Preventing Club Drug Use among Rave Attendees

描述（由申请人提供）： “锐舞”现象是西方社会使用迷幻药物死灰复燃的一个主要因素。 狂欢的特点是大量青年长时间跳舞，并使用“俱乐部毒品”，如3，4-亚甲基二氧甲基苯丙胺（MDMA或“摇头丸”）。 虽然有一小部分研究探讨了美国狂欢俱乐部参与者中摇头丸和其他俱乐部药物（EOCD）的使用，但仍然存在两个主要限制。 首先，没有研究调查EOCD使用和高风险性行为之间的关系，这是一个已知的艾滋病毒传播的危险因素，在这一人群中。 第二，俱乐部业主和狂欢推广者在多大程度上接受社区一级的EOCD和高风险性行为相关的预防干预是未知的。 为了解决这些关键的差距，在预防竞技场，这个B/START应用程序涉及一个混合的方法设计，首先，探讨EOCD使用和高风险的性行为之间的关联俱乐部狂欢参加者沿着巴尔的摩-华盛顿，走廊，第二，评估在这些设置的可行性，以社区为基础的预防干预。 首先，将从狂欢派对参加者那里收集自我报告的药物使用数据和高风险性行为信息。 第二，俱乐部业主和锐舞发起人将被问及他们对社区一级EOCD相关预防干预的接受程度。 本研究的两个目的是：（1）阐明狂欢派对参与者的特征，这些特征表明EOCD参与增加和同时发生的高风险性行为;（2）确定未来预防干预的场所，并评估俱乐部所有者和狂欢派对发起人接受社区层面EOCD相关预防干预的程度。

DESCRIPTION (provided by applicant): The "rave" phenomenon has been a major element in the resurgence of psychedelic drug use in Western society. Raves are characterized by large numbers of youth dancing for long periods of time and by the use of "club drugs," such as 3,4-meththylenedioxymethamphetamine (MDMA or "ecstacy"). While a small body of research has explored the use of ecstasy and other club drugs (EOCD) among club rave attendees in the United States, 2 major limitations remain. First, no studies have investigated the relationship between EOCD use and high-risk sexual behavior, a known risk factor for HIV transmission, among members of this population. Second, the extent to which club owners and rave promoters would be receptive to a community-level, EOCD- and high-risk sexual behavior-related preventive intervention is unknown. To address these critical gaps in the prevention arena, this B/START application involves a mixed-method design that, first, explores the association between EOCD use and high-risk sexual behaviors among club rave attendees along the Baltimore-Washington, corridor, and second, assesses the feasibility of a community-based preventive intervention within these settings. First, self-reported drug use data and information on high-risk sexual behaviors will be collected from rave attendees. Second, club owners and rave promoters will be queried about their receptiveness to a community-level EOCD-related preventive intervention. The 2 aims of this study are: (1) to elucidate those characteristics of rave attendees that signal increased EOCD involvement and co-occurring high-risk sexual behaviors; and (2) to identify venues for future preventive interventions and to assess the extent to which club owners and rave promoters would be receptive to a community-level, EOCD-related prevention intervention.