Epidemic Adolescent Binge Drinking at Lollapalooza, A Music Festival in Chicago

McAndrew, Sarah; Smith, Tracie L.; Groothuis, Elizabeth; Koressel, Lindsay R; Unti, Sharon M.; Powell, Elizabeth C.; Tanz, Robert R.

doi:10.1097/pec.0000000000001072

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…In another study of a large music festival, it was shown that heat-related patient presentations increased with average temperature [ 30 ]. Lack of rest/sleep (and eating) due to multiple days of attending also appears to increase risk of adverse outcomes, and those who travel to festivals outside of their home area are also at high risk for adverse drug outcomes [ 4 , 31 , 32 ]. Given these cases, adequate medical response to emergencies at festivals is critical.…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation exploring why dance festivals are risky environments for drug use and potential adverse outcomes

Palamar

Sönmez

2022

Harm Reduct J

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Background Dance festivals have been shown to be high-risk events for use of drugs such as ecstasy/MDMA and possible adverse effects associated with use. However, few studies have examined what makes festivals such risky environments. We aimed to determine festival-specific risk factors for adverse outcomes related to drug use. Methods In-depth interviews were conducted with 35 key informants in North America who deemed themselves experts in new psychoactive substances, and identified as drug checkers, sellers, or experienced users. Interviews were coded in an inductive manner, and we conducted thematic analysis to identify relevant themes. Results We identified four main themes focusing on festival attendance as a risk factor for risky drug use and related outcomes: attendees inexperienced with electronic dance music parties and party drugs, risky drug purchasing, risky drug use practices, and festival-specific environmental risk factors. Festivals attract a wide array of people not experienced with party drugs, yet drugs like ecstasy are commonly sought by such individuals inside festivals. Relying on strangers inside to purchase drugs is a risk factor for purchasing adulterated product. Fear of security/police at festivals leads to risky drug-taking such as ingesting one’s full batch of drugs at the entrance. These risks are compounded by environmental factors including crowding, hot temperature, and lack of water (which lead to dehydration), long/consecutive event days (which can lead to exhaustion), and inadequate medical emergency response. Conclusions We determined modifiable risk factors which can both inform future research and future prevention and harm reduction efforts in this scene.

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Section: Discussionmentioning

confidence: 99%

A qualitative investigation exploring why dance festivals are risky environments for drug use and potential adverse outcomes

Palamar

Sönmez

2022

Harm Reduct J

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“…Whilst previous literature has reviewed the care of children at music festivals, very little is published on the under 10 years age group. 3 , 34 Despite this paper providing insight into the varying care required by these two subpopulations, the small numbers of these patients make it challenging to draw any firm conclusions. Similar music festivals which are attended by young children and guests over the age of 65 should now be evaluated to determine if similar results are uncovered.…”

Section: Discussionmentioning

confidence: 99%

Glastonbury Festival: Medical Care at the World’s Largest Greenfield Music Festival

Bennett,

Cottrell

2024

Prehosp. Disaster med.

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Introduction: Music festivals have become an increasingly popular form of mass-gathering event, drawing an increasing number of attendees across the world each year. While festivals exist to provide guests with an enjoyable experience, there have been instances of serious illness, injury, and in some cases death. Large crowds, prolonged exposure to loud music, and high rates of drug and alcohol consumption can pose a dangerous environment for guests as well as those looking after them. Methods: A retrospective review of electronic patient records (EPRs) at the 2022 Glastonbury Festival was undertaken. All patients who attended medical services on-site during the festival and immediately after were included. Patient demographics, diagnosis, treatment received, and discharge destination were obtained and analyzed. Results: A total of 2,828 patients received on-site medical care. The patient presentation rate (PPR) was 13.47 and the transport-to-hospital rate (TTHR) was 0.30 per 1,000 guests. The most common diagnoses were joint injuries, gastrointestinal conditions, and blisters. Only 164 patients (5.48%) were diagnosed as being intoxicated. Overall, 552 patients (19.52%) were prescribed a medication to take away and 268 (9.48%) had a dressing for a minor wound. One patient (0.04%) underwent a general anesthetic and no patients required cardiopulmonary resuscitation. Most patients were discharged back to the festival site (2,563; 90.66%). Discussion: Minor conditions were responsible for many presentations and most patients only required mild or non-invasive interventions, after which they could be safely discharged back to the festival. Older adults were diagnosed with a different frequency of conditions compared to the overall study population, something not reported previously. Intoxicated patients only accounted for a very small amount of the medical workload.

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“…With this study's design and methods, we combined metabolic assessments in our research facilities with a 'real life' intervention at a festival site. To our knowledge, previous studies of festival attendees have not investigated the immediate metabolic consequences but rather focused on drug-and alcohol-related emergencies (21,22,23,24). It was not possible to gather the festival participants on the day they left the festival site since they left at varying time points and in different conditions.…”

Section: Discussionmentioning

confidence: 99%

Metabolic effects of 1-week binge drinking and fast food intake during Roskilde Festival in young healthy male adults

Demant

Suppli

Foghsgaard

et al. 2021

European Journal of Endocrinology

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Aims/hypothesis Metabolic effects of intermittent unhealthy lifestyle in young adults are poorly studied. We investigated the gluco-metabolic and hepatic effects of participation in Roskilde Festival (1 week of binge drinking and junk food consumption) in young, healthy males. Methods Fourteen festival participants (FP) were studied before, during and after 1 week’s participation in Roskilde Festival. Fourteen matched controls (CTRL) who did not participate in Roskilde Festival or change their lifestyle in other ways were investigated along a similar timeline. Results The FP group consumed more alcohol compared to their standard living conditions (2.0 ± 3.9 vs 16.3 ± 8.3 units/day, P < 0.001). CTRLs did not change their alcohol consumption. AUC for glucose during OGTT did not change in either group. C-peptide responses increased in the FP group (206 ± 24 vs 236 ± 17 min × nmol/L, P = 0.052) and the Matsuda index of insulin sensitivity decreased (6.2 ± 2.4 vs 4.7 ± 1.4, P = 0.054). AUC for glucagon during oral glucose tolerance test (OGTT) increased in the FP group (1037 ± 90 vs 1562 ± 195 min × pmol/L, P = 0.003) together with fasting fibroblast growth factor 21 (FGF21) (62 ± 30 vs 132 ± 72 pmol/L, P < 0.001), growth differentiation factor 15 (GDF5) (276 ± 78 vs 330 ± 83 pg/mL, P = 0.009) and aspartate aminotransferase (AST) levels (37.6 ± 6.8 vs 42.4 ± 11 U/L, P = 0.043). Four participants (29%) developed ultrasound-detectable steatosis and a mean strain elastography-assessed liver stiffness increased (P = 0.026) in the FP group. Conclusions/Interpretation Participation in Roskilde Festival did not affect oral glucose tolerance but was associated with a reduction in insulin sensitivity, increases in glucagon, FGF21, GDF15 and AST and lead to increased liver stiffness and, in 29% of the participants, ultrasound-detectable hepatic steatosis.

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Epidemic Adolescent Binge Drinking at Lollapalooza, A Music Festival in Chicago

Cited by 6 publications

References 10 publications

A qualitative investigation exploring why dance festivals are risky environments for drug use and potential adverse outcomes

A qualitative investigation exploring why dance festivals are risky environments for drug use and potential adverse outcomes

Glastonbury Festival: Medical Care at the World’s Largest Greenfield Music Festival

Metabolic effects of 1-week binge drinking and fast food intake during Roskilde Festival in young healthy male adults

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