PMID- 34793619 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20220401 IS - 1465-3362 (Electronic) IS - 0959-5236 (Linking) VI - 41 IP - 2 DP - 2022 Feb TI - Correlates of higher-risk drug-related behaviours at music festivals in New South Wales, Australia. PG - 320-329 LID - 10.1111/dar.13404 [doi] AB - INTRODUCTION: There are few contemporary data on illicit drug use at music festivals. We describe drug use patterns and prevalence of specific higher-risk drug-related behaviours, and their associations with festivalgoer characteristics. METHODS: We approached attendees at six major music festivals in New South Wales, Australia, from November 2019 to March 2020. Participants self-completed an anonymous survey on prior and intended drug use and associated higher-risk behaviours; double dropping; higher-volume ethanol alongside drug use; higher quantity 3,4-methylenedioxymethamphetamine (MDMA); mixing stimulants; and preloading. Logistic regression and UpSet analyses were performed to identify festivalgoer characteristics and the intersection of high-risk behaviours, respectively. RESULTS: Of 1229 participants, 372 (30.3%) used or planned to use drugs at the festival. In multivariable analyses, men and those purchasing drugs both inside and outside the venue had greater odds of engaging in higher-risk behaviours. Of those using MDMA, 47.9% reported double dropping. People using drugs for the first time had 3.3 (95% confidence interval 1.2-8.7) greater odds of higher-volume ethanol alongside drug use. People reporting that police/police dog presence influenced their decision to take drugs had 2.2 (95% confidence interval 1.4-3.6) greater odds of preloading. In UpSet analysis, preloading was the most common intersection (17% of those using drugs). DISCUSSIONS AND CONCLUSIONS: Engagement in the five higher-risk drug behaviours was common, particularly amongst males and those using drugs for the first time, while police/police dog presence appeared to influence higher-risk behaviours amongst festival attendees. This information can be used to inform harm reduction advice, public health and law enforcement strategies. CI - (c) 2021 Australasian Professional Society on Alcohol and other Drugs. FAU - Healey, Amy AU - Healey A AUID- ORCID: 0000-0001-6746-748X AD - St Vincent's Clinical School, Faculty of Medicine, UNSW Sydney, Sydney, Australia. FAU - Siefried, Krista J AU - Siefried KJ AUID- ORCID: 0000-0002-6534-3325 AD - Alcohol and Drug Service, St Vincent's Hospital Sydney, Sydney, Australia. AD - National Centre for Clinical Research on Emerging Drugs, UNSW Sydney, Sydney, Australia. AD - National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia. FAU - Harrod, Mary Ellen AU - Harrod ME AD - DanceWize NSW, New South Wales Users Association, Sydney, Australia. FAU - Franklin, Erica AU - Franklin E AD - DanceWize NSW, New South Wales Users Association, Sydney, Australia. FAU - Peacock, Amy AU - Peacock A AUID- ORCID: 0000-0002-5705-2026 AD - National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia. AD - School of Psychology, University of Tasmania, Hobart, Australia. FAU - Barratt, Monica J AU - Barratt MJ AUID- ORCID: 0000-0002-1015-9379 AD - National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia. AD - Social and Global Studies Centre and Digital Ethnography Research Centre, RMIT University, Melbourne, Australia. FAU - Brett, Jonathan AU - Brett J AUID- ORCID: 0000-0003-3065-7495 AD - St Vincent's Clinical School, Faculty of Medicine, UNSW Sydney, Sydney, Australia. AD - Alcohol and Drug Service, St Vincent's Hospital Sydney, Sydney, Australia. AD - Department of Clinical Pharmacology and Toxicology, St Vincent's Hospital, Sydney, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211118 PL - Australia TA - Drug Alcohol Rev JT - Drug and alcohol review JID - 9015440 RN - 0 (Illicit Drugs) SB - IM MH - Animals MH - Australia/epidemiology MH - Dogs MH - Holidays MH - Humans MH - *Illicit Drugs MH - Male MH - *Music MH - New South Wales/epidemiology MH - *Substance-Related Disorders/epidemiology OTO - NOTNLM OT - Australia OT - illicit drugs OT - music festival OT - surveys and questionnaires EDAT- 2021/11/19 06:00 MHDA- 2022/04/01 06:00 CRDT- 2021/11/18 17:29 PHST- 2021/08/05 00:00 [revised] PHST- 2021/04/28 00:00 [received] PHST- 2021/10/08 00:00 [accepted] PHST- 2021/11/19 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] PHST- 2021/11/18 17:29 [entrez] AID - 10.1111/dar.13404 [doi] PST - ppublish SO - Drug Alcohol Rev. 2022 Feb;41(2):320-329. doi: 10.1111/dar.13404. Epub 2021 Nov 18.