Prevalence and factors of club drug use among undergraduate students in Guangzhou city

Objective To investigate the prevalence and characters of club drug use among undergraduate students in Guangzhou city,and to explore its determinants.Methods A self-administered questionnaire survey was conducted in a cross-sectional study to collect information about illicit drug use behavior,anti-drug education and mental health among 2 411 students from 10 universities selected with stratified cluster randomly sampling.Results The rate of club drug use reached 3.0% (4.6% for males and 1.5% for females).The overall rates of club drug use among the students of minority,having fathers or mothers with education below senior high school,with poor school performance,and receiving first anti-drug education in university were 11.1%,15.2%,8.8%,9.0%,and 12.1%,respectively.Ketamine,cofetol cough syrup,ecstasy and methamphetamine were the most frequently used drugs.The main reasons for the initial drug use were curiosity (35.6%),peer induction (31.5%) and believing specific effect of the drugs (28.8%).The drug use mainly occured in recreational place (52.1%),school (42.5%) and at home (32.9%),respectively.Multivariate logistic regression analyses indicated that the determinants of the drug use were gender (odds ratio OR=0.454),nation (OR=2.744),father's education level (OR=0.243-0.294),the time first receiving anti-drug education (OR=0.310-0.360),and depression (OR=1.073).Conclusion There is a high prevalence of club drug use among undergraduates in Guangzhou city.Males,minority,low education of father,receiving first anti-drug education at late time,and depression could increase the risk of drugs use behavior.