Titre : | Young adults' recreational social environment as a predictor of ecstasy use initiation: findings of a population-based prospective study (2013) |
Auteurs : | A. SMIRNOV ; J. M. NAJMAN ; R. HAYATBAKHSH ; H. WELLS ; M. LEGOSZ ; R. KEMP |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.108, n°10, October 2013) |
Article en page(s) : | 1809-1817 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés ENVIRONNEMENT ; MDMA-ECSTASY ; JEUNE ADULTE ; FACTEUR PREDICTIF ; INITIATION ; ETUDE PROSPECTIVE ; MILIEU SOCIOCULTUREL ; OFFRE ; MILIEU FESTIF ; MODELEThésaurus géographique AUSTRALIE |
Résumé : |
Aims: To examine prospectively the contribution of the recreational social environment to ecstasy initiation.
Design: Population-based retrospective/prospective cohort study. Setting: Data from screening an Australian young adult population to obtain samples of users and non-users of ecstasy. Participants: A sample of 204 ecstasy-naive participants aged 19-23 years was obtained, and a 6-month follow-up identified those who initiated ecstasy use. Measurements: We assessed a range of predictors of ecstasy initiation, including elements of participants' social environment, such as ecstasy-using social contacts and involvement in recreational settings. Findings: More than 40% of ecstasy-naive young adults reported ever receiving ecstasy offers. Ecstasy initiation after 6 months was predicted independently by having, at recruitment, many ecstasy-using social contacts [adjusted relative risk (ARR) 3.15, 95% confidence interval (CI): 1.57, 6.34], attending electronic/dance music events (ARR 6.97, 95% CI: 1.99, 24.37), receiving an ecstasy offer (ARR 4.02, 95% CI: 1.23, 13.10), early cannabis use (ARR 4.04, 95% CI: 1.78, 9.17) and psychological distress (ARR 5.34, 95% CI: 2.31, 12.33). Adjusted population-attributable fractions were highest for ecstasy-using social contacts (17.7%) and event attendance (15.1%). Conclusions: In Australia, ecstasy initiation in early adulthood is associated predominantly with social environmental factors, including ecstasy-using social contacts and attendance at dance music events, and is associated less commonly with psychological distress and early cannabis use, respectively. A combination of universal and targeted education programmes may be appropriate for reducing rates of ecstasy initiation and associated harms. Key findings: In Australia, young adults appear to start using ecstasy mainly because of social environmental factors (ecstasy-using social contacts and attendance at dance music events), and less as a result of psychological distress and early cannabis use. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 56 |
Affiliation : | School of Population Health, Queensland Alcohol and Drug Research and Education Centre, The University of Queensland, Herston, Queensland, Australia |
Cote : | Abonnement |
Lien : | http://dx.doi.org/10.1111/add.12239 |
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