Bellis MA, Hale G, Bennett A, Chaudry M, Kilfoyle M
Public Health Sector, School of Health, John Moores University, 70 Great Crosshall Street, L3 2AB, Liverpool, UK
Int J Drug Policy. 2000 May 1;11(3):235-244. doi: 10.1016/s0955-3959(00)00053-0.
Background: Each year more young people travel to international resorts where levels of substance use, sex and associated health risks are unknown. This study measures changes in levels of substance use and sexual behaviour of young people from the UK when on holiday in a youth orientated international resort, Ibiza. Methods: Data were collected through a cross-sectional survey collecting matched information on individuals' behaviour in the UK and abroad. Questionnaires were administered to 846 individuals aged between 15 and 35 at Ibiza Airport prior to their returning to the UK. Results: Young visitors to Ibiza significantly alter patterns of drug, alcohol and tobacco use. For ecstasy, in the UK 2.9% of users (9/313) used 5 or more days a week, while in Ibiza this rises to 42.6% (127/298). Fewer individuals use amphetamine, ketamine, cannabis, LSD, cocaine and GHB (gamma-hydroxybutyrate) in Ibiza although those continuing to use in Ibiza consume at substantially higher rates than when in the UK (P<0.001). Using multiple drugs over a 1 or 2 week stay was common (31.9%). Most individuals (53.8%) had sex while in Ibiza; 26.2% had sex without a condom and 23.2% had more than one sexual partner. Overall, 7.3% of individuals went to hospital or to see a doctor while in Ibiza with male (P<0.001), older (P<0.05) and staying for shorter times (P<0.005) being the key risk factors. Conclusions: While the potential for substance related ill health is dramatically elevated in Ibiza, harm minimisation measures in such resorts remain scarce. Equally, although holiday companies attract a sexually active cohort, safe sex messages are either absent or ineffective. Coordinated information campaigns to protect the health of young people are urgently needed and will require European cooperation across both public and private organisations.
每年都有越来越多的年轻人前往国际度假胜地，而这些地方的物质使用、性行为及相关健康风险情况不明。本研究对来自英国的年轻人在以年轻人为导向的国际度假胜地伊维萨岛度假时的物质使用水平和性行为变化进行了测量。方法：通过横断面调查收集数据，该调查收集了个体在英国和国外行为的匹配信息。在846名年龄在15至35岁之间的个体返回英国之前，于伊维萨岛机场对他们进行问卷调查。结果：前往伊维萨岛的年轻游客显著改变了毒品、酒精和烟草的使用模式。就摇头丸而言，在英国，2.9%的使用者（9/313）每周使用5天或更多天，而在伊维萨岛，这一比例升至42.6%（127/298）。在伊维萨岛使用苯丙胺、氯胺酮、大麻、麦角酸二乙酰胺、可卡因和γ-羟基丁酸的个体较少，不过在伊维萨岛继续使用这些物质的人，其消费率比在英国时大幅更高（P<0.001）。在1至2周的停留期间使用多种毒品的情况很常见（31.9%）。大多数个体（53.8%）在伊维萨岛时有性行为；26.2%的人在性行为时未使用避孕套，23.2%的人有不止一个性伴侣。总体而言，7.3%的个体在伊维萨岛时去医院就诊或看医生，其中男性（P<0.001）、年龄较大者（P<0.05）以及停留时间较短者（P<0.005）是主要风险因素。结论：虽然在伊维萨岛与物质相关的健康不良风险大幅增加，但此类度假胜地的危害最小化措施仍然匮乏。同样，尽管度假公司吸引了性活跃人群，但安全性行为信息要么缺失，要么无效。迫切需要开展协调一致的宣传活动以保护年轻人的健康，这将需要欧洲公共和私营组织之间的合作。
