Tobacco, alcohol & other drugs
							
							
																								
							
							
							
							
								
																
																	
								
								
							
							
								
							
																	For better or worse, these substances are very prevalent on the gay scene.  Gay and bisexual men generally take substances more frequently and over a longer period of time than men in the general population. Illegal drugs are also present in multiple risks linked to the nature and quality of these products as well as the health of those taking them and the context where they are taken.
2002
 
										
										
										Respondents matched by age, region and nationality. Source: Swiss Federal Statistical Office, FSO 2002.
																			Tobacco consumption is the first avoidable cause of illness and death in Switzerland. Cardio-vascular disease, cancer, strokes, heart attacks and thrombosis are all caused by smoking.  As we can see, gay men smoke more and are more often active smokers than men in the general population.
2002
 
										Alcohol consumption over the last 4 weeks 
										comparison between men in Switzerland and gay men
										
											
																									
															 
															men in Switzerland
															gay men
														 
																											
																											
															 low (less than 40g / day) 
															76.2%
															68.9%
														 
																											
															average (40g to 60g / day) 
															4.9%
															4.1%
														 
																											
															 high (at least 60g / day) 
															3.2%
															11.1%
														 
																											
															excessive (until drunkenness) 
															38%
															40.9%
														 
																											
															alcohol dependence (alcoholism) 
															-
															11%
														 
																							 
										Respondents matched by age, region and nationality. Source: Swiss Federal Statistical Office, FSO 2002.
	
																			Approximately the same percentage of men in the general population and the gay male population do not drink alcohol or drink excessively.  On the other hand, gay men were less common among those drinking less (low consumption) and more common among those drinking a lot (high consumption).  Alcohol and drug usage is also frequently high among those suffering from mental disorders in order to relieve suffering and shake off a feeling of loneliness.  Alcohol dependency was not studied in the Swiss Health Survey of the general population.
2002
 
										Drug consumption In the last 12 months and over a lifetime
										In the last 12 months and over a lifetime
										
										Respondents matched by age, region and nationality. Source: Swiss Federal Statistical Office, FSO 2002
										
																			Young gay men take drugs at roughly the same rate as young people in the general population.  Once they become adults, drug, alcohol and tobacco consumption among gay men is higher on average than for men in the general population.  Poppers (alkyl nitrites) are mostly used (inhaled) for sex.  The Federal Statistics Office does not publish data on the use of hallucinogens among the general population.
A research study published in 2016 on substance usage among Checkpoint Geneva patients gave more recent data and shows substance use is common among gay men.
Stimulant usage (amphetamine and derivatives such as crystal meth, meth, mephedrome) during sexual activity (known as “chemsex”) is on the rise in certain sub-sectors of the gay community, particularly those who practice group sex.  Using this type of drug entails very high health risks.
If you take drugs, find out about their effects and quality before you get them from specialized sites such as “Nuit Blanche”.  If you take medication, it is important to find out if any drugs you take are compatible with those medicines.  If you have a drug and/or alcohol problem, schedule an appointment at Checkpoint or some other specialized service.  A list of services is available on the Blues Out site.