TY - JOUR
T1 - Computer self-administered screening for substance use in university student health centers
AU - McNeely, Jennifer
AU - Haley, Sean J.
AU - Smith, Allison J.
AU - Leonard, Noelle R.
AU - Cleland, Charles M.
AU - Ferdschneider, Marcy
AU - Calderoni, Michele
AU - Sleiter, Luke
AU - Ciotoli, Carlo
AU - Adam, Angéline
N1 - Publisher Copyright:
© 2018, © 2018 Taylor & Francis Group, LLC.
PY - 2019/8/18
Y1 - 2019/8/18
N2 - Objective: To characterize the prevalence of tobacco, alcohol, and drug use and the acceptability of screening in university health centers. Participants: Five hundred and two consecutively recruited students presenting for primary care visits in February and August, 2015, in two health centers. Methods: Participants completed anonymous substance use questionnaires in the waiting area, and had the option of sharing results with their medical provider. We examined screening rates, prevalence, and predictors of sharing results. Results: Past-year use was 31.5% for tobacco, 67.1% for alcohol (>4 drinks/day), 38.6% for illicit drugs, and 9.2% for prescription drugs (nonmedical use). A minority (43.8%) shared screening results. Sharing was lowest among those with moderate-high risk use of tobacco (OR =0.37, 95% CI 0.20–0.69), alcohol (OR =0.48, 95% CI 0.25–0.90), or illicit drugs (OR =0.38, 95% CI 0.20–0.73). Conclusions: Screening can be integrated into university health services, but students with active substance use may be uncomfortable discussing it with medical providers.
AB - Objective: To characterize the prevalence of tobacco, alcohol, and drug use and the acceptability of screening in university health centers. Participants: Five hundred and two consecutively recruited students presenting for primary care visits in February and August, 2015, in two health centers. Methods: Participants completed anonymous substance use questionnaires in the waiting area, and had the option of sharing results with their medical provider. We examined screening rates, prevalence, and predictors of sharing results. Results: Past-year use was 31.5% for tobacco, 67.1% for alcohol (>4 drinks/day), 38.6% for illicit drugs, and 9.2% for prescription drugs (nonmedical use). A minority (43.8%) shared screening results. Sharing was lowest among those with moderate-high risk use of tobacco (OR =0.37, 95% CI 0.20–0.69), alcohol (OR =0.48, 95% CI 0.25–0.90), or illicit drugs (OR =0.38, 95% CI 0.20–0.73). Conclusions: Screening can be integrated into university health services, but students with active substance use may be uncomfortable discussing it with medical providers.
KW - Alcohol
KW - alcohol use disorders
KW - drug use disorders
KW - illicit drugs
KW - screening
KW - student health services
KW - tobacco
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U2 - 10.1080/07448481.2018.1498852
DO - 10.1080/07448481.2018.1498852
M3 - Article
C2 - 30240331
AN - SCOPUS:85053791842
SN - 0744-8481
VL - 67
SP - 541
EP - 550
JO - Journal of American College Health
JF - Journal of American College Health
IS - 6
ER -