Servicing the Lesbian, Gay, Bisexual and Transgender community

OUT provides direct health services to the lesbian, gay, bisexual and transgender (LGBT) community, MSM, sex workers, and injecting drug users, including HIV testing, counselling, treatment and general lifestyle advice and support.

OUT has been in existence for more than 21 years and is dedicated to the building of healthy and empowered LGBT communities in South Africa and internationally, while reducing hetrosexism and homophobia in society.

Report addresses concerns about “chemsex”

The drugs “facilitate sustained arousal and induce a feeling of instant rapport with sexual partners.” In South Africa these kinds of drugs are also known as tik and cat.

A recent survey of 874 men who attended a chemsex support service at the 56 Dean Street clinic in London found high levels of unprotected sex and hepatitis C among both HIV-positive and HIV-negative men and a high frequency of injecting drug use.

“The prevalence rates of chemsex reported in the 56 Dean study reflect a growing trend in London, with similar anecdotal reporting by both other sexual health clinics and LGBT drug services in the city,” commented Hannah McCall, Senior Staff Nurse in Sexual Health Services at the Central and North West London NHS Foundation Trust.

“Recent statistics from Public Health England show an increase in STIs in gay men, including an increase in hepatitis C, as well as an increase in the injecting of amphetamines and amphetamine-like substances like mephedrone and crystal meth,” she said.

In an article published in the British Medical Journal, McCall wrote that not only does chemsex often lead to unprotected sex, but it can also result in serious addiction and other mental and physical health issues.

She said that “chemsex drug users often describe ‘losing days’ — not sleeping or eating for up to 72 hours.”

McCall noted that some users report using the drugs not only for recreational and sexual use but to also “manage negative feelings, such as a lack of confidence and self esteem, internalised homophobia, and stigma about their HIV status.”

She said that health services need to pay more attention to these increasingly popular chemsex drugs, in addition to more traditional substances such as heroin, crack cocaine, and alcohol.

“Addressing chemsex related morbidities should be a public health priority,” McCall added.

Services
Have you been threatened, hit, raped or had your property damaged or stolen because you are gay, lesbian, bisexual, transgender or intersex (LGBTI)? Then you have been a victim of a hate crime.
OUT offers exciting training to mainstream service providers and other interested parties. The training assists individuals to understand themselves as sexual beings.
Currently OUT distributes safer sex packs to a range of venues in Tshwane that are utilised by gay men and lesbian women. These packs also include responsible sex messaging, appropriate barrier methods and lube.
OUT's Engage Men’s Health project offers free and confidential sexual health services to gay, bisexual and other men who have sex with men (MSM).