Drug Exposure Opportunities and Use Patterns Among College Students: Results of a Longitudinal Prospective Cohort Study

Drug Exposure Opportunities and Use Patterns Among College Students: Results of a Longitudinal Prospective Cohort Study
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DOI:
10.1080/08897070802418451
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发表时间:
2008-01-01
期刊:
影响因子:
3.5
通讯作者:
Wish, Eric D.
Wish, Eric D.
中科院分区:
医学3区
文献类型:
--
作者:
Arria, Amelia M.;Caldeira, Kimberly M.;Wish, Eric D.

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大学生中未成年人饮酒和吸毒是主要的公共卫生问题,然而很少有研究对这些行为及其相关的风险因素和后果进行前瞻性的调查。本文描述了在大西洋中部一所大型大学对1253名大学生进行纵向研究的抽样和招募方法。在高中和大学之间的独特窗口期间对即将入学的一年级学生进行筛选,以便对吸毒者进行纵向随访。密集的招聘策略在年度面试和半年度调查中取得了95%的累计回复率。作者报告了在大学头两年接触酒精、烟草和10种非法药物和处方药的机会、终生患病率、开始、持续和停止物质使用的初步结果。研究结果表明,虽然一些物质使用代表了高中开始的模式的延续,但接触机会和物质使用的开始经常发生在大学。讨论了预防和早期干预的意义。
Underage drinking and drug use among college students are major public health concerns, yet few studies have examined these behaviors and their associated risk factors and consequences prospectively. This paper describes the sampling and recruitment methods of a longitudinal study of 1253 college students at a large, mid-Atlantic university. Incoming first-year students were screened during the unique window between high school and college in order to oversample drug users for longitudinal follow-up. Intensive recruitment strategies yielded a 95% cumulative response rate in annual interviews and semiannual surveys. The authors report preliminary results on exposure opportunity, lifetime prevalence, initiation, continuation, and cessation of substance use for alcohol, tobacco, and 10 illicit and prescription drugs during the first 2 years of college. Findings suggest that although some substance use represents a continuation of patterns initiated in high school, exposure opportunity and initiation of substance use frequently occur in college. Implications for prevention and early intervention are discussed.