Non-medical use of prescription drugs in a national sample of college women

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, United States.
Addictive behaviors (Impact Factor: 2.44). 07/2011; 36(7):690-5. DOI: 10.1016/j.addbeh.2011.01.020
Source: PubMed

ABSTRACT Non-medical use of prescription drugs (NMUPD) is one of the fastest growing forms of illicit drug use, with research indicating that college students represent a particularly high risk population. The current study examined demographic characteristics, health/mental health, substance misuse, and rape experiences as potential risk correlates of NMUPD among a national sample of college women (N=2000). Interviews were conducted via telephone using Computer-Assisted Telephone Interviewing technology. NMUPD was assessed by asking if, participants had used a prescription drug non-medically in the past year. NMUPD was endorsed by 7.8% of the sample (n=155). Although incapacitated and drug-alcohol facilitated rape were associated with NMUPD in the initial model, the final multivariable model showed that only lifetime major depression and other forms of substance use/abuse were significantly uniquely associated with an increased likelihood of NMUPD. Implications for primary and secondary prevention and subsequent research are addressed.

1 Follower
  • [Show abstract] [Hide abstract]
    ABSTRACT: Approximately 10% of US college students are engaged in non-medical use of prescription stimulants (NMUPS) and that use is linked to concerning health, educational, and societal consequences. Few studies have assessed normative perceptions surrounding NMUPS. Accordingly, we examined self-reported use and normative perceptions for NMUPS and demographic factors that may be associated with them. We also investigated whether higher normative perceptions for NMUPS were related to the most commonly used and abused substance among college students (alcohol). Method: 1106 undergraduates participated in an online survey of normative perceptions of NMUPS and students' own drinking and stimulant use habits. Results: Students overestimated NMUPS by other students and those normative estimates were associated with higher NMUPS. Living in a fraternity or sorority was related to higher NMUPS and perceived norms. Finally, higher normative perceptions of NMUPS were associated with higher hazardous drinking. Conclusion: The large discrepancy between actual use (generally low) and students' perceptions (generally high), and the relationship of these perceptions to both one's own use of NMUPS and alcohol suggests that interventions aimed at correcting norms may be useful. Copyright © 2014. Published by Elsevier Ltd.
    Addictive Behaviors 11/2014; 42C:51-56. DOI:10.1016/j.addbeh.2014.11.005 · 2.44 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background & Aims: This study investigated high-risk drinking and polydrug use (PU) over 6 months for freshmen college students. Methods: The Brief Alcohol Screening and Intervention for College Students (BASICS) brief motivational interviewing (BMI) intervention was implemented at a public university as a 3-year programme designed to reduce underage drinking among freshmen with a secondary focus on PU. Participants were 299 freshmen from a state-supported university. Participants attended baseline visit, 2-week, 3- and 6-month visits. Analysis: Paired t-tests were used to determine the differences between alcohol consumption at different time points. McNemar’s test was used to compare correlated proportions. Results: At the baseline, 30% of the participants were drinking and using illicit drugs, compared with 25% at the sixth month visit. Conclusion: The findings suggest that a decrease in alcohol consumption will also reduce the probability of PU. These findings can assist in developing health professional strategies for effective use of BMI interventions aimed at alcohol and PU.
    Journal of Substance Use 11/2012; 17(5-6). DOI:10.3109/14659891.2011.606347 · 0.48 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: ABSTRACT Background: Over the past twenty years, there has been a dramatic increase in the non-medical use of prescription drugs (NMUPD). However, minimal attention has been given to driving under the influence of prescription drugs used non-medically. Methods: This study examines attitudes and characteristics that might be associated with driving while engaging in NMUPD. College students (N = 763) ages 18-25 years completed online surveys assessing demographic information, NMUPD, recreational use of other drugs, psychological variables, attitudes towards NMUPD and driving, and driving behavior. Results: Overall, 28.0% of participants reported lifetime NMUPD; 12.2% reported ever driving while engaging in NMUPD; and 7.9% reported this behavior in the past 3 months. Participants who reported engaging in NMUPD while driving were significantly more likely to report the use of alcohol, marijuana, ecstasy, cocaine, methamphetamine, ketamine, GHB, rohypnol, and mephedrone. These participants also scored higher on measures of hopelessness, impulsivity, and sensation seeking. Individuals who engaged in NMUPD while driving also reported lower perceptions of the risks of this behavior and believed that NMUPD is more common in young adults. Conclusions: A significant percentage of college students engage in driving under the influence of prescription drugs. Public health interventions designed to increase driving safety may wish to focus attention on this type of drugged driving.
    Substance Abuse 10/2013; 36(1). DOI:10.1080/08897077.2013.854287 · 1.62 Impact Factor