This is a report on the findings from the Flux Study, Following Lives Undergoing Change, for the period 2014 to 2017. 3,253 gay and bisexual men completed online behavioural surveys at six-month intervals. There were 753 responses in 2014, 1,900 responses in 2015, 1,158 responses in 2016, and 1,995 responses in 2017. This report will summarise drug use and sexual behaviours and identify any trends throughout the years.
- Gay and bisexual men use most illicit drugs at higher rates than the general population, however, most their use of illicit drugs in infrequent. Men who used drugs in the past six months, only did so once or twice.
- Most of the men who used drugs in the past six months reported more positive experiences than harms associated with their use. There were, however, a small percentage who showed signs of problematic use.
- Although drug use in general has been associated with HIV related harms, for the most part, men in Flux used harm reduction strategies to minimise risk. This included a rapid uptake in HIV pre-exposure prophylaxis (PrEP), from less than 1% in 2014 to one third of men in Flux in 2017. Among the small proportion who reported injecting drugs, nearly 90% of them never shared their injecting equipment before use.