Abstract

Vanessa is a youth-led service promoting road safety at music festivals. We conducted a cross-sectional survey at 23 festivals in Victoria, Australia to investigate alcohol and illicit drug use among attendees aged ≥16 years who visited Vanessa. Participants completed the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) and reported recent illicit drug use and intentions to use drugs at festivals. Multinomial and logistic regression identified correlates of risky drinking and drug use. 2305 participants were recruited (60% female, median age 22). Most (98%) consumed alcohol in the past year and 26% had high-risk AUDIT-C scores. Almost half (48%) reported recent drug use and 24% intended to use drugs at festivals. Females had lower odds than males of recent drug use [adjusted odds ratio (AOR)=0.49, 95% confidence interval (CI)=0.38, 0.62], intending to use drugs at festivals (AOR = 0.60, CI = 0.45, 0.80) and lower risk of high-risk drinking (adjusted relative risk ratio (ARRR)=0.35, CI = 0.27, 0.47). Attending electronic music festivals was associated with high-risk drinking (ARRR = 2.07, CI = 1.14, 3.72), recent drug use (AOR = 2.23, CI = 1.42, 3.51) and intending to use drugs at festivals (AOR = 1.90, CI = 1.15, 3.14). Vanessa was a useful setting to reach young people reporting risky alcohol consumption and illicit drug use. Genre of music festivals may be useful for tailoring harm reduction strategies.

摘要

Vanessa 是一项以青年为主导的服务机构，旨在促进音乐节上的道路安全。我们在澳大利亚维多利亚州的 23 个节日进行了一项横断面调查，以调查访问 Vanessa 的 16 岁以上参与者的酒精和非法药物使用情况。参与者完成了酒精使用障碍识别测试 - 消费 (AUDIT-C) 并报告了最近的非法药物使用情况和在节日使用药物的意图。多项和逻辑回归确定了危险饮酒和吸毒的相关性。招募了 2305 名参与者（60% 为女性，中位年龄为 22 岁）。大多数（98%）在过去一年饮酒，26% 的 AUDIT-C 评分高。近一半（48%）报告最近吸毒，24% 打算在节日期间吸毒。女性近期吸毒的几率低于男性 [调整优势比 (AOR) = 0.49, 95% 置信区间 (CI) = 0.38, 0.62]，打算在节日使用药物（AOR = 0.60，CI = 0.45，0.80）和降低高风险饮酒的风险（调整后的相对风险比（ARRR）=0.35，CI = 0.27，0.47）。参加电子音乐节与高危饮酒（ARRR = 2.07, CI = 1.14, 3.72）、近期吸毒（AOR = 2.23, CI = 1.42, 3.51）和打算在音乐节上吸毒（AOR = 1.90, CI = 1.15, 3.14)。Vanessa 是一个有用的环境，可以接触到报告有饮酒风险和使用非法药物的年轻人。音乐节的类型可能有助于制定减少危害的策略。72)、近期吸毒 (AOR = 2.23, CI = 1.42, 3.51) 和打算在节日期间吸毒 (AOR = 1.90, CI = 1.15, 3.14)。Vanessa 是一个有用的环境，可以接触到报告有饮酒风险和使用非法药物的年轻人。音乐节的类型可能有助于制定减少危害的策略。72)、近期吸毒 (AOR = 2.23, CI = 1.42, 3.51) 和打算在节日期间吸毒 (AOR = 1.90, CI = 1.15, 3.14)。Vanessa 是一个有用的环境，可以接触到报告有饮酒风险和使用非法药物的年轻人。音乐节的类型可能有助于制定减少危害的策略。