Beyond ketamine: narratives of risk among young psychoactive drug users in Hong Kong

ABSTRACT

Background: The popularity of ketamine use among Hong Kong young people has dropped substantially after its heyday in the 2000s, but the shift in drug preferences from ketamine to other psychoactive drugs such as methamphetamine remains a concern. This study aims to explore the recent changes in the drugs of choice among young drug users in Hong Kong by examining their narratives of risk toward psychoactive drug use.

Methods: In-depth interviews were conducted to collect qualitative data from 45 young drug users recruited through treatment and rehabilitation organizations in 2017.

Results: The analysis demonstrated how the decisions about drug use are mediated by the risk knowledge and practices of users including their perceived risk and health consequences, their perceived addictive potential of different illicit drugs, and their own strategies in managing drug risks.

Conclusions: This study provides insight into adolescent drug use in a changing drug scene by revealing the importance of experiential understanding of risk among young drug users in the making of drug use related decisions. Implications for drug prevention and intervention are discussed.

KEYWORDS:

• Ketamine
• methamphetamine
• risk perception
• risk management

Acknowledgments

The research project (Project Number: 2016.B13.002.17A) was funded by the Public Policy Research Funding Scheme from the Policy Innovation and Co-ordination Office of the Hong Kong Special Administrative Region Government. The research team would like to thank all respondents who took time to participate in the study. The research team would also like to extend our special thanks to participating organizations for their support throughout the data collection process.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Additional information

Funding

This work was supported by the Public Policy Research Funding Scheme, Policy Innovation and Co-ordination Office, Hong Kong Special Administrative Region Government [2016.B13.002.17A].