McKetin Rebecca, Chalmers Jenny, Sunderland Matthew, Bright David A
Centre for Research on Ageing, Health and Well-Being, The Australian National University, Canberra, Australia; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Drug Alcohol Rev. 2014 Jul;33(4):436-45. doi: 10.1111/dar.12147. Epub 2014 Jun 30.
Binge drinking is elevated among recreational drug users, but it is not clear whether this elevation is related to intoxication with recreational drugs. We examined whether stimulant intoxication and cannabis intoxication were associated with binge drinking among young adults.
An online survey of 18- to 30-year-old Australians who had drunk alcohol in the past year (n = 1994) were quota sampled for: (i) past year ecstasy use (n = 497); (ii) past year cannabis (but not ecstasy) use (n = 688); and (iii) no ecstasy or cannabis use in the past year (alcohol-only group, n = 809). Binge drinking last Saturday night (five or more drinks) was compared for participants who took stimulants (ecstasy, cocaine, amphetamine or methamphetamine) or cannabis last Saturday night.
Ecstasy users who were intoxicated with stimulants (n = 91) were more likely to binge drink than ecstasy users who were not (n = 406) (89% vs. 67%), after adjusting for demographics, poly-drug use and intoxication with cannabis and energy drinks (adjusted odds ratio 3.1, P = 0.007), drinking a median of 20 drinks (cf. 10 drinks among other ecstasy users). Cannabis intoxication was not associated with binge drinking among cannabis users (57% vs. 55%) or ecstasy users (73% vs. 71%). Binge drinking was more common in all of these groups than in the alcohol-only group (34%).
Stimulant intoxication, but not cannabis intoxication, is associated with binge drinking among young adults, compounding already high rates of binge drinking among people who use these drugs.
狂欢式饮酒在娱乐性药物使用者中更为常见，但尚不清楚这种情况的增加是否与娱乐性药物中毒有关。我们研究了兴奋剂中毒和大麻中毒是否与年轻人的狂欢式饮酒有关。
对过去一年饮酒的18至30岁澳大利亚人进行在线调查（n = 1994），按配额抽样分为：（i）过去一年使用摇头丸者（n = 497）；（ii）过去一年使用大麻（但不使用摇头丸）者（n = 688）；以及（iii）过去一年未使用摇头丸或大麻者（仅饮酒组，n = 809）。比较了上周六晚上服用兴奋剂（摇头丸、可卡因、安非他明或甲基苯丙胺）或大麻的参与者上周六晚上的狂欢式饮酒情况（饮用五杯或更多酒）。
在调整了人口统计学因素、多药使用情况以及大麻和能量饮料中毒情况后，服用兴奋剂中毒的摇头丸使用者（n = 91）比未中毒的摇头丸使用者（n = 406）更有可能狂欢式饮酒（89%对67%）（调整后的优势比为3.1，P = 0.007），前者饮酒中位数为20杯（相比之下，其他摇头丸使用者为10杯）。大麻中毒与大麻使用者（57%对55%）或摇头丸使用者（73%对71%）的狂欢式饮酒无关。所有这些组中的狂欢式饮酒都比仅饮酒组（34%）更为常见。
兴奋剂中毒而非大麻中毒与年轻人的狂欢式饮酒有关，这使得使用这些药物的人群中本就很高的狂欢式饮酒率进一步增加。
