Arrest Histories, Victimization, Substance Use, and Sexual Risk Behaviors Among Young Adults in Miami’s Club Scene

Abstract

This study examined the arrest histories and predictors of multiple arrests among 357 ethnically diverse polydrug users ages 18–25 years old who participate in the nightclub scene in Miami. The data were collected using structured assessments of respondents’ substance use, as well as standardized measures of health, environmental, and social risks. Respondents were recruited using respondent-driven sampling. The sample reported high levels of childhood victimization, prior substance abuse treatment, and arrest. Powder cocaine, {MDMA} (ecstasy), marijuana, alcohol, and prescription benzodiazepines were used by large majorities of the sample. More than 75% met Diagnostic and Statistical Manual of Mental Disorders {IV} substance dependence criteria. History of three or more lifetime arrests (n = 110) was associated with male gender, low educational achievement, violent victimization, early sexual debut, and prior substance abuse treatment. Multiple arrestees reported higher levels of current use of powder cocaine, marijuana, and prescription benzodiazepines, as well as elevated levels of sexual risk behaviors, including anal intercourse, unprotected sex, and more sex partners. The high levels of interconnected health and social problems observed among this population appear to be underreported in the literature and require explanatory research designs to more fully understand. Implications for intervention approaches are also discussed.