirect impact on this association. Resilience traits were not a predictor or mediator. The results demonstrate the similarity in abuse across LGB communities despite the diversity of genders, sexualities and experiences within these groups. The results are discussed with regards to directions for future research and implications for practice

This preliminary study explored gambling in the lesbian, gay, bisexual, transsexual and intersex (LGBTI) community, recognising this as an under researched area. Several factors were considered alongside gambling, namely mental health, substance use, alcohol use and self-control. Participants were recruited to take part in an online survey, with a final sample of 69 obtained. Findings revealed that gambling activities such as pub slot machines/games (58%) were the most common form of gambling, followed by scratch cards (43.5%). The most common motive for engaging in gambling was for ‘fun’, followed by ‘because you like the feeling’. Twenty percent of participants appeared to meet the criteria for gambling disorder, as defined by the DSM–V. Mental health variables, namely depression and anxiety, did not distinguish between problematic and non-problematic gambling whereas alcohol, drug use and self-control did; higher levels of alcohol and higher levels of drug use were present in the problematic gambling group which appeared to confirm gambling as a difficulty best placed within the addiction spectrum. Self-control was also lower in the problematic gambling group and represented a significant predictor of problematic gambling.