Introduction and Aims:
Polysubstance users are a high-risk population for negative
health-related consequences. Although some studies have described harm
reduction strategies adopted by polysubstance users, studies have not
examined their effectiveness in minimising health-related consequences. We
aimed to identify dosing-related harm reduction strategies in a sample of
polysubstance-using dance festival attendees, and explore the relationship
between harm reduction strategies and self-reported adverse health
consequences.
Design and Methods:
Data were examined for 1226 past-year dance festival attendees who
self-identified as past-year multiple drug users. We conducted bivariable
and multivariable analyses to explore relationships between six
dosing-related harm reduction strategies and 13 self-reported adverse
consequences.
Results:
Self-reported use of dosing-related harm reduction strategies was
prevalent, mainly avoidance of mixing depressants (69.2%) and setting limits
on quantity (62.2%). Frequent users of harm reduction strategies reported
experiencing fewer adverse health consequences (P values
<0.05). Those who reportedly set limits on quantity were at decreased
odds of experiencing a bad mood after drug use, sexual difficulties while
under drug influence, injuries or fractures while under drug influence, and
involvement in fights or being attacked while under drug influence
(P values <0.05). Moreover, those who report
frequently avoid mixing depressants were at decreased odds of experiencing
headache, loss of consciousness, drop in blood pressure, injuries of
fractures, and fights or attacks (P values
<0.05).
Discussion and Conclusions:
Adoption of dosing-related harm reduction strategies appears to be
associated with less drug-related harm among polysubstance-using festival
attendees. Findings may inform organisations and policymakers in the
designing of harm reduction interventions with this population.