Ecstasy use and its association with sexual behaviors among drug users in New York City

Roberto A. Novoa, Danielle C. Ompad, Yingfeng Wu, David Vlahov, Sandro Galea

    Research output: Contribution to journalArticle

    Abstract

    In the past two decades, recreational use of ecstasy has become a growing concern in the United States, although most studies assessing ecstasy use have focused on white, middle-class adolescents who use ecstasy during raves and in clubs. We assessed the prevalence of recent ecstasy use among predominantly minority heroin, cocaine, and crack users in New York City and the association between ecstasy and sexual risk above and beyond that of the other drugs. Between 2002 and 2004, injection and non-injection heroin, crack and cocaine users (N = 534) completed a risk behavior questionnaire that included items on ecstasy use. Logistic regression was used to investigate the relation between current ecstasy use and sexual behaviors. Of 534 illicit drug users, 69.7% were aged 25 years or older, 65.2% were Hispanic, 27.9% Black and 77.4% male; 36.7% were injectors. 17.2% of respondents reported recent (last six months) ecstasy use. In a multivariable logistic regression model, current ecstasy use was associated both with initiating sex before age 14 (adjusted odds ratio (AOR) = 1.51) and having two or more partners in the past two months (AOR = 1.86) after adjusting for age at study entry, current cocaine and marijuana use and being an injection drug user. This study suggests that ecstasy use may be more prevalent among urban drug users. Ecstasy use in urban settings, beyond clubs and raves, should continue to be monitored.

    Original languageEnglish (US)
    Pages (from-to)331-343
    Number of pages13
    JournalJournal of Community Health
    Volume30
    Issue number5
    DOIs
    StatePublished - Oct 2005

    Keywords

    • Ecstasy
    • Injection drug use
    • Noninjection drug use
    • Sexual behavior

    ASJC Scopus subject areas

    • Health(social science)
    • Public Health, Environmental and Occupational Health

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