title: Nonmedical use of prescription drugs and related negative sexual events: Prevalence estimates and correlates in college students.
abstract: The present study of college students investigated (a) the prevalence of nonmedical use of three classes of prescription drugs (stimulants, anxiolytics/sedatives, analgesics), (b) the prevalence of negative sexual events (NSE) associated with any nonmedical use of prescription drugs (NMUPD), and (c) a set of correlates of NSE. The specific NSE were sexual aggression victimization and perpetration, and regretted sex. The correlates of the NSE were sex, race/ethnicity, year in school, psychological symptoms, alcohol use, illegal drug use, and NMUPD. Participants were 509 (254 females, 255 males) randomly-selected college students who reported any NMUPD. The majority (76.2%) of the sample reported ever using stimulants, 38.9% reported ever using anxiolytics/sedatives, and 40.9% reported using analgesics. During NMUPD, 14.3% of the students reported regretted sex, 7.1% of female students reported sexual victimization, and 6.3% of male students reported perpetrating sexual aggression. Multiple logistic regression analyses indicated that anxiolytic/sedative use (Adj. OR=1.99; 95% CI=1.51-2.62) was positively associated with regretted sex, whereas anxiolytic/sedative use (Adj. OR=1.79; 95% CI=1.01-3.16) and psychological symptoms (Adj. OR=1.06; 95% CI=1.02-1.10) were positively associated with sexual victimization. Illegal drug use was positively associated with perpetrating sexual aggression (Adj. OR=4.10; 95% CI=1.21-13.86). These findings suggest that among these college students, NMUPD-associated NSE were not uncommon, and primarily associated with anxiolytic/sedative use. Given the academic, physical, and psychological implications associated with NSE, research needs to further explore the causal nature of these relations.
authors: Research Institute on Addictions, University at Buffalo, State University of New York, 1021 Main Street, Buffalo, NY 14203, USA. Electronic address: parks@ria.buffalo.edu.
authors: Kathleen A
authors: KA
authors: Parks
authors: Research Institute on Addictions, University at Buffalo, State University of New York, 1021 Main Street, Buffalo, NY 14203, USA.
authors: Michael R
authors: MR
authors: Frone
authors: Department of Psychology, University at Albany, State University of New York, 1400 Washington Avenue, Albany, NY 12222, USA.
authors: Mark
authors: M
authors: Muraven
authors: UM Addiction Research Center, School of Nursing and Women's Studies Department, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48108, USA.
authors: Carol
authors: C
authors: Boyd
mesh_terms: D000293:Adolescent; D000328:Adult; D014151:Anti-Anxiety Agents; D000697:Central Nervous System Stimulants; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D008297:Male; D009518:New York; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data*; D015995:Prevalence; D012742:Sex Offenses / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000187:drug effects / Q000706:statistics & numerical data; D013334:Students / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D014151:Anti-Anxiety Agents; D000697:Central Nervous System Stimulants; D006993:Hypnotics and Sedatives
keywords: College; Negative events; Nonmedical; Prescription drugs; Sexual