Mental health service use in a national sample of college students with co-occurring depression or anxiety and substance use.
Mental health service use in a national sample of college students with co-occurring depression or anxiety and substance use.
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DOI：
10.1016/j.dadr.2022.100025
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发表时间：
2022-03
期刊：
影响因子：
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通讯作者：
Reif, Sharon
中科院分区：
文献类型：
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作者：
Auty, Samantha G;Lipson, Sarah K;Stein, Michael D;Reif, Sharon
84%的焦虑或抑郁学生认为需要心理健康服务，但只有37.8%的学生获得过心理健康服务。使用某些药物（即兴奋剂、阿片类药物等）的学生使用急诊和医院服务的次数是其他学生的三倍多。大学应该扩大对同时患有精神疾病和物质使用的学生的服务。校园卫生系统可以为同时发生物质使用和精神疾病的学生提供及时和可访问的资源，但对学生使用这些系统的程度知之甚少。本研究探讨了精神卫生服务的利用与焦虑或抑郁症状的学生，分层物质使用。这项横断面研究使用的数据来自2017-2020年健康思想研究。心理健康服务的使用在临床上显着的焦虑或抑郁的学生（N = 65，969）中进行了检查，按物质使用类型（不使用，酒精或烟草使用，大麻使用，其他药物使用）分层。我们进行了一系列加权logistic回归，以评估调整后的关联物质使用类型与过去一年使用的校园，校外门诊，急诊室和医院的精神卫生服务。在学生中，39.3%的人报告只使用酒精或烟草，22.9%的人报告使用大麻，5.9%的人报告使用其他药物。酒精或烟草的使用与精神卫生服务利用无关，而使用大麻的学生面临校园（OR 1.10，95%CI 1.01，1.20）和校外门诊精神卫生服务利用（OR 1.27，95%CI 1.17，1.37）的几率增加。其他药物使用与校外门诊（OR 1.28，95% CI 1.14，1.48）、急诊（OR 2.13，95% CI 1.50，3.03）和医院服务利用（OR 1.52，95% CI 1.13，2.04）的几率增加相关。大学应考虑筛查物质使用和常见精神疾病，以支持高危学生的健康。
84% of students with anxiety or depression perceived need for mental health services but only 37.8% accessed any mental health services. Students who use certain drugs (i.e. stimulants, opioids, etc.) used emergency and hospital services more than three times as often as other students. Universities should scale-up services for students with co-occurring mental illness and substance use. Campus health systems can provide timely and accessible resources for students with co-occurring substance use and mental illness, but little is known about the degree to which students use these systems. This study examined mental health service utilization among students with symptoms of anxiety or depression, stratified by substance use. This cross-sectional study used data came from the 2017–2020 Healthy Minds Study. Mental health service use was examined among students with clinically significant anxiety or depression (N = 65,969), stratified by substance use type (no use, alcohol or tobacco use, marijuana use, other drug use). We performed a series of weighted logistic regressions to assess the adjusted association of substance use type with past year use of campus, off-campus outpatient, emergency department, and hospital mental health services. Among students, 39.3% reported exclusive use of alcohol or tobacco, 22.9% reported use of marijuana, and 5.9% reported use of other drugs. Use of alcohol or tobacco was not associated with mental health service utilization, while students who use marijuana faced increased odds of campus (OR 1.10, 95% CI 1.01, 1.20) and off-campus outpatient mental health service utilization (OR 1.27, 95% CI 1.17, 1.37). Other drug use was associated with increased odds of off-campus outpatient (OR 1.28, 95% CI 1.14, 1.48), emergency department (OR 2.13, 95% CI 1.50, 3.03) and hospital service utilization (OR 1.52, 95% CI 1.13, 2.04). Universities should consider screening for substance use and common mental illnesses to support the health of high-risk students.