ArticleAddictive behaviors reports2025
Exploring the interplay of substance use, mental health, and help-seeking behavior in college student populations.
Article in Addictive behaviors reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Substance use recovery among college students in the US: data from the Healthy Minds Study 2021-2024.Journal of American college health : J of ACH · 2026Article
- COVID-19-related role disruption and alcohol use disorder risk among adults in South Korea.Scientific reports · 2026Article
- Understanding alcohol use disorder and help-seeking in a Hispanic faith-based community.Addictive behaviors reports · 2026Article
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Authors and funding
2 authors.
Funding
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Abstract
Background: This study examines the intricate relationship between substance use, mental health, and help-seeking behavior, past and future, among United States (U.S.) college students Methods: Data consisting of n = 238,118 students' responses to the National College Health Assessment from fall 2019 through fall 2022 were employed. Unadjusted and adjusted incidence rate ratios representing the relationship between substance classifications and the number of mental health diagnoses were calculated. Unadjusted and adjusted odds ratios for willingness to seek mental health support, past and future, by substance class were also evaluated. Finally, we assessed unadjusted and adjusted odds of having sought and being willing to seek mental health support by substance risk score among students with varying counts of mental health diagnoses. Results: About 12.66 % (n = 30,001) of students reported three or more mental health diagnoses, 54.01 % (n = 128,286) reported past mental health help utilization, while 82.00 % (n = 193,744) reported that they would seek help from a mental health provider in the future if needed. We found a pronounced correlation between the severity of substance use and the prevalence of mental health diagnoses. Notably, intense use of substances such as prescription opioids, heroin, and cocaine correlates with decreased past mental health support utilization. In contrast, substances more socially accepted, like tobacco, alcohol, and cannabis, are associated with increased help-seeking behavior. The research highlights a significant discrepancy between students' stated willingness to seek future help and actual past help utilization. Conclusion: Interventions should particularly address students dealing with the dual challenges of substance use and mental health issues.
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