Palamar Joseph J, Acosta Patricia, Cleland Charles M
Department of Population Health, New York University School of Medicine, New York, NY, USA.
Center for Drug Use and HIV/HCV Research, New York University Rory Meyers College of Nursing, New York, NY, USA.
J Subst Use. 2020;25(1):95-100. doi: 10.1080/14659891.2019.1664660. Epub 2019 Sep 12.
Ecstasy (3,4-methylenedioxymethamphetamine [MDMA]), commonly referred to as Molly in the US, is commonly adulterated with drugs potentially more dangerous than MDMA. Synthetic cathinones ("bath salts") are common adulterants, and use of these compounds tends to be stigmatized. We investigated whether presenting information on the extent of ecstasy being adulterated with "bath salts" affects intentions to use.
A total of 1,025 adults entering electronic dance music parties were surveyed in 2018. Using an experimental posttest-only design with random assignment, half were randomly assigned to view a published Vice headline about ecstasy/Molly commonly being adulterated with "bath salts."
Overall, 30.5% of the sample reported past-year ecstasy use, and before viewing the headline, 16.4% agreed that ecstasy/Molly commonly contains "bath salts." While controlling for pre-test knowledge of "bath salt" adulteration, viewing the headline reduced the odds of intention to use ecstasy/Molly only among non-past-year ecstasy users (Odd ratio [OR] = 0.54; = .048). Viewing the headline increased the odds (OR = 1.81, = .030) of past-year ecstasy users' intention to test their ecstasy for adulterants.
Knowledge that ecstasy is commonly adulterated may help reduce the risk for future use among non-recent users and increase the willingness of users to test their ecstasy. This information can be used to target those at risk for ecstasy/Molly use.
摇头丸（3,4-亚甲基二氧甲基苯丙胺[MDMA]），在美国通常被称为莫莉，常被掺入可能比MDMA更危险的药物。合成卡西酮（“浴盐”）是常见的掺杂物，使用这些化合物往往会受到污名化。我们调查了提供关于摇头丸被“浴盐”掺假程度的信息是否会影响使用意图。
2018年对1025名进入电子舞曲派对的成年人进行了调查。采用仅后测的实验设计并随机分配，一半人被随机分配观看一篇已发表的《副刊》头条新闻，内容是关于摇头丸/莫莉常被“浴盐”掺假。
总体而言，30.5%的样本报告过去一年使用过摇头丸，在观看头条新闻之前，16.4%的人同意摇头丸/莫莉通常含有“浴盐”。在控制了对“浴盐”掺假的预测试知识后，观看头条新闻仅降低了非过去一年摇头丸使用者使用摇头丸/莫莉的意图几率（比值比[OR]=0.54；P=.048）。观看头条新闻增加了过去一年摇头丸使用者检测其摇头丸是否掺假的意图几率（OR=1.81，P=.030）。
知道摇头丸常被掺假可能有助于降低非近期使用者未来使用的风险，并增加使用者检测其摇头丸是否掺假的意愿。这些信息可用于针对有使用摇头丸/莫莉风险的人群。
