Drugs and the dance music scene: a survey of current drug use patterns among a sample of dance music enthusiasts in the UK.

This study explores the utility of a self-completion survey method to quickly and cheaply generate information on patterns and trends among regular "recreational" drug consumers. Data is reported here from 1151 subjects accessed through a dance music publication. In keeping with previous studies of drug use within the dance scene polysubstance use was the norm. Many of those reporting use of "ecstasy" were regularly using multiple tablets often consumed in combination with other substances thus exposing themselves to serious health risks, in particular the risk of dose related neurotoxic effects. Seventy percent were drinking alcohol at hazardous levels. Subjects' patterns of drug purchasing also put them at risk of severe criminal sanction. Data supported evidence that cocaine use had become increasing popular in the UK, but contrasted with some commentators' views that ecstasy use was in decline. The utility of this method and how the results should be interpreted is discussed, as are the data's implications for harm and risk reduction activities.

[1]  P. Andrews,et al.  Cocaethylene toxicity. , 1997, Journal of addictive diseases.

[2]  G. Hanson,et al.  Role of endogenous dopamine in the central serotonergic deficits induced by 3,4-methylenedioxymethamphetamine. , 1988, The Journal of pharmacology and experimental therapeutics.

[3]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[4]  Z. Szabo,et al.  Positron emission tomographic evidence of toxic effect of MDMA (“Ecstasy”) on brain serotonin neurons in human beings , 1998, The Lancet.

[5]  K. L. Jansen,et al.  Ecstasy (MDMA) dependence. , 1999, Drug and alcohol dependence.

[6]  P Griffiths,et al.  Drug Information Systems, Early Warning, and New Drug Trends: Can Drug Monitoring Systems Become More Sensitive to Emerging Trends in Drug Consumption? , 2000, Substance use & misuse.

[7]  A. Forsyth,et al.  Places and patterns of drug use in the Scottish dance scene. , 1996, Addiction.

[8]  Bellis,et al.  Ibiza uncovered: changes in substance use and sexual behaviour amongst young people visiting an international night-life resort. , 2000, The International journal on drug policy.

[9]  K. Zakzanis,et al.  Memory impairment in abstinent MDMA (“Ecstasy”) users: A longitudinal investigation , 2001, Neurology.

[10]  S. Heilig.  Pursuit of Ecstasy: The MDMA Experience , 1994 .

[11]  C. J. Schmidt,et al.  Selective 5-hydroxytryptamine2 receptor antagonists protect against the neurotoxicity of methylenedioxymethamphetamine in rats. , 1990, The Journal of pharmacology and experimental therapeutics.

[12]  Michael Berry,et al.  Office of National Drug Control Policy , 2002 .

[13]  H. Verbraeck,et al.  Ecstasy Use at Large-Scale Dance Events in the Netherlands , 1999 .

[14]  Malcolm Ramsay,et al.  Drug misuse declared in 2000: results from the British Crime Survey , 2001 .

[15]  D. Jarvie,et al.  Use of Drugs at ‘Raves’ , 1995, Scottish medical journal.

[16]  J. Fountain,et al.  What Influences Young People's Use of Drugs? A qualitative study of decision-making , 1999 .

[17]  C. J. Schmidt,et al.  L-DOPA potentiation of the serotonergic deficits due to a single administration of 3,4-methylenedioxymethamphetamine, p-chloroamphetamine or methamphetamine to rats. , 1991, European journal of pharmacology.

[18]  J. Aldridge,et al.  The Teenage Transition: From Adolescent Recreational Drug Use to the Young Adult Dance Culture in Britain in the MID-1990s , 1998 .

[19]  A. Winstock.  Chronic paranoid psychosis after misuse of MDMA. , 1991, BMJ.

[20]  Josephine Spiller,et al.  Drug misuse declared in 1996: Latest results from the British crime survey: Home office research study 172 , 1997 .

[21]  S. Lenton,et al.  Polydrug use at raves by a Western Australian sample. , 1997, Drug and alcohol review.

[22]  L S Seiden,et al.  Methamphetamine and methylenedioxymethamphetamine neurotoxicity: possible mechanisms of cell destruction. , 1996, NIDA research monograph.

[23]  U. McCann,et al.  Memory impairment in abstinent MDMA ("Ecstasy") users , 1998, Neurology.

[24]  A. Oyefeso,et al.  "Saturday night fever": ecstasy related problems in a London accident and emergency department. , 1998, Journal of accident & emergency medicine.

[25]  M. Bourin,et al.  3,4-Methylenedioxy analogues of amphetamine: Defining the risks to humans , 1999, Neuroscience & Biobehavioral Reviews.

[26]  R. Mattick,et al.  Choosing a cut-off on the Severity of Dependence Scale (SDS) for amphetamine users. , 1997, Addiction.

[27]  P. Kelly,et al.  Alcohol and drug use in UK university students , 1996, The Lancet.

[28]  Annabel M. Patterson.  Reading Between the Lines , 1992 .

[29]  J. Fountain,et al.  Adverse effects of stimulant drugs in a community sample of drug users. , 1997, Drug and alcohol dependence.

[30]  M. Colado,et al.  The relationship between the degree of neurodegeneration of rat brain 5-HT nerve terminals and the dose and frequency of administration of MDMA (`ecstasy') , 1998, Neuropharmacology.

[31]  M Tansella,et al.  Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: a validity study , 1997, BMJ.

[32]  M. Molliver,et al.  Effects of neurotoxic amphetamines on serotonergic neurons: immunocytochemical studies. , 1989, NIDA research monograph.

[33]  S. Lenton,et al.  Raves, drugs and experience: drug use by a sample of people who attend raves in Western Australia. , 1997, Addiction.

[34]  A. Skrondal,et al.  Ecstasy and new patterns of drug use: a normal population study. , 1999, Addiction.

[35]  S. Musterd,et al.  Licit and illicit drug use in Amsterdam II: report of a household survey in 1994 on the prevalence of drug use among the population of 12 years and older , 1991 .

[36]  B Powis,et al.  The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. , 1995, Addiction.

[37]  B Powis,et al.  Reaching hidden populations of drug users by privileged access interviewers: methodological and practical issues. , 1993, Addiction.

[38]  N. Solowij,et al.  Ecstasy use in Australia: patterns of use and associated harm. , 1999, Drug and alcohol dependence.

[39]  W. Hall,et al.  Recreational MDMA use in Sydney: a profile of 'Ecstacy' users and their experiences with the drug. , 1992, British journal of addiction.

[40]  U. McCann,et al.  3,4-Methylenedioxymethamphetamine (MDMA, "Ecstasy"): pharmacology and toxicology in animals and humans. , 1994, Addiction.

[41]  A. Forrest,et al.  Pathology of deaths associated with "ecstasy" and "eve" misuse. , 1996, Journal of clinical pathology.

[42]  Seiden Ls,et al.  Methamphetamine and methylenedioxymethamphetamine neurotoxicity: possible mechanisms of cell destruction. , 1996 .