Prevalence of illicit use and abuse of prescription stimulants, alcohol, and other drugs among college students: Relationship with age at initiation of prescription stimulants
Prevalence of illicit use and abuse of prescription stimulants, alcohol, and other drugs among college students: Relationship with age at initiation of prescription stimulants
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DOI：
10.1592/phco.27.5.666
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发表时间：
2007-05-01
期刊：
影响因子：
4.1
通讯作者：
Teter, Christian J.
中科院分区：
文献类型：
--
作者：
Kaloyanides, Kristy B.;McCabe, Sean E.;Teter, Christian J.
研究目的。研究美国大学生开始使用处方兴奋剂的年龄与非法使用和滥用处方兴奋剂、酒精和其他药物之间的关系。基于网络的大学生调查。一个大的（全日制本科人口> 20，000）大学。一项基于网络的调查被发送到一个随机样本的5389名本科大学生加上一个额外的1530名不同种族背景的本科大学生在2个月的时间。测量和主要结果。酒精滥用的评估包括削减，烦恼，内疚，大开眼界（CAGE）工具的修改版本。药物使用相关的问题进行了评估与药物滥用筛选测试，简表（DAST-10）略有修改的版本。最终样本包括4580名本科生（66%的响应率）。为了进行分析，根据开始使用处方兴奋剂时的年龄创建了五个亚组：用途：未使用处方兴奋剂、幼儿园（K）-4年级、5 - 8年级、9 - 12年级和大学。在K-4年级被开了兴奋剂处方的本科生报告说，与没有使用处方兴奋剂的组相比，酒精和其他药物的使用率相似。例如，在K-4年级开始使用处方兴奋剂的学生报告同时摄入酒精和非法处方兴奋剂的可能性并不比没有使用处方兴奋剂的学生高（比值比[OR] 1.4，95%置信区间[CI] 0.2 - 11.5，NS）。然而，在大学开始使用处方兴奋剂的本科生有明显更高的酒精和其他药物使用率。例如，在大学开始使用处方兴奋剂的学生在DAST-10上报告至少三个药物滥用阳性指标的可能性几乎是没有使用处方兴奋剂的学生的4倍（OR 3.7，95% CI 1.9 - 7.1，p <0.001）。与以前的研究结果一致，这些结果表明，在儿童时期开始使用处方兴奋剂与未来使用酒精和其他药物的增加无关。
Study Objective. To examine associations between age at initiation of prescription stimulants and illicit use and abuse of prescription stimulants, alcohol, and other drugs among college students in the United States.Design. Web-based survey of college students.Setting. A large (full-time undergraduate population > 20,000) university.Intervention. A Web-based survey was sent to a random sample of 5389 undergraduate college students plus an additional 1530 undergraduate college students of various ethnic backgrounds over a 2-month period. Measurements and MainResults. Alcohol abuse was assessed by including a modified version of the Cut Down, Annoyance, Guilt, Eye-opener (CAGE) instrument. Drug use-related problems were assessed with a slightly modified version of the Drug Abuse Screening Test, short form (DAST-10). The final sample consisted of 4580 undergraduate students (66% response rate). For the analyses, five subgroups were created based on age at initiation of prescription stimulant use: no prescription stimulant use, grades kindergarten (K)-4, grades 5-8, grades 9-12, and college. Undergraduate students to whom stimulants were prescribed in grades K-4 reported similar rates of alcohol and other drug use compared with that of the group that had no prescription stimulant use. For example, students who started prescription stimulants in grades K-4 were no more likely to report coingestion of alcohol and illicit prescription stimulants (odds ratio [OR] 1.4, 95% confidence interval [CI] 0.2-11.5, NS] than the group that had no prescription stimulant use. However, undergraduate students whose prescription stimulant use began in college had significantly higher rates of alcohol and other drug use. For example, students who started a prescription stimulant in college were almost 4 times as likely (OR 3.7, 95% CI 1.9-7.1, p < 0.001) to report at least three positive indicators of drug abuse on the DAST-10 compared with the group that had no prescription stimulant use.Conclusions. In concordance with results of previous research, these results indicate that initiation of prescription stimulants during childhood is not associated with increased future use of alcohol and other drugs.