A recent study, published in the Harm Reduction Journal, explores the role of nightclubs and sex-on-premises venues in harm reduction for gay, bisexual, and other men who have sex with men (GBMSM) who use drugs.
These venues act as intermediaries between national drug policy and individual behaviour, bridging the gap between broad regulations and on-the-ground realities. Our findings suggest that night-time venues remain an under-utilised resource in harm reduction efforts, with the potential to play a greater role in promoting safer drug use practices.
The research, by Health Policy MSc student Stephen Naulls with MSc Dissertations lead Kenny Oniti and colleagues, used a mixed-methods approach. The researchers spoke with healthcare professionals, people who use drugs in nightlife settings, and those working in the night-time economy. Many described a de facto decriminalisation – where drug use is an open secret – but highlighted the risks venues face if they engage with harm reduction. While many owners and staff recognise the need for safer drug use practices, concerns over licensing regulations and financial repercussions often prevent them from taking action.
Despite this, nightlife spaces are well-positioned to reach individuals who may not engage with traditional health services. However, current policies often deter venues from taking a proactive approach, limiting their ability to provide harm reduction measures such as drug safety information or support services. A more balanced regulatory framework could help unlock the potential of these spaces to support public health efforts without jeopardising their economic viability.
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