Auty Samantha G, Lipson Sarah K, Stein Michael D, Reif Sharon
Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.
Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, 415 South Street, Waltham, MA 02453, USA.
Drug Alcohol Depend Rep. 2022 Jan 11;2:100025. doi: 10.1016/j.dadr.2022.100025. eCollection 2022 Mar.
Campus health systems can provide timely and accessible resources for students with co-occurring substance use and mental illness, but little is known about the degree to which students use these systems. This study examined mental health service utilization among students with symptoms of anxiety or depression, stratified by substance use.
This cross-sectional study used data came from the 2017-2020 Healthy Minds Study. Mental health service use was examined among students with clinically significant anxiety or depression ( = 65,969), stratified by substance use type (no use, alcohol or tobacco use, marijuana use, other drug use). We performed a series of weighted logistic regressions to assess the adjusted association of substance use type with past year use of campus, off-campus outpatient, emergency department, and hospital mental health services.
Among students, 39.3% reported exclusive use of alcohol or tobacco, 22.9% reported use of marijuana, and 5.9% reported use of other drugs. Use of alcohol or tobacco was not associated with mental health service utilization, while students who use marijuana faced increased odds of campus (OR 1.10, 95% CI 1.01, 1.20) and off-campus outpatient mental health service utilization (OR 1.27, 95% CI 1.17, 1.37). Other drug use was associated with increased odds of off-campus outpatient (OR 1.28, 95% CI 1.14, 1.48), emergency department (OR 2.13, 95% CI 1.50, 3.03) and hospital service utilization (OR 1.52, 95% CI 1.13, 2.04).
Universities should consider screening for substance use and common mental illnesses to support the health of high-risk students.
校园健康系统可为同时患有物质使用障碍和精神疾病的学生提供及时且便捷的资源，但对于学生使用这些系统的程度了解甚少。本研究调查了有焦虑或抑郁症状的学生中按物质使用情况分层的心理健康服务利用情况。
这项横断面研究使用了来自2017 - 2020年健康心灵研究的数据。在有临床显著焦虑或抑郁症状的学生（n = 65,969）中调查心理健康服务的使用情况，按物质使用类型分层（未使用、使用酒精或烟草、使用大麻、使用其他药物）。我们进行了一系列加权逻辑回归，以评估物质使用类型与过去一年使用校园、校外门诊、急诊科和医院心理健康服务之间的校正关联。
在学生中，39.3%报告仅使用酒精或烟草，22.9%报告使用大麻，5.9%报告使用其他药物。使用酒精或烟草与心理健康服务利用无关，而使用大麻的学生使用校园心理健康服务（比值比1.10，95%置信区间1.01, 1.20）和校外门诊心理健康服务的几率增加（比值比1.27，95%置信区间1.17, 1.37）。使用其他药物与校外门诊（比值比1.28，95%置信区间1.14, 1.48）、急诊科（比值比2.13，95%置信区间1.50, 3.03）和医院服务利用几率增加有关（比值比1.52，95%置信区间1.13, 2.04）。
大学应考虑筛查物质使用和常见精神疾病，以支持高危学生的健康。
