We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Disentangling the Social Context of Nonmedical Use of Prescription Stimulants in College Students.
- Authors
Wilens, Timothy E.; Martelon, MaryKate; Yule, Amy; Kaminski, Tamar A.; Burke, Colin; Schepis, Ty S.; McCabe, Sean E.
- Abstract
<bold>Background and Objectives: </bold>The aim of this study was to investigate the social context of nonmedical use of prescription stimulants (NMUPS) among college students who endorsed NMUPS with co-occurring substance use disorders (SUD) compared with those without co-occurring SUDs.<bold>Methods: </bold>Presented here are new analyses based on data previously collected from college students aged 18 to 28 years derived from the Boston metropolitan area who endorsed NMUPS (N = 100) at least once in their lifetime. Differences between those with lifetime history of SUD (N = 46) and without a history of SUD (N = 54) on the Massachusetts General Hospital ADHD Medication Misuse and Diversion Assessment were analyzed using the Student t test, the Pearson χ2 test, and the Wilcoxon rank-sum test.<bold>Results: </bold>College students who endorsed NMUPS with co-occurring SUD were more likely than those without SUD to have bought or traded stimulants, bought or traded in their car, used at parties with drugs/alcohol, or used intranasally (all P < .05). Intranasal administration was common (38% of all students endorsing NMUPS) and was associated with misuse at a party and simultaneous use with cocaine (P = .04), marijuana (P < .001), and alcohol (P < .001), compared with only oral use.<bold>Discussion and Conclusions: </bold>Notable characteristics were identified among individuals who engaged in NMUPS in the type, amount, cost, and ascertainment of stimulants.<bold>Scientific Significance: </bold>The concurrence of SUD and/or intranasal administration appear to represent a more severe phenotype of NMUPS that should be considered in the implementation of future prevention and intervention protocols on college campuses. (Am J Addict 2020;29:476-484).
- Subjects
BOSTON (Mass.); MASSACHUSETTS General Hospital; COLLEGE students; SOCIAL context; STIMULANTS; SUBSTANCE-induced disorders; METROPOLITAN areas; SUBSTANCE abuse &; psychology; RESEARCH; CENTRAL nervous system stimulants; SELF-evaluation; CROSS-sectional method; RESEARCH methodology; CASE-control method; MEDICAL cooperation; EVALUATION research; COMPARATIVE studies; DRUG therapy; STUDENTS; UNIVERSITIES &; colleges
- Publication
American Journal on Addictions, 2020, Vol 29, Issue 6, p476
- ISSN
1055-0496
- Publication type
journal article
- DOI
10.1111/ajad.13053