Citation

Gripenberg-Abdon J, Elgan TH, Wallin E, Shaafati M, Beck O, Andréasson S. Subst. Abuse Treat. Prev. Policy 2012; 7(1): 7.

Copyright

(Copyright © 2012, Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/1747-597X-7-7

PMID

22321198

PMCID

PMC3295681

Abstract

BACKGROUND: During the last few decades the use of club drugs (e.g., cocaine, amphetamines) has been of increased concern in nightlife settings. Traditionally, surveys have been used to estimate the use of club drugs, however, they mostly rely on self-reports which may not be accurate. Recent advances have allowed for readily accessible drug testing methods such as oral fluid drug testing. Nevertheless, research using oral fluid sampling to measure the frequency of drug use in the club environment is scarce. The objective of this study is to evaluate the feasibility of measuring the frequency of alcohol and drug use among Swedish clubbers using breath alcohol and oral fluid drug testing. METHOD: The setting was a 40 hour electronic music dance event (EMDE) on a cruise ship on the Baltic Sea, departing from Sweden, with 875 passengers. Groups of participants at the EMDE were randomly invited to participate. Data were collected with face-to-face and self-administered questionnaires. Further, oral fluid samples were collected to determine illicit drug use, and blood alcohol concentration (BAC) levels were measured using a breath analyzer. RESULTS: A total of 422 passengers were asked to participate in the study whereof 21 declined (5.0% refusal rate). Of the 401study participants (accounting for 45.8% of all attendees), 5 declined oral fluid drug testing. Results show that there was a discrepancy between self-reported and actual drug use as 10.1% of the participants were positive on illicit drug use (amphetamines, ecstasy/MDMA, cannabis, cocaine), while only 3.7% of the participants reported drug use during the last 48 hours. The average BAC level was 0.10% and 23.7% had BAC levels [greater than or equal to]0.15%, while 5.9% had levels below the detection limit. The mean BAC levels for the illicit drug users were significantly higher (p = 0.004) than for non-drug users (0.13% vs. 0.10%). Self-reported AUDIT-C scores (using a threshold of [greater than or equal to]5 for men and [greater than or equal to]4 for women) revealed that 76.0% of the men and 80.7% of the women had risky alcohol consumption patterns. CONCLUSION: This study indicates that it is feasible to conduct breath alcohol and oral fluid drug testing in a Swedish club setting.

Language: en