Computer self-administered screening for substance use in university student health centers

Jennifer McNeely, Sean J. Haley, Allison J. Smith, Noelle Leonard, Charles M. Cleland, Marcy Ferdschneider, Michele Calderoni, Luke Sleiter, Carlo Ciotoli, Angéline Adam

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalJournal of American College Health
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Alcohols
Street Drugs
Students
Tobacco
Health
Student Health Services
Drug Prescriptions
Prescription Drugs
Tobacco Use
Primary Health Care
Pharmaceutical Preparations
Surveys and Questionnaires

Keywords

  • Alcohol
  • alcohol use disorders
  • drug use disorders
  • illicit drugs
  • screening
  • student health services
  • tobacco

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Computer self-administered screening for substance use in university student health centers. / McNeely, Jennifer; Haley, Sean J.; Smith, Allison J.; Leonard, Noelle; Cleland, Charles M.; Ferdschneider, Marcy; Calderoni, Michele; Sleiter, Luke; Ciotoli, Carlo; Adam, Angéline.

In: Journal of American College Health, 01.01.2018.

Research output: Contribution to journalArticle

McNeely, J, Haley, SJ, Smith, AJ, Leonard, N, Cleland, CM, Ferdschneider, M, Calderoni, M, Sleiter, L, Ciotoli, C & Adam, A 2018, 'Computer self-administered screening for substance use in university student health centers', Journal of American College Health. https://doi.org/10.1080/07448481.2018.1498852
McNeely, Jennifer ; Haley, Sean J. ; Smith, Allison J. ; Leonard, Noelle ; Cleland, Charles M. ; Ferdschneider, Marcy ; Calderoni, Michele ; Sleiter, Luke ; Ciotoli, Carlo ; Adam, Angéline. / Computer self-administered screening for substance use in university student health centers. In: Journal of American College Health. 2018.
@article{5ed175374cf940dea515c294ce125927,
title = "Computer self-administered screening for substance use in university student health centers",
abstract = "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.",
keywords = "Alcohol, alcohol use disorders, drug use disorders, illicit drugs, screening, student health services, tobacco",
author = "Jennifer McNeely and Haley, {Sean J.} and Smith, {Allison J.} and Noelle Leonard and Cleland, {Charles M.} and Marcy Ferdschneider and Michele Calderoni and Luke Sleiter and Carlo Ciotoli and Ang{\'e}line Adam",
year = "2018",
month = "1",
day = "1",
doi = "10.1080/07448481.2018.1498852",
language = "English (US)",
journal = "Journal of American College Health",
issn = "0744-8481",
publisher = "Routledge",

}

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

AU - Cleland, Charles M.

AU - Ferdschneider, Marcy

AU - Calderoni, Michele

AU - Sleiter, Luke

AU - Ciotoli, Carlo

AU - Adam, Angéline

PY - 2018/1/1

Y1 - 2018/1/1

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

UR - http://www.scopus.com/inward/record.url?scp=85053791842&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053791842&partnerID=8YFLogxK

U2 - 10.1080/07448481.2018.1498852

DO - 10.1080/07448481.2018.1498852

M3 - Article

JO - Journal of American College Health

JF - Journal of American College Health

SN - 0744-8481

ER -