Alcohol, drugs, sex and violence: health risks and consequences in young British holidaymakers to the Balearics

Authors

  • Karen Hughes Centre for Public Health, Liverpool John Moores University. Enviar correspondencia a: Karen Hugues. Centre for Public Health, Liverpool John Moores University, 5th Floor Kingsway House, Hatton Garden, Liverpool, L3 2AJ, UK Tel: +44 (0)151 231 8723
  • Mark A. Bellis Centre for Public Health, Liverpool John Moores University.
  • Gayle Whelan Centre for Public Health, Liverpool John Moores University.
  • Amador Calafat Irefrea (Instituto Europeo de Estudios en Prevención).
  • Montse Juan Irefrea (Instituto Europeo de Estudios en Prevención).
  • Nicole Blay Irefrea (Instituto Europeo de Estudios en Prevención).

DOI:

https://doi.org/10.20882/adicciones.219

Keywords:

alcohol, recreational drugs, violence, risk behaviour, travel, nightlife

Abstract

Background: Substance use, risky sexual behaviour and violence are among the key youth health issues today. Whilst they are the focus of much prevention work in the UK, relatively little information is available to inform prevention in international holiday resorts, where young people can take the greatest risks with their health. Methods: We conducted a cross-sectional survey of 1033 British holidaymakers aged 16-35 in Ibiza and Majorca airports (Spain). Surveys covered frequency of alcohol and drug use at home and abroad, and drunkenness, sexual activity and experience of a range of negative experiences on holiday. Results: Illicit drug use was more common in Ibiza. Over half (53.9%) of visitors to Ibiza reported using at least one drug on holiday (compared with 13.9% in Majorca) and over a third reported using more than one drug. However visitors to Majorca reported more frequent drunkenness and more negative outcomes (arguments, fighting, unintentional injury, illness and requiring medical attention). In both locations, frequency of substance use increased on holiday. A quarter of those travelling without a partner reported having had sex during their holiday, and of these a third did not consistently use condoms. Frequent drunkenness was associated with fighting, unintentional injury and sex with a new partner. Illicit drug use, particularly polydrug use, was associated with fighting and unprotected sex. Conclusions: Young holidaymakers face significant health risks on holiday. Understanding which resorts are associated with which types of health risk behaviour is critical in targeting health promotion and harm reduction measures appropriately.

Author Biography

Karen Hughes, Centre for Public Health, Liverpool John Moores University. Enviar correspondencia a: Karen Hugues. Centre for Public Health, Liverpool John Moores University, 5th Floor Kingsway House, Hatton Garden, Liverpool, L3 2AJ, UK Tel: +44 (0)151 231 8723

References

Currie C, Gabhainn SN, Godeau E et al (eds.). Inequalities in young

people’s health: international report from the HBSC 2005/06 survey. WHO policy series: health policy for children and adolescents, issue 5. Copenhagen: WHO Regional Office for Europe, 2008.

Hibell B, Andersson B, Bjarnasson T et al. The ESPAD report 2003:

alcohol and other drug use among students in 35 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs, 2004.

Hughes K, Anderson Z, Morleo M, Bellis MA. Alcohol, nightlife and violence: the relative contributions of drinking before and during nights out to negative health and criminal justice outcomes. Addiction 2008; 103: 60-5.

Hoare J and Flatley J. Drug misuse declared: findings from the 2007/08 British Crime Survey. London: Home Office, 2008.

Kershaw C, Nicholas S and Walker A. Crime in England and Wales 2007/08. London: Home Office, 2008.

Health Protection Agency. Selected STI diagnoses made at genitourinary medicine (GUM) clinics in the United Kingdom: 1998-2007. Available at: http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1195733775264.Accessed 31st October 2008.

Atkinson A, Anderson Z, Hughes K, Bellis MA, Sumnall H, Syed Q.

Interpersonal violence and illicit drugs. Liverpool: Centre for Public Health, Liverpool John Moores University, 2009.

Bellis MA, Hughes K, Calafat A, Juan M, Ramón A, Rodríguez JA,

Mendes F, Schnitzer S and Phillips-Howard P. Sexual uses of alcohol and drugs and the associated health risks: a cross sectional study of young people in nine European cities. BMC Public Health 2008; 8: 155.

HM Government. Safe. Sensible. Social. The next steps in the national alcohol strategy. London: HM Government, 2007.

HM Government. Drugs: protecting families and communities. The 2008 drug strategy. London: HM Government, 2008.

HM Government. Saving lives. Reducing harm. Protecting the public. An action plan for tackling violence 2008-11. London: HM Government, 2008.

Department of Health. Better prevention, better services, better sexual health - the national strategy for sexual health and HIV. London: Department of Health, 2001.

Bellis MA, Hughes K, Bennett A et al. The role of an international nightlife resort in proliferation of recreational drugs. Addiction 2003; 98:1713-21.

Bellis MA, Hughes K, Thomson R and Bennett A. Sexual behaviour

of young people in international tourist resorts. Sexually Transmitted Infections 2004; 80:43-47.

Josiam BM, Hobson JSP, Dietrich UC and Smeaton G. An analysis

of the sexual, alcohol and drug related behavioural patterns of students on spring break. Tourism Management 1998; 19:01-513.

Maticka-Tyndale E, Herold ES and Oppermann M. Casual sex among Australian schoolies. Journal of Sex Research 2003; 40:158-169.

Hesse M, Tutenges S, Schliewe S and Reinholdt T. Party package travel: alcohol use and related problems in a holiday resort: a mixed methods study. BMC Public Health 2008; 8:351.

Eiser JR and Ford N. Sexual relationships on holiday: a case of

situational disinhibition? Journal of Social and Personal Relationships 1996; 12:323-339.

