Trends in drug use among electronic dance music party attendees in New York City, 2016-2019
Trends in drug use among electronic dance music party attendees in New York City, 2016-2019
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DOI：
10.1016/j.drugalcdep.2020.107889
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发表时间：
2020-04-01
影响因子：
4.2
通讯作者：
Keyes, Katherine M.
中科院分区：
文献类型：
--
作者：
Palamar, Joseph J.;Keyes, Katherine M.
目的：电子舞曲（EDM）派对参与者是吸毒及相关不良反应的高危人群。我们检查了这一人群过去一年的药物使用趋势，以便更好地为预防和减少危害的工作提供信息。方法：从2016年到2019年的每个夏天，我们采用时空抽样的方法对在纽约市随机选择的夜总会和舞蹈节参加EDM派对的成年人进行横断面调查。n从504（2019年）到1087（2016年）不等。我们估计了过去一年使用16种不同合成药物或药物类别的对数线性趋势。结果：2016年至2019年，过去一年的氯胺酮使用率从5.9%增加到15.3%（相对增加157.6%,P = 0.007）， LSD使用率从9.9%增加到16.6%（相对增加67.7%,P < 0.001），粉末可卡因使用率从17.3%增加到35.2%（相对增加103.5%,P < 0.001）， GHB使用率从1.0%增加到4.2%（相对增加311.8%,P = 0.002）。过去一年bbb3类药物的使用率从12.7%上升至20.5%（相对增长61.4%,P = 0.013）；然而，过去一年未知粉末的估计使用量从2.0%下降到1.1%（相对下降44.7%;P = 0.038），摇头丸/MDMA/莫莉的使用量在各年之间保持稳定（25.0%至28.5%;P = .687）。结论：粉末可卡因、LSD、氯胺酮和GHB在EDM派对参与者中越来越普遍。需要采取预防和减少危害的努力来解决日益增加的使用问题。还需要进行研究，以检查媒体对医疗使用氯胺酮和其他致幻剂的日益增加的报道是否会影响娱乐性使用的流行程度。
Objective: Electronic dance music (EDM) party attendees are a high-risk population for drug use and associated adverse effects. We examined trends in past-year drug use within this population to better inform prevention and harm reduction efforts.Methods: Each summer from 2016 through 2019, we used time-space sampling to survey a cross-section of adults entering EDM parties at randomly selected nightclubs and at dance festivals in New York City. Ns ranged from 504 (2019) to 1,087 (2016). We estimated log-linear trends in past-year use of 16 different synthetic drugs or drug classes.Results: Between 2016 and 2019, estimated past-year prevalence of use of ketamine increased from 5.9% to 15.3% (a 157.6% relative increase; P = .007), LSD use increased from 9.9% to 16.6% (a 67.7% relative increase, P < .001), powder cocaine use increased from 17.3% to 35.2% (a 103.5% relative increase, P < .001), and GHB use increased from 1.0% to 4.2% (a 311.8% relative increase; P = .002). Past-year use of > 3 drugs increased from 12.7% to 20.5% (a 61.4% relative increase; P = .013); however, estimated past-year use of unknown powders decreased from 2.0% to 1.1% (a relative 44.7% decrease; P = .038) and ecstasy/MDMA/Molly use was stable across years (at 25.0 to 28.5 %; P = .687).Conclusions: Reports of powder cocaine, LSD, ketamine, and GHB are becoming more prevalent among EDM party attendees. Prevention and harm reduction efforts are needed to address increasing use. Research is also needed to examine whether increasing media coverage of medical use of ketamine and other psychedelics affects prevalence of recreational use.