Motivations for Using MDMA (Ecstasy/Molly) among African Americans: Implications for Prevention and Harm-Reduction Programs
Journal of Psychoactive Drugs – April 13, 2017
Source: OpenAlex
Summary
Understanding the motivations behind MDMA use among African Americans reveals crucial insights. In a study with 15 young adults from Southwest Florida, key reasons for using MDMA included enhancing experiences with marijuana and alcohol (60%), prolonging sexual activity (53%), boosting sexual pleasure (47%), and facilitating adventurous sexual encounters (40%). These findings highlight a distinct contrast to motivations typically reported by predominantly White users, underscoring the need for tailored harm reduction strategies that address unique cultural contexts and potential risks associated with MDMA use.
Abstract
Despite the growing popularity of MDMA (ecstasy/molly) among African Americans, their motives for using the drug are still largely unknown. The purpose of this study was to identify and describe the most salient motivations for using MDMA among this understudied population. In-depth interviews (n = 15) were conducted with a sample of African American young adults in Southwest Florida between August 2014 and November 2015. The primary motivations for using MDMA included: (1) altering the effects of marijuana and alcohol; (2) lasting longer sexually; (3) enhancing sexual pleasure; and (4) facilitating "freaky" sexual experiences. This is the first study to directly examine MDMA motivations specifically among African American drug users, and findings shed light on why some African Americans use MDMA. A better understanding of why African Americans use this drug should help to inform prevention and harm-reduction efforts. Study findings show the need for health messages that include the potential consequences of mixing MDMA with other drugs, and engaging in high-risk sexual behaviors after taking MDMA. These data contrast with motivations (e.g., introspection, self-enlightenment, getting into the music) commonly reported among groups of largely White MDMA users, suggesting that interventions tailored specifically for African American users are needed.