TY - JOUR

T1 - Relative contributions of holiday location and nationality to changes in recreational drug taking behaviour

T2 - a natural experiment in the Balearic Islands

AU - Bellis, Mark A

AU - Hughes, Karen

AU - Calafat, Amador

AU - Juan, Montse

AU - Schnitzer, Susanne

N1 - 2009 S. Karger AG, Basel.

PY - 2009

Y1 - 2009

N2 - AIM: To examine the contributions of international holiday resorts and visitors' nationality to recruitment, relapse into, and escalation in frequency of recreational drug use.METHODS: Retrospective design surveying British, German and Spanish (n = 3,003) holidaymakers aged 16-35 visiting Ibiza or Majorca (Spain).RESULTS: Individuals' drug use in international resorts was related to use at home, holiday destination and nationality. While visiting Ibiza, 7.2% of British tourists tried ecstasy for the first time with similar recruitment amongst Spanish (8.6%) but not Germans (1.8%) or those visiting Majorca (0.8, 1.5 and 1.2%, respectively). Recruitment into cocaine use was associated with being Spanish, male, visiting Ibiza and drunkenness. One in 5 British holidaymakers visiting Ibiza tried at least one new drug. British and Spanish were most likely to relapse into using a drug after at least 12 months' abstinence; 6.8% of British (1.3% German, 2.9% Spanish) relapsed into using at least one drug. Across nationalities, substance use frequency increased on holiday.CONCLUSIONS: International nightlife resorts are major sources of recruitment, relapse and escalation in drug use. Such resorts contribute to the international spread of drug cultures but have been largely ignored as settings for interventions to tackle drugs.

AB - AIM: To examine the contributions of international holiday resorts and visitors' nationality to recruitment, relapse into, and escalation in frequency of recreational drug use.METHODS: Retrospective design surveying British, German and Spanish (n = 3,003) holidaymakers aged 16-35 visiting Ibiza or Majorca (Spain).RESULTS: Individuals' drug use in international resorts was related to use at home, holiday destination and nationality. While visiting Ibiza, 7.2% of British tourists tried ecstasy for the first time with similar recruitment amongst Spanish (8.6%) but not Germans (1.8%) or those visiting Majorca (0.8, 1.5 and 1.2%, respectively). Recruitment into cocaine use was associated with being Spanish, male, visiting Ibiza and drunkenness. One in 5 British holidaymakers visiting Ibiza tried at least one new drug. British and Spanish were most likely to relapse into using a drug after at least 12 months' abstinence; 6.8% of British (1.3% German, 2.9% Spanish) relapsed into using at least one drug. Across nationalities, substance use frequency increased on holiday.CONCLUSIONS: International nightlife resorts are major sources of recruitment, relapse and escalation in drug use. Such resorts contribute to the international spread of drug cultures but have been largely ignored as settings for interventions to tackle drugs.

KW - Adolescent

KW - Adult

KW - Ethnic Groups

KW - Female

KW - Holidays

KW - Humans

KW - Male

KW - Spain

KW - Street Drugs

KW - Substance-Related Disorders

KW - Young Adult

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1159/000189786

DO - 10.1159/000189786

M3 - Article

C2 - 19142007

VL - 15

SP - 78

EP - 86

JO - European addiction research

JF - European addiction research

SN - 1022-6877

IS - 2

ER -