205618 Drug trajectories among club-drug-using young adult recruited through time-space sampling

Wednesday, November 11, 2009: 9:24 AM

Christian Grov, PhD, MPH , Health and Nutrition Sciences, Brooklyn College - CUNY, New York, NY
Eda Inan, BA , Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY
Armando Fuentes, MA , Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY
Brian C. Kelly, PhD , Sociology and Anthropology, Purdue University and Center for HIV Educational Studies and Training (CHEST), New York, NY
Jeffrey T. Parsons, PhD , Center for HIV Educational Studies and Training (CHEST), Hunter College, New York, NY
Background: Cocaine, LSD, MDMA/ecstasy, ketamine, GHB, and methamphetamine have been termed “club drugs” because of their connection to the dance/rave club scene. Club drug users are more likely to be multi-drug users, yet there is little known about club drug user's trajectories/sequencing between drugs. Such information could be vital to understanding trends in drug use as well as gateways that link drug pathways together.

Methods: Data are taken from the Club Drugs and Health Project, a longitudinal study of NYC club-drug users (age 18-29) recruited through time-space sampling. Qualitative interview data (n = 255) were used to determine patterns of drug use as well as sequencing between first use of different club drugs.

Results: Prevalence and age at first use were as follows: MDMA/ecstasy (n = 91, Mage = 18.1); LSD (n = 70, Mage = 15.9); cocaine (n = 51, Mage = 18.4); methamphetamine (n = 10, Mage = 16.8); ketamine (n = 6, Mage = 18.2); GHB (n = 2, Mage = 22.0). In mapping trajectories between substances, both MDMA and LSD resulted in the longest and most diverse paths (i.e., these drugs were “seeds”), while other club drugs were often part of the pathways resulting from initial use of MDMA and LSD. Many trajectories “lead” to cocaine use (which also happened to be the most common drug recently used), highlighting the role that drug trends can have in impacting trajectories.

Conclusion: Understanding drug trajectories can be an essential tool used in providing drug education and prevention.

Learning Objectives:
Define “club drugs” and list drugs that fall into this classification. Describe drug trajectories and sequencing patterns of club drug use. Identify the utility of club drug trajectories in providing drug education and prevention.

Keywords: Special Populations, Drug Use Variation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am lead author on the study
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.