Club Drugs/Resource Inequity/Health Risk in Urban Youth

描述(由申请人提供)：这项名为“俱乐部”的为期五年的学习 城市青年中的毒品、资源不平等和健康风险“将确定 影响城市的语境、社会文化和心理因素 年轻人和年轻人将俱乐部药物纳入他们的药物储备中， 随着时间的推移，药物使用模式的变化，以及心理社会、经济和 俱乐部吸毒和同时混用多种毒品的健康后果。这项研究 回应NIDA的RFA DA-0 1-0 10，题为“回应俱乐部毒品和 其他新出现的和当前的药物滥用趋势。研究目的是：1)描述 俱乐部和设计师毒品在城市青年和青少年中的营销和传播 青少年毒品市场通过俱乐部、业余时间和其他社会活动 活动，并描述这些药物相对于传统药物的意义 街头毒品(普通和高THC大麻，含有甲醛的叶子， 酒精、灰尘、可卡因、可卡因和海洛因)，2)与两人进行小组研究 时点相隔8个月，500名16-30岁的青年威慑- 摇头丸和其他舞蹈和处方药模式的变化，以及 使用的预测因素和后果，3)利用信息来开发 街头和聚会中舞蹈和处方药风险防范策略 设置。这项研究的构成部分1(一至五十个月)将继续确定 城市青年和青年的环境中的民族志研究模式 成年人购买、销售、学习和试验新药和药物混合。 组件2(8-58个月)将涉及管理 对500名青年和青壮年研究队列的流行病学/网络调查 年龄在16-30岁之间。在组件3(42-60个月)中，我们将使用持续 研究结果与一组青年顾问合作开发和 可接受性试验一种预防风险的策略 将在毒品使用场所使用的摇头丸和其他俱乐部药物使用和药物混合， 与分销商和用户网络合作。在整个过程中，我们将回顾和 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。这项研究的意义在于它 描述新的潜在危险药物的传播方式 融入了高风险的城市环境，融入了心理社会， 了解毒品销售的经济和背景因素，其重点是 对城市青年使用多种药物的研究不足，对社区的调查 在药物选择和使用方面的因素，以及与青年和 为青少年服务的俱乐部和现场守门人参与降低风险。这项研究 承诺产生新的分析和理论见解，以传播 新药进入已经饱和的城市青年毒品市场及其后果 它们的用途。

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.