Samenvatting

GHB is an anaesthetic that in Netherlands since the 1990s is used as a drug by various groups. Although GHB is often defined as a ‘party drug’, particularly in rural areas it is also used in street cultures. GHB is mainly used recreationally, but a minority uses the drug frequently and/or becomes addicted. GHB use and associated problems are disproportionately spread across the Netherlands and are concentrated in certain rural areas (‘trouble spots’), especially in low SES villages or neighbourhoods. Predominantly based on qualitative research, this article describes supply and use of GHB in rural ‘trouble spots’. The profile of experienced current GHB users in rural areas is characterized by a wide age range, a low level of education, often multiple psychosocial problems and poly drug use. They are almost exclusively ‘white’, in majority male users, of whom a large part has been arrested on several occasions. From a supply perspective, GHB could spread quickly because of the short distribution chain, the limited social distance between dealers and users, as well as the closeness an reticence of user groups. Even though as a drug GHB is very different from methamphetamine, there are striking similarities in set and setting characteristics between rural GHB use in the Netherlands and rural methamphetamine use in the US.