“Everyone Does Cocaine”: The Impact of Normalization on Practices of Club Drug Use and Risk Management

Background While many have argued that recreational drug use is becoming increasingly normalized within youth culture, little has been done to explore what this means for risk management. Methods Drawing on 2 years of ethnographic research with people who use club drugs in the Toronto Electronic Dance Music scene, this study explores how normalization impacts risk-taking and risk management practices of club drug use. Results It finds that the relationship is complex, as normalization both facilitates and hinders the adoption of risk management practices. The nuances of this relationship are explored by focusing on three key themes: expectation of use, moderation of use, and sharing of risk information and advice. Conclusion The findings are interpreted with reference to Rhodes’ “risk environment” framework and with particular attention to the need for harm reduction interventions that consider how risk behaviors are shaped by broader social and cultural contexts.