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Greater sexual risk-taking in female and male recreational MDMA/ecstasy users compared with alcohol drinkers: a questionnaire study.

Aimee L May, Andrew C. Parrott

Human Psychopharmacology: Clinical and Experimental July 2015 DOI: 10.1002/hup.2432 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cross-sectional comparison Peer reviewed
Sample size 40
Population Young university students aged 20-22, predominantly heterosexual (37 heterosexual, 3 bisexual); 20 MDMA users and 20 alcohol-drinker controls, balanced by gender (10 females and 10 males per group)
Topics MDMA
Keywords 3,4-methylenedioxymethamphetamine Alcohol Risk Sexual
Key findings MDMA users reported significantly greater sexual risk-taking than alcohol-drinker controls, including higher rates of casual sex, non-condom use during sex, and penetrative sexual risks. The increase was similar in males and females. The authors indicate that both female and male ecstasy/MDMA users reported more risky sexual behaviors than non-user controls.

Abstract

Previous studies have shown increased sexual risk-taking in experienced MDMA/ecstasy users. The main objectives of this study were to compare levels of sexual risk-taking between a young student sample of predominantly heterosexual MDMA users and alcohol-drinker controls and investigate potential gender differences. Recreational drug use and sexual risk questionnaires were completed by 20 MDMA users (10 females, 10 males) and 20 non-user controls (10 females, 10 males). They were predominantly university students, aged between 20-22 years, mainly heterosexual (n = 37), with three bisexual participants. MDMA users displayed significantly greater levels of sexual risk-taking than the alcohol-drinker controls. It involved significantly higher rates of casual sex, non-condom use during sex, and penetrative sexual risks. This increase in sexual riskiness occurred to a similar extent in males and females. These findings indicate that both female and male ecstasy/MDMA users reported more risky sexual behaviours, than the non-user controls. Further research into the sexual behaviour and sexual risk-taking of heterosexual MDMA users should be conducted because much of the past literature has focused on homosexual participants.

Comparable studies

Other cross-sectional and survey studies on MDMA, most cited first.

Study Year Design Participants
Recreational MDMA use in Sydney: a profile of ‘Ecstasy’ users and their experiences with the drug Recreational Ecstasy users recruited via snowball peer network 1992 Cross-sectional survey n = 100
Reducedin vivobinding to the serotonin transporter in the cerebral cortex of MDMA (‘ecstasy’) users Male regular ecstasy users and well-matched controls 1999 Cross-sectional association study n = 20
Patterns of simultaneous polysubstance use in drug using university students Drug-using university students 2006 Cross-sectional survey n = 149
Patterns of recreational drug use at dance events in Edinburgh, Scotland Drug users at dance events in Edinburgh, Scotland, UK, aged 16-47, 80% between 18 and... 2001 Cross-sectional survey n = 122
Acute, sub‐acute and long‐term subjective consequences of ‘ecstasy’ (MDMA) consumption in 430 regular users Regular MDMA users 2003 Cross-sectional study n = 466

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