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Am J Addict. 2019 Sep;28(5):347-352. doi: 10.1111/ajad.12897. Epub 2019 Apr 30.

Use of "Lean" Among Electronic Dance Music Party Attendees.

Author information

1
Department of Population Health, New York University Langone Medical Center, New York, New York.

Abstract

BACKGROUND/OBJECTIVES:

Lean (a.k.a.: Sizzurp, Purple Drank) is a recreational beverage that commonly contains codeine cough syrup. Despite its popularization in the hip-hop music scene, few epidemiologic studies have examined use. This study examined prevalence and correlates of use among a population at high-risk for drug use-electronic dance music (EDM) party attendees.

METHODS:

A total of 1029 EDM party attendees (ages 18-40) were surveyed in New York City in 2018 using time-space sampling. Prevalence and correlates of use of Lean were estimated.

RESULTS:

An estimated 15.5% of attendees have ever used Lean, and 3.4% of attendees have used in the past year. Only an estimated 0.2% have used in the past month, but 14.2% would use in the next month if offered by a friend. Three-quarters (75.4%) of users believed their Lean ever contained codeine and 32.4% believed it always or usually contained codeine. Past-year use was strongly associated with past-year nonmedical prescription opioid use (adjusted odds ratio = 10.77, P = 0.003), but not past-year use of other illegal drugs. Attendees who are black or bisexual are at higher odds for past-year use, and those with a college degree or higher are at lower odds for past-year use.

DISCUSSION AND CONCLUSIONS:

While use of Lean is not as prevalent as use of various other drugs (eg, ecstasy) in this high-risk population, over a tenth have tried it and/or are willing to use it if offered.

SCIENTIFIC SIGNIFICANCE:

Prevention efforts need to target potential users as frequent use of beverages containing codeine products can lead to dependence. (Am J Addict 2019;28:347-352).

PMID:
31041819
PMCID:
PMC6706295
[Available on 2020-09-01]
DOI:
10.1111/ajad.12897

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