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Substance use behaviors among a nationally representative sample of college students with disabilities
Descriptive
TitleInfo
Title
Substance use behaviors among a nationally representative sample of college students with disabilities
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Myriam
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Myriam Casseus
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author
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West
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Bernadette
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Bernadette West
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Graduate Studies
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theses
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2019
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2019-01
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xx
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2019
Language
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eng
Abstract
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Background: A significant number of students enrolled in postsecondary institutions have a disability. Like many young adults, college students with disabilities have an elevated risk of substance use. However, research on substance use in this population is limited.
Objectives: This dissertation aims to: 1) Examine the prevalence of disability in U.S. college students by student characteristics, including disability status; 2) Present associations between disability status, sociodemographic characteristics, and substance use among college students; and 3) Explore the individual, interpersonal, institutional, and public policy factors affecting service utilization by college students with disabilities.
Methods: A mixed methods design was employed in this study. Data from the 2015 National Survey on Drug Use and Health (NSDUH) public use data file was analyzed. Purposeful sampling was employed for in-depth interviews with key informants at Rutgers University who provide services to students with disabilities.
Results: An estimated 2.6 million (12.6%) college students had a disability. The most common type of disability was cognitive impairment (7.3%). College students with any disability had higher odds of current tobacco use (AOR = 1.31; 95% CI 1.01-1.69) and reported more ever use, past year use, and current use of illicit drugs (p<.001) than their nondisabled peers. Personal barriers emerged as dominant themes for service utilization by students with disabilities.
Conclusions: This dissertation documents the high prevalence of substance use among college students with disabilities. It also highlights the many barriers to service utilization for this population. Understanding the risk factors for substance use and strategies for prevention and treatment are important to people with disabilities, disability service providers, and public health policymakers. Hence, there is a need for the development of health improvement plans for college students that integrate inclusive policy, systems, and environmental strategies.
Objectives: This dissertation aims to: 1) Examine the prevalence of disability in U.S. college students by student characteristics, including disability status; 2) Present associations between disability status, sociodemographic characteristics, and substance use among college students; and 3) Explore the individual, interpersonal, institutional, and public policy factors affecting service utilization by college students with disabilities.
Methods: A mixed methods design was employed in this study. Data from the 2015 National Survey on Drug Use and Health (NSDUH) public use data file was analyzed. Purposeful sampling was employed for in-depth interviews with key informants at Rutgers University who provide services to students with disabilities.
Results: An estimated 2.6 million (12.6%) college students had a disability. The most common type of disability was cognitive impairment (7.3%). College students with any disability had higher odds of current tobacco use (AOR = 1.31; 95% CI 1.01-1.69) and reported more ever use, past year use, and current use of illicit drugs (p<.001) than their nondisabled peers. Personal barriers emerged as dominant themes for service utilization by students with disabilities.
Conclusions: This dissertation documents the high prevalence of substance use among college students with disabilities. It also highlights the many barriers to service utilization for this population. Understanding the risk factors for substance use and strategies for prevention and treatment are important to people with disabilities, disability service providers, and public health policymakers. Hence, there is a need for the development of health improvement plans for college students that integrate inclusive policy, systems, and environmental strategies.
Subject
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Topic
Public Health
Subject
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Topic
College students with disabilities -- Drug use
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Rutgers University Electronic Theses and Dissertations
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ETD_9520
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electronic resource
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1 online resource (109 pages : illustrations)
Note
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Ph.D.
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Includes bibliographical references
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by Myriam Casseus
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School of Graduate Studies Electronic Theses and Dissertations
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rucore10001600001
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doi:10.7282/t3-cgb4-0c83
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ETD doctoral
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The author owns the copyright to this work.
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Casseus
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Myriam
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2019-01-09 23:28:39
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Myriam Casseus
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Rutgers University. School of Graduate Studies
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
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Copyright protected
Availability
Status
Open
Reason
Permission or license
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2019-01-20T21:08:08
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