The moderation effect of chemsex on the association between sexual sensation seeking and self-esteem in men with HIV who have sex with men.

Although evidence suggests an association between sexual sensation seeking (SSS) and self-esteem (SE), the moderating effect of chemsex on this relationship has not been extensively examined, particularly in men who have sex with men (MSM) with HIV. The main aim of the present study was to analyze the relationship between SSS and SE, evaluating the possible moderation effects of the chemsex, in a sample of 99 MSM with HIV from Spain. Sociodemographic and chemsex were evaluated utilizing an ad-hoc questionnaire. The Rosenberg Self-Esteem Scale and Sexual Sensation Seeking Scale were also utilized. Higher SSS scores were positively and significantly associated with chemsex practice. A significant correlation between SSS and SE was found only among MSM who engaged in chemsex. Specifically, chemsex significantly moderated the relationship between SSS and SE, but only in the participants who practiced it. As shown, there is a different association between SSS and SE depending on the practice of chemsex; showing an inverse relationship in the group who practice it. Intervention programs are needed to reduce risky sexual behaviors in this population, especially in those individuals who present higher SSS.