Department of Population Health, New York University Langone Medical Center, New York, NY, USA; Center for Drug Use and HIV/HCV Research, NYU Rory Meyers College of Nursing, 433 First Avenue, New York, NY, 10010, USA.
Department of Population Health, New York University Langone Medical Center, New York, NY, USA; College of Dentistry, New York University, 345 E. 24thStreet, New York, NY, 10010, USA.
Drug Alcohol Depend. 2018 May 1;186:226-232. doi: 10.1016/j.drugalcdep.2018.03.001. Epub 2018 Mar 27.
Nonmedical opioid use remains an epidemic in the United States. Electronic dance music (EDM) party attendees have been found to be at high risk for the use of drugs such as ecstasy, but little is known about nonmedical opioid use in this population.
Using time-space sampling, we surveyed 954 individuals (ages 18-40) attending randomly selected EDM parties in New York City in 2017. Participants were asked about the use of 18 different opioids and about willingness to use if offered by a friend in the next 30 days. We estimated the prevalence of use in this population and examined correlates of past-year and past-month use.
Almost a quarter (23.9%) of EDM party attendees are estimated to have used opioids non-medically in their lifetime, and one out of ten (9.8%) in the past year. 5% are estimated to be current users (reporting past-month use), and 16.4% are willing to use opioids non-medically if offered by a friend in the next 30 days. Past-year nonmedical benzodiazepine users were at high odds for reporting current nonmedical opioid use (aOR = 10.11, p < 0.001) and, on average, report using more different opioid drugs in the past year than non-past-year-users (p = 0.012). Nearly three-quarters (73.6%) of those who have used in the past year indicated that they would use again if offered by a friend in the next 30 days.
Nonmedical opioid use is prevalent in the EDM scene and many attendees are willing to use if offered. Prevention efforts are needed in this high-risk population.
在美国，非医疗用途的阿片类药物滥用仍然是一个严重的问题。电子舞曲（EDM）派对参与者被发现存在较高的使用摇头丸等药物的风险，但对于该人群中是否存在非医疗用途的阿片类药物使用情况知之甚少。
我们使用时空抽样法，于 2017 年在纽约市随机选择的 EDM 派对上调查了 954 名（年龄在 18-40 岁之间）参与者。参与者被问到他们使用了 18 种不同的阿片类药物，并被问到如果在接下来的 30 天内朋友提供，他们是否愿意使用。我们估计了该人群中使用的流行率，并检查了过去一年和过去一个月使用的相关性。
大约四分之一（23.9%）的 EDM 派对参与者估计在他们的一生中曾非医疗目的使用过阿片类药物，十分之一（9.8%）的人在过去一年中使用过。估计有 5%的人是当前使用者（报告过去一个月使用），16.4%的人如果在接下来的 30 天内朋友提供，他们愿意非医疗目的使用阿片类药物。过去一年中使用非医疗用苯二氮䓬的人报告当前非医疗用阿片类药物使用的可能性要高得多（aOR=10.11，p<0.001），并且平均而言，他们在过去一年中使用的不同阿片类药物比非过去一年使用者多（p=0.012）。过去一年中使用过的人中有近四分之三（73.6%）表示，如果朋友在接下来的 30 天内提供，他们会再次使用。
在 EDM 场景中，非医疗用途的阿片类药物使用很普遍，许多参与者如果朋友提供，他们愿意使用。在这个高风险人群中需要采取预防措施。
