Club Drugs/Resource Inequity/Health Risk in Urban Youth

描述（由申请人提供）：这项为期五年的研究，题为“俱乐部 城市青年中的药物、资源不平等和健康风险”将确定 环境、社会文化和心理因素影响城市 青年和年轻人将俱乐部毒品纳入其毒品库， 吸毒模式随时间的变化，以及吸毒者的心理社会、经济和 俱乐部药物使用和同时混合多种药物的健康后果。研究 响应NIDA的RFA DA-0 1 - 0 10，题为“响应俱乐部毒品和 其他新出现的和当前的药物滥用趋势。and the relationship between the difference 向城市青年推销和传播俱乐部和特制毒品， 青少年毒品市场通过俱乐部，下班后，和其他社会 活动，并说明这些药物的意义，相对于传统的 街头毒品（普通和高THC大麻，甲醛叶， 酒精，灰尘，可卡因，快克和海洛因），2）进行小组研究， 时间点相隔8个月，500名16 - 30岁的年轻人， MDMA和其他舞蹈和处方药模式的变化，以及 预测因素和使用的后果，3）利用信息来开发 在街头和派对上预防舞蹈和处方药风险的策略 设置.研究的组成部分1（I - 50个月）将继续建立 在城市青年和年轻人 成年人购买、销售、学习和试验新的毒品和毒品混合。 第2部分（第8 - 58个月）将涉及给予 对500名青年和年轻成年人的研究队列进行流行病学/网络调查 年龄在16 - 30岁之间。在组件3（第42-60个月）中，我们将使用持续 研究结果与一个青年顾问小组合作， 可接受性的试点测试预防与以下方面有关的风险的战略 MDMA和其他俱乐部药物使用和药物混合将在药物使用场所使用， 与分销商和用户网络。在整个过程中，我们将审查和 整合新兴文献，将研究结果与主要理论联系起来 指导研究的概念。本研究的意义在于 说明新的潜在危险药物的传播方式 进入高风险的城市环境，其纳入社会心理， 了解毒品销售的经济和背景因素，其重点是 未充分研究的城市青年中的多种药物使用，其对社区的检查 药物选择和使用方面的因素，以及与青年和 为青年服务的俱乐部和网站看门人参与减少风险。研究 承诺产生新的分析和理论见解的扩散， 新毒品进入已经饱和的城市青年毒品市场及其后果 的使用。

DESCRIPTION (provided by the applicant): This five year study entitled "Club Drugs, Resource Inequities and Health Risks among Urban Youth" will identify the contextual, socio-cultural and psychological factors that influence urban youth and young adults to incorporate club drugs into their drug repertoires, changes in drug use patterns over time, and the psychosocial, economic and health consequences of club drug use and concurrent polydrug mixing. The study responds to NIDA's RFA DA-0 1 -0 10 entitled "Responding to Club Drugs And Other Emerging And Current Drug Abuse Trends." Study aims are to: 1) describe the marketing and diffusion of club and designer drugs into urban youth and young adult drug markets through clubs, after-hours, and other social activities, and describe the meaning of these drugs in relation to traditional street drugs (regular and high THC marijuana, leaves with formaldehyde, alcohol, dust, cocaine, crack and heroin), 2) conduct a panel study with two time points eight months apart with 500 youth ages 16 - 30 to deter-mine changes in patterns of MDMA and other dance and prescription drugs, and predictors and consequences of use, 3) utilize the information to develop strategies for dance and prescription drug risk prevention in street and party settings. Component 1 (Months I - 50) of the study will continue established patterns of ethnographic research in settings where urban youth and young adults buy, sell, learn about and experiment with new drugs and drug mixing. Component 2 (Months 8 - 58) will involve administering an epidemiologic/network survey to the study cohort of 500 youth and young adults between the ages of 16 - 30. In Component 3 (Months 42-60) we will use ongoing study results in partnership with a team of youth consultants to develop and pilot test for acceptability a strategy for preventing risks associated with MDMA and other club drug use and drug mixing to be utilized in drug use sites, with distributors and in networks of users. Throughout, we will review and integrate emerging literature linking findings to the primary theoretical concepts guiding the study. The significance of the study lies in its description of the ways in which new potentially dangerous drugs are diffused into a high risk urban environment, its incorporation of the psychosocial, economic and contextual factors in understanding drug selling, its focus on understudied polydrug use among urban youth, its examination of neighborhood factors in drug selection and use, and its partnership with youth and youth-serving clubs and site gatekeepers to engage in risk reduction. The study promises to produce new analytic and theoretical insights into the diffusion of new drugs into already saturated urban youth drug markets and the consequences of their use.