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Computer Self-Administered Screening for Substance Use in University Student Health Centers

Title: Computer Self-Administered Screening for Substance Use in University Student Health Centers
Language: English
Authors: McNeely, Jennifer (ORCID 0000-0003-4601-6940); Haley, Sean J.; Smith, Allison J. (ORCID 0000-0002-8378-8993); Leonard, Noelle R.; Cleland, Charles M.; Ferdschneider, Marcy (ORCID 0000-0001-7489-739X); Calderoni, Michele; Sleiter, Luke; Ciotoli, Carlo (ORCID 0000-0001-6333-4671); Adam, Angéline
Source: Journal of American College Health. 2019 67(6):541-550.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 10
Publication Date: 2019
Document Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Descriptors: School Health Services; Screening Tests; Substance Abuse; Drinking; Drug Use; Smoking; Computer Assisted Testing; Incidence; Risk; Undergraduate Students; Graduate Students
Geographic Terms: New York (New York)
DOI: 10.1080/07448481.2018.1498852
ISSN: 0744-8481
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.
Abstractor: As Provided
Entry Date: 2019
Accession Number: EJ1223686
Database: ERIC