'Rich Man's Speed': a qualitative study of young cocaine users

Abstract

Thirty-four young cocaine users recruited from London, UK, participated in qualitative, in-depth interviews about their cocaine use and related behaviours. None had ever received treatment for a drug- or alcohol-related problem. Findings suggest that cocaine users may be younger and less well educated than previously thought. Some young people may perceive cocaine as a safer, more predictable alternative to ecstasy or amphetamines. There was little awareness of risks associated with cocaine use, particularly regarding concurrent heavy alcohol use. Few were able to describe personal 'harm-reduction' strategies to reduce the risks associated with cocaine use, whereas there was good awareness of appropriate measures to take when using ecstasy. Although crack was regarded very negatively compared with powder cocaine, the data indicated that in practice the boundary between the two forms of the drug might be becoming less well defined for some users. The findings suggest a need for national education and policy to raise awareness about the relationship between cocaine powder and crack, and the risks associated with use of the drug in either form.