Non-Medical Prescription and Other Drug Use, Mental Health, and Religion: A College Student Study

Authors

  • Sarah P. Wuebbolt
  • Ashlee N. Sawyer-Mays, PhD

DOI:

https://doi.org/10.47611/jsrhs.v13i4.7638

Keywords:

non-medical prescription drug use, cannabis, hallucinogens, mental health, well-being, religious practices, university students, opioids, stimulants, sedatives

Abstract

Non-medical prescription drug (NMPD) use is a significant public health issue, with increasing use among university students. Previous literature has focused on mental health and NMPD use; however, few studies have assessed the roles of well-being and world beliefs, and few have included drugs outside of stimulants, sedatives, and opioids. This study examines the relationships between NMPD, cannabis, and hallucinogen (NMPDCH) use and mental health, well-being, and world beliefs among young adults (N=513). Participants completed online questionnaires assessing demographics, depression, coping, religiosity, and NMPDCH use. Many reported using cannabis (48.5%), while less reported using stimulants (26.7%), sedatives (17.3%), opioids (10.8%), and hallucinogens (14.4%). Five logistic regressions assessed the relationships between mental health, well-being, religious practices and NMPDCH use. Demographic factors were controlled in analyses. 

Higher depression levels were associated with increased NMPD and cannabis use. Higher spirituality was associated with increased nonmedical stimulant, cannabis, and hallucinogen use, while increased religiosity was associated with reduced use for all substances except opioids. Attendance of worship services was associated with decreased cannabis and hallucinogen use. 

This study is one of the first to document the association between NMPDCH use and mental health, well-being, and religious practices among young adults. Results suggest that depression and spirituality were differentially predictive of NMPDCH use, while religiosity and attendance of worship services were protective factors against NMPDCH use (except opioids). This study supports future substance use prevention efforts focusing on mental health treatment and the role of religion and community in preventing substance use among young adults.

Downloads

Download data is not yet available.

References or Bibliography

Appleby, C. (2022, December 12). Student drug use and misuse in college. Best Colleges. Retrieved from:

https://www.bestcolleges.com/research/student-drug-use-and-misuse-in-college/

Backus Dagirmanjian, F. R., McDaniel, A. E., Shadick, R. (2017). Sexual orientation and college students’ reasons

for nonmedical use of prescription drugs. Substance use & Misuse, 52(4), 1–8.

https://doi.org/10.1080/10826084.2016.1268631

Baker, S. (2022, November 5). Are you using alcohol and drugs as a coping mechanism? English Mountain

Recovery.https://englishmountain.com/blog/alcohol-and-drugs-as-a-coping-mechanism/#:~:text=You%20could%20

be%20dealing%20with

Brainly. (2023, October 25). Analyse how following religious teachings could help the youth avoid trying drugs.

https://brainly.com/question/40698767

Butler, S., Faraone, S., Rostain, A., Newcorn, J., Antshel, K., Robbins, R., & Green, J. (2021). Non-medical use of

prescription stimulants among college students: non-oral routes of administration, Risk Factors, Motivations, and

Pathways. Frontiers in Psychiatry, 12. Frontiers. https://doi.org/10.3389/fpsyt.2021.667118

Carra, G., Bartoli, F., Galanter, M., & Crocamo, C. (2018). Untreated depression and non-medical use of

prescription pain relievers: findings from the National Survey on Drug Use and Health 2008-2014. Postgraduate

Medicine, 131(1). https://doi.org/10.1080/00325481.2019.1546533

Chesney MA, Neilands TB, Chambers DB, Taylor JM, Folkman S. A validity and reliability study of the coping self-efficacy scale. Br J Health Psychol 2006 Sep; 11(3): 421-37. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1602207.

Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2016). Relationship between marijuana and other illicit

drug use and depression/suicidal thoughts among late middle-aged and older adults. International Psychogeriatrics,

(4), 577-589. https://doi.org/10.1017/S1041610215001738

Department of Justice Government of Canada. (2021, December 14). An overview of non-medical use of

prescription drugs and criminal justice issues in Canada.

https://www.justice.gc.ca/eng/rp-pr/cj-jp/victim/rr13_16/p1.html

Ehntholt, A., Pabayo, R., Berkman, L., & Kawachi, I. (2021). Race, adolescent socioeconomic status, and lifetime

non-medical use of prescription painkillers: evidence from the national longitudinal study of adolescent to adult

health. International Journal of Environmental Research and Public Health, 18(23). 12289.

https://doi.org/10.3390/ijerph182312289

Grim, B. J., & Grim, M. E. (2019). Belief, behavior, and belonging: how faith is indispensable in preventing and

recovering from substance abuse. Journal of Religion and Health, 58(5), 1713–1750.

https://doi.org/10.1007/s10943-019-00876-w

Kroenke, K. Spitzer, R.L. & Williams, J.B.W. (2001). Validity of a brief depression severity measure. Journal of

General Internal Medicine, 16, 606-613.

