We examined HIV risk among heavy and nonheavy ecstasy users, focusing specifically on touch and sexual behavior as part of the ecstasy experience. Structured interviews were conducted with 268 young adult (age 18–25) ecstasy users in Atlanta, Georgia. Heavy ecstasy users were more likely to have been tested for HIV than nonheavy users (79 vs. 68%). However, they also were more likely to perceive no chance of contracting HIV (36 vs. 26%). Touch, both sensual and sexual, was a significant part of the ecstasy experience. In addition, ecstasy use seemed to increase the sexual desire, however, not the ability to achieve an orgasm. Heavy users reported more sexual risk-taking than their nonheavy using counterparts. Results suggest that the setting of ecstasy use also may influence involvement in risk behaviors. Future longitudinal studies are needed on the relationship between ecstasy use, touch, sexual arousal and ability, and risk behavior.
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REFERENCES
Beck, J. E., and Rosenbaum, M. M. (1994). Pursuit of ecstasy: The MDMA experience. New York: State University of New York Press.
Boeri, M., Sterk, C., and Elifson, K. (2004). Rolling beyond raves: Ecstasy use outside the rave setting. Journal of Drug Issues, 34(4), 831–860.
Brafford, L. J., and Beck, K. H. (1991). Development and validation of a condom self-efficacy scale for college students. Journal of American College Health, 39, 219–225.
Buffum, J., and Moser, C. (1986). MDMA and human sexual function. Journal of Psychoactive Drugs, 18(4), 355–359.
Centers for Disease Control and Prevention, C. (2003). Advancing HIV prevention: New strategies for a changing epidemic. MMWR, 52, 329–332.
Cohen, R. (1998). The love drug: Marching to the beat of ecstasy. Binghamton, NY: Haworth Press, Inc.
Colfax, G. N., Mansergh, G., Guzman, R., Vittinghoff, E., Marks, G., Rader, M., and Buchbinder, S. (2001). Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: A venue-based comparison. Journal of Acquired Immune Deficiency Syndromes, 28(4), 373–379.
Dennis, M. L., Rourke, K. M., Lucas, R. L., Zien, C., Clayton, K. J., and Harris, K. M. (1995). Global appraisal of individual needs (gain): Resource manual (nida grant no. R01-da07864). Research Triangle Park, NC: Research Triangle Institute.
Dornan, W. A., Katz, J. L., and Ricaurte, G. A. (1991). The effects of repeated administration of MDMA on the expression of sexual behavior in the male rat. Pharmacology Biochemistry and Behavior, 39(3), 813–816.
Elk, C. (1996). MDMA (ecstacy): Useful information for health professionals involved in drug education programs. Journal of Drug Education, 26(4), 349–356.
Forsyth, A. J. M. (1996). Places and patterns of drug use in the Scottish dance scene. Addiction, 91(4), 511–521.
Gorman, E. M., and Carroll, R. T. (2000). Substance abuse and HIV: Considerations with regard to methamphetamines and other recreational drugs for nursing practice and research. Journal of the Association of Nurses in AIDS Care, 11(2), 51–62.
Hammersley, R., Ditton, J., Smith, I., and Short, E. (1999). Patterns of ecstasy use by drug users. British Journal of Criminology, 39(4), 625–647.
Hastings, A. (1994). Some observations on MDMA experiences induced through posthypnotic suggestion. Journal of Psychoactive Drugs, 26(1), 77–83.
Johnston, L., O’Malley, P., and Bachman, J. (2003). Monitoring the future national survey results on adolescent drug use: Overview of key findings, 2002 (No. NIH Publication No. 03-5374). Bethesda, MD: National Institute on Drug Abuse.
Kalant, H. (2001). The pharmacology and toxicology of “ecstasy” (MDMA) and related drugs. CMAJ, 165(7), 917–928.
Kleinbaum, D. (1994). Modeling strategy guidelines. In G. Dietz, K. Krickeberg, and B. Singer (Eds.), Logistic regression: A self-learning text (pp. 161–189). New York: Springer-Verlag.
Klitzman, R. L., Pope, H. G. Jr., and Hudson, J. I. (2000). MDMA (“ecstasy”) abuse and high-risk sexual behaviors among 169 gay and bisexual men. American Journal of Psychiatry, 157(7), 1162–1164.
Mattison, A. M., Ross, M. W., Wolfson, T., Franklin, D., and the San Diego Research Group. (2001). Circuit party attendance, club drug use, and unsafe sex in gay men. Journal of Substance Abuse, 13(1--2), 119–126.
McDowell, D. (2000). Gay men, lesbians, and substances of abuse and the “club and circuit party scene.” what clinicians should know. In J. Guss and J. Drescher (Eds.), Addictions in the gay and lesbian community. Binghamton, NY: Haworth Press.
McLellan, A. T., Luborsky, L., Cacciola, J., Griffin, J., Evans, F., Barr, H. L., and O’Brien, C. P. (1985). New data from the addiction severity index: Reliability and validity in three centers. Journal of Nervous and Mental Diseases, 173, 412–423.
