Psychostimulant Misuse Among American Indian, Alaskan Native, or Native Hawaiian College Students in the U.S. From 2015 to 2019.
Psychostimulant Misuse Among American Indian, Alaskan Native, or Native Hawaiian College Students in the U.S. From 2015 to 2019.
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DOI：
10.1177/11782218231209667
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发表时间：
2023
影响因子：
2.1
通讯作者：
English, Kevin
中科院分区：
文献类型：
--
作者：
Qeadan, Fares;Ross, Sydney;Barbeau, William A.;Madden, Erin F.;Venner, Kamilla L.;English, Kevin
关键词：
本研究探讨了与精神兴奋剂滥用相关的因素，包括多种物质的使用和社会因素，在未充分研究的美国印第安人/阿拉斯加原住民/夏威夷原住民（AI/AN/NH）大学生人群中。数据来自2015年至2019年美国大学健康协会-全国大学健康评估IIc（ACHA-NCHA IIc）调查。多变量logistic回归模型和比值比被用来估计AI/AN/NH大学生中精神兴奋剂滥用与潜在风险和保护因素之间的关联，包括合法和非法药物使用，社会支持，关系因素，暴露于暴力或滥用，心理健康症状，药物和酒精教育以及样本人口统计学。AI/AN/NH大学生中阿片类药物滥用显著增加了使用精神兴奋剂的几率。具体而言，对于可卡因使用，调整后的比值比（aOR）为3.17，95%置信区间（C.I.）的2.17至4.63;甲基苯丙胺的使用，aOR为38.87（95% C.I. 19.24-78.52）。对于非烟草使用者中的安非他明滥用，aOR为5.47（95% C.I. 3.49-8.55），而在烟草使用者中，aOR为2.65（95% C.I. 2.07-3.41）。对于可卡因和其他兴奋剂滥用，aOR为3.64（95% C.I. 2.30-5.67）。此外，使用其他类型的合法和非法药物与使用和滥用精神兴奋剂的可能性更大有关。相反，年龄、居住在校园和居住在父母/监护人的住房等因素与精神兴奋剂使用和滥用的可能性较低有关。针对AI/AN/NH大学生的物质使用预防和治疗干预措施应解决多种物质的使用，包括阿片类药物和精神兴奋剂的联合使用。物质使用干预措施不应孤立地集中在单一物质上，而应利用潜在的保护因素来防止物质使用，例如促进支持性校园和家庭生活条件以及其他社会支持网络，以广泛努力减少AI/AN/NH学生中多种形式的物质使用。
This study examines factors associated with psychostimulant misuse, including polysubstance use and social factors, among the understudied American Indian/Alaska Native/Native Hawaiian (AI/AN/NH) college student population. Data were from the 2015 to 2019 American College Health Association-National College Health Assessment IIc (ACHA-NCHA IIc) survey. Multivariable logistic regression models and odds ratios were used to estimate associations between psychostimulant misuse and potential risk and protective factors among AI/AN/NH college students, including licit and illicit substance use, social support, relationship factors, exposure to violence or abuse, mental health symptoms, drug and alcohol education, and sample demographics. Opioid misuse among AI/AN/NH college students significantly increased the odds of using psychostimulants. Specifically, for cocaine use, the adjusted odds ratio (aOR) was 3.17 with a 95% confidence interval (C.I.) of 2.17 to 4.63; for methamphetamine use, the aOR was 38.87 (95% C.I. 19.24-78.52). For amphetamine misuse among non-Tobacco users, the aOR was 5.47 (95% C.I. 3.49-8.55), while among Tobacco users, the aOR was 2.65 (95% C.I. 2.07-3.41). For cocaine and other stimulant misuse, the aOR was 3.64 (95% C.I. 2.30-5.67). Additionally, the use of other types of licit and illicit substances was associated with greater odds of psychostimulant use and misuse. Conversely, factors such as age, living on campus, and residing in parental/guardian housing were linked with lower odds of psychostimulant use and misuse. Substance use prevention and treatment interventions targeting AI/AN/NH college students should address polysubstance use, including the combined use of opioids and psychostimulants. Substance use interventions should not be siloed to focus narrowly on single substances but rather should leverage potential protective factors against substance use, such as promoting supportive campus and family living conditions and other social support networks, in broad efforts to reduce multiple forms of substance use among AI/AN/NH students.
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