Lee, Y.-H., Woods, C., Shelley, M., Arndt, S., Liu, C.-T., & Chang, Y.-C. (2023). Racial and ethnic disparities and

prevalence in prescription drug misuse, illicit drug use, and combination of both behaviors in the United States.

National Library of Medicine. https://doi.org/10.1007/s11469-023-01084-0

National Institute on Drug Abuse (NIDA). (2012). NIDA Quick Screen.

https://nida.nih.gov/sites/default/files/pdf/nmassist.pdf

National Institute on Drug Abuse. (2022, January 20). Overdose death rates.

https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates#:~:text=Drug%20overdose%20deaths%20

involving%20prescription

Philbin, M., Greene, E., Martins, S., LaBossier, N., & Mauro, P. (2020). Medical, nonmedical, and illegal stimulant

use by sexual identity and gender. American Journal of Preventive Medicine, 59(5), P686-696.

https://doi.org/10.1016/j.amepre.2020.05.025

Sinha, R. (2008). Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of

Sciences, 1141(1), 105–130. https://doi.org/10.1196/annals.1441.030

Snipes, D. J., Jeffers, A. J., Benotsch, E. G., McCauley, J., Bannerman, D., Granger, C., & Martin, A. M. (2015).

Religiosity in the non-medical use of prescription medication in college students. American Journal of Drug and

Alcohol Abuse, 41(1), 93-99. https://doi.org/10.3109/00952990.2014.939755.

Tam, C. C., Benotsch, E. G., & Li, X. (2020). Self-esteem and non-medical use of prescription drugs among college

students: coping as a mediator. Substance Use & Misuse, 1–11. https://doi.org/10.1080/10826084.2020.1735441

Tapscott, B. E. & Schepis, T. S. (2013). Nonmedical use of prescription medications in young adults. Adolescent

Medicine: State of the Art Reviews, 24(3), 597-610.

Underwood, L. G., & Teresi, J. A. (2002). The Daily Spiritual Experience Scale: Development, theoretical

description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data.

Annals of Behavioral Medicine, 24(1), 22–33. https://doi.org/10.1207/S15324796ABM2401_04

United Nations. (2011, September). The non-medical use of prescription drugs: policy direction issues. United

Nations Office on Drugs and Crime, Vienna, Austria. 1–96.

https://www.unodc.org/documents/drug-prevention-and-treatment/nonmedical-use-prescription-drugs.pdf

Volkow, N. (2011, October). What is prescription drug abuse? Research Report Series, National Institute on Drug

Abuse, National Institutes of Health. https://nida.nih.gov/sites/default/files/rxreportfinalprint.pdf

Webb, J. R., Toussaint, L., Dula, C. S. (2013). Ritualistic, Theistic, and Existential Spirituality: Initial Psychometric

Qualities of the RiTE Measure of Spirituality. Journal of Religion and Health, 53, 972-985.

https://doi.org/10.1007/s10943-013-9697-y

Wolff, W., & Boama, S. A. (2018, September 6). Religious faith, academic stress, and instrumental drug use in a

sample of Western-African University students. Sciencedirect.com; Science Direct.

https://doi.org/10.1016/j.peh.2018.07.001

Worthington, E., Wade, N., Hight, T., Ripley, J., McCullough, M., Berry, J., Bursley, K., & O'Connor, L. (2003). The Religious Commitment Inventory10: Development, refinement, and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50 (1), 84-96.

Published

11-30-2024

How to Cite

Wuebbolt, S., & Sawyer-Mays, A. (2024). Non-Medical Prescription and Other Drug Use, Mental Health, and Religion: A College Student Study. Journal of Student Research, 13(4). https://doi.org/10.47611/jsrhs.v13i4.7638

Issue

Section

HS Research Articles