Department of Psychology, Southern Methodist University, PO BOX 750442, Dallas, TX 75275, United States.
Department of Human Development and Family Studies, University of Wisconsin-Madison, 1300 Linden Drive, Madison, WI 53706, United States.
Drug Alcohol Depend. 2021 Oct 1;227:108969. doi: 10.1016/j.drugalcdep.2021.108969. Epub 2021 Aug 28.
This study examined social and situational context predictors of prescription drug misuse among college-students at a large public university in the Midwest. Social and situational context predictors considered were hour of the day, weekend vs weekday, whether participants were at home or another place, and who they were with during instances of misuse. Salient social events, including home football games, city-regulated parties, and the 2019 Midwest polar vortex were also recorded.
Using ecological momentary assessment methodology, 297 students completed momentary reports for 28 days. Participants indicated whether they had misused prescription medication (sedatives or sleeping pills, tranquilizers or anxiety medications, stimulants, and pain relievers) and reported on their social and situational context in the moment of misuse.
Multilevel modeling indicated that participants were more likely to misuse prescription medication earlier in the day vs. the evening, on weekdays vs. weekends, when at home vs. not at home, and while alone vs. with others.
This study provides descriptive information on the social context in which prescription drug misuse is most likely to occur among college students. Our findings suggest that social and situational contexts of prescription drug misuse likely differ as compared to other substances (e.g., alcohol) among college students. Further research aimed at identifying momentary predictors of prescription drug misuse in this population is warranted.
本研究考察了中西部一所大型公立大学的大学生中处方药物滥用的社会和情境背景预测因素。考虑的社会和情境背景预测因素包括一天中的时间、周末与工作日、参与者是在家还是在其他地方，以及他们在滥用药物时与谁在一起。还记录了显著的社会事件，包括主场足球比赛、城市监管派对和 2019 年中西部极地涡旋。
使用生态瞬时评估方法，297 名学生完成了 28 天的瞬时报告。参与者表示他们是否滥用了处方药物（镇静剂或安眠药、安定或焦虑药物、兴奋剂和止痛药），并在滥用药物的时刻报告了他们的社会和情境背景。
多层次模型表明，与晚上相比，参与者更有可能在白天早些时候、在工作日而不是周末、在家中而不是不在家、独自一人而不是与他人在一起时滥用处方药物。
本研究提供了有关大学生中最有可能发生处方药物滥用的社会背景的描述性信息。我们的研究结果表明，与大学生中的其他物质（如酒精）相比，处方药物滥用的社会和情境背景可能不同。进一步研究旨在确定该人群中处方药物滥用的瞬时预测因素是必要的。
