Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA.
J Am Coll Health. 2024 Aug-Sep;72(6):1911-1924. doi: 10.1080/07448481.2022.2098030. Epub 2022 Jul 14.
: This study examined joint trends over time in associations between substance use (heavy drinking, cannabis, and cigarette smoking) and mental health concerns (depression, anxiety, and suicidal ideation) among US post-secondary students. Data came from 323,896 students participating in the Healthy Minds Study from 2009 to 2019, a national cross-sectional survey of US post-secondary students. Weighted two-level logistic regression models with a time by substance interaction term were used to predict mental health status. Use of each substance was associated with a greater odds of students endorsing depression, anxiety, and suicidal ideation. Over time, the association with mental health concerns strengthened substantially for cannabis, modestly for heavy drinking, and remained stable for smoking. Given co-occurrence is common and increasing among post-secondary students, college and university health systems should prioritize early identification, psychoeducation, harm-reduction, and brief interventions to support students at risk.
本研究考察了美国高等教育学生中物质使用（酗酒、大麻和吸烟）与心理健康问题（抑郁、焦虑和自杀意念）之间关联的随时间变化的共同趋势。数据来自于 2009 年至 2019 年参与“健康思维研究”的 323896 名学生，这是一项对美国高等教育学生的全国性横断面调查。使用带有时间与物质相互作用项的加权两水平逻辑回归模型来预测心理健康状况。每种物质的使用都与学生更有可能出现抑郁、焦虑和自杀意念的几率有关。随着时间的推移，大麻与心理健康问题的关联显著增强，酗酒略有增强，而吸烟则保持稳定。鉴于共病在高等教育学生中普遍存在且呈上升趋势，学院和大学健康系统应优先重视早期识别、心理教育、减少伤害和简短干预，以支持有风险的学生。
