Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national survey
Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national survey
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DOI：
10.1111/j.1360-0443.2005.00944.x
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发表时间：
2005-01-01
期刊：
影响因子：
6
通讯作者：
Wechser, H
中科院分区：
文献类型：
--
作者：
McCabe, SE;Knight, JR;Wechser, H
目的研究非医疗使用处方兴奋剂的流行率和相关因素（利他林，设计一项自填式的邮件调查，设置119个具有全国代表性的4-研究对象：2001年随机抽取的10904名大学生为研究对象。非医疗处方兴奋剂使用的终身患病率为6.9%，过去一年的患病率为4.1%，过去一个月的患病率为2.1%。过去一年的非医疗使用率在个别大学从零到25%不等。多变量回归分析表明，非医疗使用是男性，白色，兄弟会和姐妹会的成员，并获得较低的平均成绩的大学生更高。位于美国东北部地区的大学和录取标准更具竞争力的大学的录取率更高。非医疗处方兴奋剂的用户更有可能报告使用酒精，香烟，大麻，摇头丸，可卡因和其他危险的behaviors.Conclusions本研究的结果提供证据表明，非医疗使用处方兴奋剂是美国大学生和类型的大学之间的特定亚组更普遍。处方兴奋剂的非医疗使用是一种高风险行为，应进一步监测，需要采取干预措施遏制这种形式的药物使用。
Aims To examine the prevalence rates and correlates of non-medical use of prescription stimulants (Ritalin, Dexedrine or Adderall) among US college students in terms of student and college characteristics.Design A self-administered mail survey.Setting One hundred and nineteen nationally representative 4-year colleges in the United States.Participants A representative sample of 10 904 randomly selected college students in 2001.Measurements Self-reports of non-medical use of prescription stimulants and other substance use behaviors.Findings The life-time prevalence of non-medical prescription stimulant use was 6.9%, past year prevalence was 4.1% and past month prevalence was 2.1%. Past year rates of non-medical use ranged from zero to 25% at individual colleges. Multivariate regression analyses indicated non-medical use was higher among college students who were male, white, members of fraternities and sororities and earned lower grade point averages. Rates were higher at colleges located in the north-eastern region of the US and colleges with more competitive admission standards. Non-medical prescription stimulant users were more likely to report use of alcohol, cigarettes, marijuana, ecstasy, cocaine and other risky behaviors.Conclusions The findings of the present study provide evidence that nonmedical use of prescription stimulants is more prevalent among particular subgroups of US college students and types of colleges. The non-medical use of prescription stimulants represents a high-risk behavior that should be monitored further and intervention efforts are needed to curb this form of drug use.