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Stimulant Use Among Undergraduate Nursing Students
Zachary A Kirkpatrick1, Carol J Boyd
1Zachary A. Kirkpatrick, BSN, RN, University of Michigan School of Nursing, Ann Arbor. Carol J. Boyd, PhD, FAAN, Department of Psychiatry, University of Michigan, Ann Arbor.
Prescription stimulant misuse is a risk for college students. This study found 10.4% of nursing students misused stimulants, with over half screening positive for substance use behaviors.
Area of Science:
- Pharmacology
- Nursing
- Public Health
Background:
- Prescription drug misuse (PDM) of stimulants for attention deficit hyperactivity disorder (ADHD) has increased over the past decade.
- College students are identified as a high-risk population for stimulant PDM.
- Limited research exists on PDM specifically within undergraduate nursing student populations.
Purpose of the Study:
- To investigate the medical use, medical misuse, nonmedical use, and diversion of ADHD stimulant medications among undergraduate nursing students.
- To compare CRAFFT (a screening tool for substance use) scores across these different groups of stimulant users.
Main Methods:
- A descriptive, cross-sectional study design was employed.
- A convenience sample of 249 undergraduate nursing students from a large midwestern university participated.
- A 28-item, web-based survey was administered via email in Winter 2017.
Main Results:
- 10.4% of respondents reported nonmedical use of prescription stimulants within the past 12 months.
- Over half (51.5%) of respondents screened positive on the CRAFFT, indicating potential alcohol and drug misuse.
- A significant association was found between medical misuse/nonmedical use and positive CRAFFT scores.
Conclusions:
- The high prevalence of positive CRAFFT scores among nursing students is concerning.
- There is an urgent need for nursing faculty to assess and address substance use issues within their student population.
- This study highlights a critical gap in understanding stimulant PDM in nursing students.
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