Millman, R., and Beeder, A. (1994). The new psychedelic culture: Lsd, ecstasy, “rave” parties and the grateful dead. Psychiatric Annals, 24(3), 148–150.
National Institute on Drug Abuse, N. (2005). Epidemiologic trends in drug abuse, advance report, june 2004. Rockville, MD: National Institute on Drug Abuse.
Needle, R., Fisher, D. G., Weatherby, N., Chitwood, D., Brown, B., Cesari, H., Booth, R., Williams, M. L., Watters, J., Andersen, M., and Braunstein, M. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors, 9(4), 242–250.
Ostrow, D. (2000). The role of drugs in the sexual lives of men who have sex with men: Continuing barriers to researching this question. AIDS and Behavior, 4(2), 205–219.
Parrott, A. C., Milani, R. M., Parmar, R., and Turner, J. J. D. (2001). Recreational ecstasy/MDMA and other drug users from the UK and Italy: Psychiatric symptoms and psychobiological problems. Psychopharmacology, 159(1), 77–82.
Pedersen, W., and Skrondal, A. (1999). Ecstasy and new patterns of drug use: A normal population study. Addiction, 94(11), 1695–1706.
Rajamani, K., Leong, S., Lavelle, A., and Docherty, J. R. (2001). Prejunctional actions of methylenedioxymethamphetamine in vas deferens from wild-type and alpha(2a/d)-adrenoceptor knockout mice. European Journal of Pharmacology, 423(2-3), 223–228.
Romanelli, F., Smith, K. M., and Pomeroy, C. (2003). Use of club drugs by HIV-seropositive and HIV-seronegative gay and bisexual men. Topics in HIV Medicine, 11(1), 25–32.
Schwartz, R. H., and Miller, N. S. (1997). MDMA (ecstasy) and the rave: A review. Pediatrics, 100(4), 705–708.
Smith, K. M., Larive, L. L., and Romanelli, F. (2002). Club drugs: Methylenedioxymethamphetamine, flunitrazepam, ketamine hydrochloride, and gamma-hydroxybutyrate. American Journal of Health-System Pharmacy, 59(11), 1067–1076.
Solowij, N., Hall, W., and Lee, N. (1992). Recreational MDMA use in Sydney: A profile of “ecstasy” users and their experiences with the drug. British Journal of Addiction, 87(8), 1161–1172.
Strote, J., Lee, J. E., and Wechsler, H. (2002). Increasing MDMA use among college students: Results of a national survey. Journal of Adolescent Health, 30(1), 64–72.
Substance Abuse and Mental Health Services Administration, S. (2003). Results from the 2002 national survey on drug use and health: National findings. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Tashima, N., Crain, S., O’Reilly, K., and Sterk-Elifson, C. (1996). The community identification process: A discovery model. Qualitative Health Research, 6, 23–48.
Theall, K., Greene, K., Kachur, R., and Elifson, K. (2001, July 19-20). ‘Just a little pill’: A snapshot of young adult ecstasy users in Atlanta, Georgia. Paper presented at the MDMA/Ecstasy Research: Advances, Challenges, Future Directions, Bethesda, MD.
Topp, L., Hando, J., Dillon, P., Roche, A., and Solowij, N. (1999). Ecstasy use in Australia: Patterns of use and associated harm. Drug and Alcohol Dependence, 55(1--2), 105–115.
Watters, J., and Biernacki, P. (1989). Targeted sampling: Options for the study of hidden populations. Social Problems, 36, 416–430.
Williams, L., and Parker, H. (2001). Alcohol, cannabis, ecstasy and cocaine: Drugs of reasoned choice amongst young adult recreational drug users in England. International Journal on Drug Policy, 12, 5–6.
Winstock, A. R., Griffiths, P., and Stewart, D. (2001). Drugs and the dance music scene: A survey of current drug use patterns among a sample of dance music enthusiasts in the uk. Drug and Alcohol Dependence, 64(1), 9–17.
Yacoubian, G. S. Jr., Boyle, C., Harding, C. A., and Loftus, E. A. (2003). It's a rave new world: Estimating the prevalence and perceived harm of ecstasy and other drug use among club rave attendees. Journal of Drug Education, 33(2), 187–196.
Zemishlany, Z., Aizenberg, D., and Weizman, A. (2001). Subjective effects of MDMA (‘ecstasy’) on human sexual function. European Journal of Psychiatry, 16(2), 127–130.
ACKNOWLEDGMENTS
This research was supported by NIDA grant R01 DA014232 and the Emory Center for AIDS Research. The views presented in this paper are those of the authors and do not represent those of the funding agencies. We thank Miriam Boeri for the coordination of the data collection and all the field staff and the participants who made this study possible.
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Theall, K.P., Elifson, K.W. & Sterk, C. Sex, Touch, and HIV Risk Among Ecstasy Users. AIDS Behav 10, 169–178 (2006). https://doi.org/10.1007/s10461-005-9059-1
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DOI: https://doi.org/10.1007/s10461-005-9059-1