Lora-Tomayo C, Tena T and Rodríguez A et al. The designer drug

situation in Ibiza. Forensic Science International 2004; 140:195-206.

Henderson JC. Managing tourism crises. Burlington, MA: Butterworth-Heinemann, 2007.

BBC News. Youth moves on as Faliraki fades. 10th May 2004. Available at: http://news.bbc.co.uk/1/hi/uk/3700153.stm.Accessed 11th November 2008.

Forsyth A, Moyes A and Young H. Increased ciprofloxacin resistance in gonococci isolated in Scotland. The Lancet 2000; 356:1984-1985.

Calafat A and Juan M. Health and safety problems in recreational nightlife in the Island of Mallorca. International Journal of Drug Policy 2004; 15:157-162.

Dobruszkes F. An analysis of European low-cost airlines and their

networks. Journal of Transport Geography 2006; 14:249-64.

National Statistics. Travel trends 2006: data and commentary from

the international passenger survey. London: National Statistics, 2008.

Govern de les Illes de Balears. Dades informatives 2007: El turisme

a les Illes Balears. Palma de Majorca: Govern de les Illes de Balears, 2008.

Bellis MA, Hughes K, Dillon P, Copeland J and Gates P. Effects of

backpacking holidays in Australia on alcohol, tobacco and drug use of UK residents. BMC Public Health 2007; 7:1.

Hughes K, Bellis MA, Calafat, A et al. Predictors of violence in young tourists: a comparative study of British, German and Spanish holidaymakers. European Journal of Public Health. 2008;1-6.

Bellis MA, Hughes K, Calafat A, Juan M and Schnitzer S. Relative

contributions of holiday location and nationality to changes in recreational drug taking behaviour: a natural experiment in the Balearic Islands. European Addiction Research. En prensa.

Calafat A, Stocco P, Mendez F et al. Characteristics and social representation of ecstasy in Europe. Palma de Mallorca: IREFREA, 1998.

McCambridge J, Mitcheson L, Winstock A et al. Five-year trends in patterns of drug use among people who use stimulants in dance contexts in the United Kingdom. Addiction 2005; 100:1140–1149.

Calafat A, Gomez CS, Juan M et al. Vida recreativa nocturna de los jóvenes espanoles como factor de riesgo frente a otros más tradicionales [Night life recreation of young Spaniards as a risk factor compared to other more traditional]. Adicciones 2007: 19;125-132.

Lucas B. La droga rompe la magia de Ibiza. El País. 17de octubre

de 2005.

North West Public Health Observatory. Local Alcohol Profiles for England. Available at: http://www.nwph.net/alcohol/lape/. Accessed 12th November 2008.

Office for National Statistics. Alcohol-related deaths in the United

Kingdom. Available at: http://www.statistics.gov.uk/STATBASE/ Product.asp?vlnk=14496. Accessed 12th November 2008.

Jones L, Bellis MA, Dedman D et al. Alcohol-attributable fractions

for England: alcohol-attributable mortality and hospital admissions. Liverpool: Centre for Public Health, Liverpool John Moores University, 2008.

Cherpitel CJ. Alcohol and injuries: a review of international emergency room studies since 1995. Drug and Alcohol Review 2007; 26:201-214.

Lamminpää A. Alcohol intoxication in childhood and adolescence.

Alcohol & Alcoholism. 1995; 30: 5-12.

Simpson T, Murphy N and Peck DF. Saliva alcohol concentrations in accident and emergency attendances. Emergency Medicine Journal 2001:18; 250-254.

Engineer R, Phillips A, Thompson J et al. Drunk and disorderly: a

qualitative study of binge drinking among 18- to 24-year-olds. London: Home Office, 2003.

Farke W, Anderson P. El consumo concentrado de alcohol en Europa [Binge drinking in Europe]. Adicciones 2007:19; 333-340.

Hendrickson JC, Gerstein DR. Criminal involvement among young

male ecstasy users. Substance Use and Misuse 2005:40; 1557-75.

Sumnall HR, Cole JC, Jerome L. The varieties of ecstatic experience:

an exploration of the subjective experiences of ecstasy. Journal of Psychopharmacology 2006; 20: 670-682.

Livingstone M. A longitudinal analysis of alcohol outlet density and assault. Alcoholism: Clinical and Experimental Research 2008; 32:1074-1079.

Graham K, Osgood DW, Wells S et al. To what extent is intoxication

associated with aggression in bars? Journal of Studies on Alcohol 2006; 67:382-390.

Graham K, Bernards S, Osgood DW et al. Bad nights or bad bars?

Multi level- analysis of environmental predictors of aggression in late night large-capacity bars and clubs. Addiction 2006; 101:1569-1580.

Hughes K, Bellis MA. Use of environmental harm to tackle alcoholrelated harm in nightlife environments: the UK experience.

Lisbon: European Monitoring Centre of Drugs and Drug Addiction, 2007.

Are Brits abroad behaving badly? The Jeremy Kyle Show. ITV. aired

rd November 2008. Available at: http://www.itv.com/Lifestyle/jeremykyle/default.html. Accessed 11th November 2008.

Cook PA and Bellis MA. Knowing the risk: relationships between risk behaviour and health knowledge. Public Health 2001; 115:54-61.

Johnson AM. Mercer CH and Erens B et al. Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours. The Lancet 2001; 358:1835-1842.

Cassell JA, Mercer CH, Imrie J, et al. Who uses condoms with whom? Evidence from national probability sample surveys. Sexually Transmitted Infections 2006; 82:467-473.

Wellings K, Macdowall W, Catchpole M et al. Seasonal variations in sexual activity and their implications for sexual health promotion. Journal of the Royal Society of Medicine 1999; 92: 60-64.

Published

2009-12-01

Issue

Section

Originals