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An Exploratory Multilevel Analysis of Non-Prescription Stimulant Use in a Sample of College Students

ScholarsArchive at Oregon State University

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Title An Exploratory Multilevel Analysis of Non-Prescription Stimulant Use in a Sample of College Students
Names Bavarian, Niloofar (creator)
Flay, Brian R. (creator)
Smit, Ellen (creator)
Date Issued 2014-04 (iso8601)
Note This is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by the authors and published by Sage Publications in association with Florida State University, The College of Criminology & Criminal Justice. It can be found at: http://jod.sagepub.com/.
Abstract Non-prescription stimulant use is a high-risk behavior prevalent in the college population. To date, research on this substance use behavior lacks a comprehensive theoretical lens, as well as geographical diversity. Guided by the Theory of Triadic Influence (TTI), multilevel (i.e. students within schools) modeling was used to analyze survey data from the Spring 2009 American College Health Association-National College Health Assessment II (ACHA-NCHA II). We hypothesized that the behavior would be associated with ultimate underlying causes, distal predisposing influences, proximal immediate predictors, and immediate precursors found in the TTI’s three streams of influence (i.e., intrapersonal, social situation/context, and sociocultural environment). In our sample (N = 10,220 students; 18 schools), the mean prevalence of past-year use of prescription stimulants without a prescription was 10.70% (range: 0.33%-20.04%). Our hypothesis regarding the multifaceted nature of the predictors of the behavior was supported. Implications for prevention efforts, limitations, and future research directions are discussed.
Genre Article
Topic Non-Prescription Stimulant Use
Identifier Bavarian, N., Flay, B. R., & Smit, E. (2014). An exploratory multilevel analysis of nonprescription stimulant use in a sample of college students. Journal of Drug Issues, 44(2), 132-149. doi:10.1177/0022042613491109

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