Prevalence and Correlates of Lifetime Ecstasy/MDMA Use Among Asian American and Pacific Islander Adult Populations in the United States, 2015–2020
Wayne Kepner, Patricia Dionicio, Katie Bailey, Nora Satybaldiyeva, Alison Moore, Kevin H. Yang, Benjamin H. Han, Joseph J. Palamar
Journal of Psychoactive Drugs March 3, 2025 DOI: 10.1080/02791072.2025.2474243 via OpenAlex
Summary
AI-generated from the abstractAbout 1 in 20 Asian American and Pacific Islander adults (5.1%) have used ecstasy/MDMA in their lifetime, based on a nationally representative sample from 2015-2020. Females had higher odds of use than males, and adults aged 26-34 had higher odds than those aged 18-25, while those aged 50 or older had lower odds. Lifetime use of other substances—cannabis, ketamine, LSD, cocaine, psilocybin, prescription opioids, and prescription stimulants—was associated with increased odds of ecstasy/MDMA use. Variations by age, sex, family income, substance type, and mental health service use point to the need for targeted public health strategies.
Study at a glance
| Characteristics | Observational cohort Peer reviewed |
|---|---|
| Population | US AAPI adults aged 18 and older |
| Topics | MDMA |
| Keywords | Pacific islanders Demography Psychiatry |
| Citations | 3 |
| Key finding | An estimated 5.1% of AAPI adults have used ecstasy/MDMA in their lifetime, with higher odds among females and adults aged 26-34, and lower odds among those aged 50 and older. |
Abstract
Little is known about ecstasy/MDMA use among Asian American and Pacific Islander populations. Research is important because AAPIs face unique cultural factors that may influence use. We estimated the prevalence and correlates of lifetime ecstasy/MDMA use based on a representative sample of US AAPI adults aged ≥18 from the 2015-2020 National Survey on Drug Use and Health. An estimated 5.1% of AAPI adults used ecstasy in their lifetime. Compared to males, females had higher odds of use (aOR = 1.45, 95% CI: 1.08-1.98). Compared to those aged 18-25, those aged 26-34 were at increased odds for use (aOR = 1.99, 95% CI: 1.30-3.06), while those aged ≥50 were at lower odds for use. Lifetime use of other substances including cannabis (aOR = 28.4, 95% CI: 17.1-47.2), ketamine (aOR = 10.9, 95% CI: 1.63-73.4), LSD (aOR = 3.82, 95% CI: 1.98-7.37), cocaine (aOR = 3.77, 95% CI: 2.54-5.59), psilocybin (aOR = 3.29, 95% CI: 1.75-6.16), prescription opioids (aOR = 2.43, 95% CI: 1.44-4.09), and prescription stimulants (aOR = 1.96, 95% CI: 1.29-2.99) were associated with increased odds of ecstasy/MDMA use. We estimated that over 1 in 20 AAPI adults have ever used ecstasy/MDMA. Variations by age, sex, family income, substance type, and mental health service utilization emphasize the need for targeted public health strategies.