To examine prescription stimulant use among college students, particularly use with versus without prescriptions or attention deficit hyperactive disorder (attention-deficit/hyperactivitydisorder (ADHD)) diagnoses. Data were drawn from a diverse sample of college students from seven colleges/universities in Georgia participating. Measures assessed ADHD-specific factors, prescription stimulant use, access, motives, side effects, and covariates. Of the 219 students reporting prescription stimulant use (average age 20.72 years, 54.8% female, 82.1% White), 45.7% did not have prescriptions or ADHD diagnoses. Correlates of use without prescriptions/diagnoses included lower parental education, attending private school, not having depression- or anxiety-related diagnoses, and past 30-day marijuana and tobacco use. Those without prescriptions/diagnoses were more likely to use to stay awake longer, to have more enjoyable time, and to party longer; they also reported fewer adverse side effects. Campuses should educate students about ADHD, facilitate screening and treatment, and emphasize adverse consequences of recreational use.
Prescription stimulant use among young adult college students: Who uses, why, and what are the consequences?

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