A contextual profile of club drug use among adults in chicago

FRANÇAIS :
L'enquête conduite, de juin 2001 à janvier 2002, à Chicago, auprès de 627 adultes (18 à 40 ans) en population générale, a porté sur les consommations de MDMA, GHB, kétamine, Rohypnol, méthamphétamine et LSD. La prévalence globale (toutes drogues confondues) est le double de la prévalence de la MDMA seule. La consommation de plusieurs drogues est courante, et cette consommation, pour la majorité, n'a pas lieu dans des "raves party". Pour ceux qui consomment dans les raves, la MDMA est la plus fréquemment consommée. Les auteurs soulignent l'importance, dans les recherches sur les drogues de la fête, de ne pas restreindre l'étude au seul milieu des raves, ni de la limiter à la MDMA.
ENGLISH :
Aims:To better understand the prevalence, correlates, risk factors and context of club drug use among US adults in the City of Chicago. Design: An Audio Computer-Assisted Self Interview was administered to a household probability sample of adults, aged 18-40 years, from June 2001 to January 2002. Setting: Subjects were drawn from randomly selected households using a multi-stage area probability design. Participants: The data represent 627 randomly selected adult participants. Measurement: Weighted prevalence estimates with design-effect adjusted confidence intervals of life-time, past 12 month and past 30 day use of any club drug and of specific club drugs; prevalence of rave attendance, other drug use, motivation for use among club drug users; X2 tests of significance, logistic regression and adjusted odds ratios. Findings: Overall club drug prevalence rates were nearly twice those obtained for MDMA alone. Club drug users were more likely to use multiple illicit substances and to report having been in treatment for substance use. A majority of life-time club drug users never attended a rave although rave attendees were more likely to report frequent use of MDMA. Use was associated with gender, race and sexual orientation. Conclusions: Prevention research should be informed by further population-based research on club drug use. Research should not focus exclusively on rave attendees, as they are only a subset of club drug users. Research is needed on neurological and behavioral sequelae across different types of club drugs, gender differences in the impact of sexual orientation on club drug risk and on the effects of personality characteristics such as sensation seeking on club drug use behavior. (Author' s abstract)