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Sleeping arrangements. Show all 27 amenities. The use and abuse of alcohol, tobacco and illegal drugs are frequent in the recreational contexts. As a consequence many young people feel that their use is not very dangerous.
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Drunkenness and use of illegal drugs is what we tend to think as risk behaviours in relation to the nightlife. Of course these are real problems, but the relation of these consumptions with typical nightlife activities gives the clue of other risk behaviours. Questions like drinking and driving, having risky sex, violence, etc. More information is provided below. We should take also into consideration the legal status of drugs in every country.
This implies different risks according to the country. In drug user organisations in the Netherlands started to distribute sterile injecting equipment to their peers to counter hepatitis B transmission. In a progressive way this becomes a widely accepted policy in Europe. Typical harm minimisation strategies in the nightlife context include going into chill out areas, trying to be hydrated, avoiding mixing substances, not driving when drunk, using condoms, etc. But not all the harm minimisation oriented interventions have demonstrated efficacy.
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The association and, even more, the adoption of harm minimisation objectives give to prevention strength, strategy and credibility. Education and interventions aimed at abstinence and harm reduction can co-exist. A strategy only based on harm reduction, specially when the target is wide populations, can be even counter preventive. As a matter of fact the past experiences have shown us that different approaches have been adopted without reservations at the beginning, but later they have been unable to demonstrate their efficacy.
In addition to the general problems of substance misuse in general, there are specific issues faced by young people participating in recreational nightlife. Community programmes are a combined set of activities organised in a specific district, town or region, where different groups adolescents, parents, neighbours, leisure industry professionals, media, etc.
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Most of these problems cannot be tackled efficiently for just one specific group like prevention professionals, police, family, etc. Only active collaboration between these groups and the use of the adequate and evidence-based programmes will ensure the success of the projects. This can be true also with many treatment interventions in medicine. The main point is to apply evidence from research in the implementation of specific interventions. There is, however, no practice that is best for everyone or in every situation, and no best practice remains best for very long as people keep on finding better ways of doing things.
It is not always easy to find adequate evidence-based interventions in prevention. But this is not always an easy task. Consequently we have different types of evidence according to the strength of the evaluation. Several health problems are related to recreational activities like involuntary injuries, hearing damage, mental disorders, heat stroke, drunkenness, drug use, etc.
Noise levels in nightclubs and at concerts can be as high as dB A. The majority of the same group did not know that hearing damage is irreparable or how to look after their hearing www. A study conducted in England shows that 6.
Hospital admission is required for nearly half of these patients. The majority of drug related problems are acute injuries often assault , overdose, and the medical complications of drug use. Only Some of these young people died. There is a well-documented relationship between specific nightlife recreational environments and synthetic substance use, as well as evidence of a high prevalence of recreational substance use Bellis et al, ; Calafat et al.
Violence is a topic of increasing concern. Not exceptionally some believe that drinking alcohol and fighting are an essential part of a good night out for many young adult males. But in recent times there has been a reported rise in the number of female drinkers participating in the night-time economy. Research consistently shows the peak time for violent offence is weekend nights and the peak location is in and around pubs and clubs Allen et al, In the United Kingdom one fifth of all violent assaults take place in or around a pub or club, and almost half of all incidents of violence and disorder occur on weekend nights Maguire and Nettleton, A small number of licensed premises account for most disorder and assault Briscoe and Donnelly, ; Graham and Wells, , Jochelson, , but it is true that those involved in violence tend to select the venues they attend Hughes et al, Percentage of young tourists British, German and Spanish having seen physical violence in the nightlife during their holidays in Mallorca and Ibiza during the summer Hugues et al, Krug et al, ; Yonas et al, For many clubbers substance use has become an integral part of their strategic approach to sex.
They even have a certain idea of how each drug functions within sexuality. Some studies suggest that this is an exaggerated presumption, meanwhile other claims that this is underreported. This figure included three cases in which the drug was ecstasy, which may have been given to reduce inhibition rather than to induce sedation.
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No samples tested positive for flunitrazepam Rohypnol , a drug often thought to be associated with such incidents, nor is there much forensic evidence of GHB being used for this purpose. Transport is related to substantial problems, mainly because the most frequent We are all aware through the media of this problem with young people having a crash when attending recreational settings.
At any blood alcohol concentration drivers years old are three times more likely to crash than drivers older than 30 years. The risk of crashing almost doubles if people mix alcohol and other drugs. Road traffic injuries are the leading cause of death among adolescents and young adults, affecting more men than women. The sale of drink to those legally under-age is a relatively common phenomenon. Very frequently also they are allowed to unlawfully get into recreational premises which is against the law. In spite of this prohibition in the European School Survey Project on Alcohol and Other Drugs ESPAD , a survey collecting data on substance use among 15—16 year-old students in 35 European countries, found that, on average, half of the students have been intoxicated, at least once during their lifetime, to the point of staggering when walking, having slurred speech or throwing up.
Many mental problems arise from the use and abuse of alcohol and other drugs at short and long term. At short term we can think in drunkenness, anxiety and panic attacks, some psychotic breakdown, etc. The use of these substances can lead to addiction and many other mental problems like depression, paranoid syndromes, etc. People who have some vulnerability or predisposition can more easily breakdown when using alcohol and other drugs.
Current trends indicate that the gender gap in substance use continues to shrink among adolescents. This has become by itself an important issue to be addressed. The ESPAD studies show that on average there is no gender difference as far as recent intoxication is concerned. But in some countries the Faroe Islands, Finland, Ireland, the Isle of Man, Norway, Sweden and the United Kingdom girls are on average roughly 5 percentage points above boys as regards last 30 days intoxication. In addition, some research suggests that females are at greater risk for addiction once drug use begins and that their transition period from initiation to problem use is shorter Ridenour et al, The recreational context in which the young population moves has a key role in the socialisation process friendship, social capital, access to resources … as well as in the use and abuse of alcohol and drugs.
Nightlife is a well defined context where drug use, sex and socialisation coincide Hughes, Bellis, Whelan, Calafat, Juan and Blay, ; Vidal-Infer et al, On the contrary females are very affected by the composition of their networks. Also, when females have a sexual relationship with a member of their network there are more possibilities of using alcohol and drugs. This issue is also found in other research Kirke ; Wang et al, Neighbourhoods are strongly affected both positively and negatively by the presence of recreational venues.
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Noise is sometimes a big issue for residents. They can be disturbed by late night entertainment-related noise in three main ways:. Different sort of crimes are related to nightlife. Most of them are related to violence and use of alcohol and other drugs. Drug dealing and acquisitive crime to fund a drug habit theft, burglary, etc. Crime has a higher probability of occurring in areas with a high density of bars and discos. Sometimes we find that a small number of premises with quite predictable characteristics usually concentrate most of the problems.
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Many problems affecting the law have to do with serving alcohol to intoxicated people or minors. Other problems related to breaking the law are people stealing or raping the intoxicated. Effects and problems vary for different drugs. The most used drugs in recreational settings are alcohol and tobacco.