ArticleAddictive behaviors2019
Alcohol use and consequences in matriculating US college students by prescription stimulant/opioid nonmedical misuse status.
Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Approaches to preventing opioid-related harms in US higher education: A PRISMA-guided scoping review.Journal of American college health : J of ACH · 2026Article
- Understanding Illicit Prescription Painkiller Use: A Multivariable Exploration of Mental Health and Other Predictors Among Canadian University Students: Comprendre la consommation illicite d'analgésiques sur ordonnance : une analyse multivariée de la santé mentale et d'autres facteurs prédictifs chez les étudiants universitaires canadiens.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- Alcohol-induced blackouts among college student drinkers: A multilevel analysis.Addictive behaviors · 2023Article
- Predicting college student prescription stimulant misuse: An analysis from ecological momentary assessment.Experimental and clinical psychopharmacology · 2021Article
- Characterizing prescription stimulant nonmedical use (NMU) among adults recruited from Reddit.Addictive behaviors reports · 2021Article
- Co-ingestion of prescription drugs and alcohol in US adults aged 50 years or older.Human psychopharmacology · 2021Article
- Nonmedical Prescription Opioid Use among a Sample of College Students: Prevalence and Predictors.Pharmacy (Basel, Switzerland) · 2021Article
- Poly-prescription drug misuse across the life course: Prevalence and correlates across different adult age cohorts in the U.S.The International journal on drug policy · 2021Article
- Negative Consequences of Alcohol Use among People Living with HIV.Substance use & misuse · 2021Article
- Real-time associations between young adults' momentary pain and prescription opioid misuse intentions in daily life.The American psychologist · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundUS college students have elevated prescription opioid and stimulant misuse rates, with frequent alcohol use and alcohol-related consequences (ARCs). To date, though, no research has examined relationships between opioid and/or stimulant misuse and alcohol quantity/frequency or ARC variables in college students.
methodsThe 2016-17 AlcoholEDU for College™, a web-based alcohol prevention program, provided data (n = 491,849). Participants were grouped into past 14-day: (1) no misuse; (2) opioid misuse only; (3) stimulant misuse only; and (4) combined misuse. Using multilevel logistic regressions, groups were compared on 14-day alcohol use odds, and among those with use, odds of any ARCs and specific ARCs (e.g., hangover). Multilevel negative binomial regressions compared group members with alcohol use on 14-day total drinks, maximum 24-h drinks and drinking days.
resultsAlcohol use and any ARCs odds were highest in the stimulant (odds ratios [OR] = 3.47 and 2.97, respectively) or opioid misuse only groups (ORs = 3.31 and 2.43, respectively), with the combined misuse group intermediate (ORs = 1.63 and 1.29; reference: no misuse). Mean 14-day drinks decreased from those with combined misuse, to those with stimulant misuse only, opioid misuse only and no misuse (8.22, 7.1, 6.67, and 4.71, respectively).
conclusionsCollege students engaged in 14-day stimulant and/or opioid misuse had higher odds of 14-day alcohol use, higher levels of alcohol use, and a greater likelihood of ARCs, versus students without misuse. These findings suggest that college students with any prescription misuse need alcohol screening, although those with poly-prescription misuse may not need more intensive alcohol interventions.
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