2017-2024年纽约市夜店参与者氯胺酮使用趋势

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2025-05-03 DOI:10.1016/j.drugpo.2025.104825

Joseph J. Palamar

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引用次数: 0

摘要

与氯胺酮有关的中毒和执法查获在美国一直在增加，但人口调查显示，娱乐性使用氯胺酮的情况很少，趋势相对稳定。这项研究的目的是估计夜总会参与者使用毒品的趋势和相关关系——这一人群以派对毒品的高流行率而闻名。方法在2017年（n = 674）、2018年（n = 724）、2019年（n = 541）、2021年（n = 160）、2022年（n = 322）和2024年（n = 911）对进入纽约市夜总会的成年人进行调查(总n = 3332；56.3%为男性，52.7%年龄≥26岁)。使用逻辑回归估计了一生、过去一年和过去一个月氯胺酮使用的趋势，并估计了过去一个月使用氯胺酮的人的特征的相关性和趋势。结果2017 - 2024年间，氯胺酮的终生使用量从16.6%增加到22.7%（增加36.7%），过去一年使用量从7.4%增加到14.3%（增加94.0%），过去一个月使用量从3.1%增加到6.8%（增加118.1%,p <0.001）。在过去的一个月里，年龄≥26岁的人（增加222.0%）、女性（增加216.6%）、拥有大学学位的人（增加161.0%）、双性恋或“其他”性取向的人（增加445.0%），以及在过去一个月里使用过可卡因（增加213.8%）、摇头丸/MDMA（增加94.9%）和/或LSD（增加238.2%）的人（Ps<0.01）。特别是男同性恋/女同性恋（aOR=2.03, 95% CI: 1.19-3.48）和过去一个月使用可卡因（aOR=8.17, 95% CI: 4.97-13.43）与过去一个月使用可卡因的几率增加有关。结论娱乐性氯胺酮的使用在这一人群中呈上升趋势，因此需要加强预防和减少危害的工作。

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Trends in ketamine use among nightclub attendees in New York City, 2017–2024

Background

Ketamine-related poisonings and law enforcement seizures have been increasing in the United States, but population surveys suggest that recreational use has been rare with trends being relatively stable. This study aimed to estimate trends and correlates of use among nightclub attendees—a population known for high prevalence of party drug use.

Methods

Adults entering randomly selected nightclubs in New York City were surveyed in 2017 (n = 674), 2018 (n = 724), 2019 (n = 541), 2021 (n = 160), 2022 (n = 322), and 2024 (n = 911) (total N = 3332; 56.3 % male, 52.7 % age ≥26). Trends in lifetime, past-year, and past-month ketamine use were estimated using logistic regression, and correlates and trends in characteristics of people who used in the past month were also estimated.

Results

Between 2017 and 2024, lifetime ketamine use increased from 16.6 % to 22.7 % (a 36.7 % increase), past-year use increased from 7.4 % to 14.3 % (a 94.0 % increase), and past-month use increased from 3.1 % to 6.8 % (an 118.1 % increase, Ps<0.001). Past-month use particularly increased among those aged ≥26 (by 222.0 %), females (by 216.6 %), those with a college degree (by 161.0 %), and among people who identify as bisexual or “other” sexuality (by 445.0 %), and among those who used cocaine (by 213.8 %), ecstasy/MDMA (by 94.9 %), and/or LSD (238.2 %) in the past month (Ps<0.01). Identifying as gay/lesbian (aOR=2.03, 95 % CI: 1.19–3.48) and past-month use of cocaine (aOR=8.17, 95 % CI: 4.97–13.43) in particular were associated with increased odds for past-month use.

Conclusions

Recreational ketamine use is increasing among this population so an increased focus on both prevention and harm reduction is needed.

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.