Volume 10 Supplement 2

INEBRIA 12th Congress,

Open Access

Screening and brief counseling among young adults: comparison of college students, community college students, and persons not in school

  • Ralph Hingson1Email author,
  • Wenxing Zha1,
  • Aaron White1 and
  • Bruce Simons-Morton2
Addiction Science & Clinical Practice201510(Suppl 2):P7

DOI: 10.1186/1940-0640-10-S2-P7

Published: 24 September 2015

Background

The objectives are to explore proportions of 4-year and community college freshmen and same-age, non-college peers who 1) saw a physician in the past year; 2) were asked and advised about substance use and other behavioral health risks; and 3) were asked to reduce or stop substance use and change other risky behaviors.

Material and methods

A national probability sample of 10th graders interviewed in 2009 (N= 2,519) was re-interviewed [N=2,140 (84%)] the first year after high school. Questions addressed physician contact and whether physicians asked and counseled subjects about substance use and other behavioral health risks. Chi square tests assessed significance of response variation between groups.

Results

Of respondents, 42% were enrolled in 4-year, 25% in community colleges, and 33% were not enrolled. Students in 4-year and community colleges were more likely than others to have seen a physician in the past year (75%, 73%, 65%). Of those seeing a physician, similar proportions (75%-82%) in each group were asked about their drinking, smoking, and drug use. Students in 4-year and community colleges were less likely to be advised about health risks linked to drinking (45%, 46%, vs. 53%), smoking (45%, 47%, vs. 57%), and using drugs (44%, 46%, vs. 53%). Of 4-year and community college students and those not enrolled, 15%, 19%, and 28%, respectively, were advised to reduce or stop drinking; 14%, 20%, and 30% smoking; and 14%, 20%, and 26% drug use. Higher percentages were encouraged to exercise, improve their diet, and avoid pregnancy and sexually transmitted diseases.

Conclusions

More physicians should ask and advise emerging adults about substance use risks and to reduce or stop substance use. Advice to reduce or stop drinking is particularly needed, as alcohol is the most used substance in that group and often used in hazardous ways, especially by college students.

Declarations

Acknowledgements

This research was supported by the Intramural Research Program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and the National Heart, Lung and Blood Institute (NHLBI), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA), with supplemental support from the National Institute on Drug Abuse (NIDA). Contract # HHSN267200800009C.

Authors’ Affiliations

(1)
Division of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism
(2)
Division of Intramural Population Health Research, National Institute of Child Health & Human Development

References

  1. U.S. Department of Health and Human Services: The Surgeon General's Call to Action to Prevent and Reduce Underage Drinking. 2007, Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon GeneralGoogle Scholar
  2. Moyer VA, Preventive Services Task Force: Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. preventive services task force recommendation statement. Ann Intern Med. 2013, 159 (3): 210-8.PubMedGoogle Scholar
  3. Scott-Sheldon LA, Carey KB, Elliott JC, Garey L, Carey MP: Efficacy of alcohol interventions for first-year college students: a meta-analytic review of randomized controlled trials. J Consult Clin Psychol. 2014, 82 (2): 177-88.PubMed CentralView ArticlePubMedGoogle Scholar
  4. Tanner-Smith EE, Lipsey MW: Brief alcohol interventions for adolescents and young adults: a systematic review and meta-analysis. J Subst Abuse Treat. 2015, 51: 1-18.View ArticlePubMedGoogle Scholar
  5. Hingson RW, Zha W, Iannotti RJ, Simons-Morton B: Physician advice to adolescents about drinking and other health behaviors. Pediatrics. 2013, 131 (2): 249-57. 10.1542/peds.2012-1496.PubMed CentralView ArticlePubMedGoogle Scholar
  6. Hingson R, Zha W: Magnitude of and trends in alcohol-related mortality and morbidity among U.S. College Students Ages 18-24, 1998-2005. J Stud Alcohol Drugs. 2009, 12-20. Suppl. 16Google Scholar

Copyright

© Hingson et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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