College is a time when young people transition to adulthood, with many living independently and making behavioral health decisions without direct parental oversight. In 2014, there were an estimated 12.4 million college students aged 15 to 24 in the United States.1 As these youth enter adulthood, substance use appears common for many of them. More than one-third of full-time college students aged 18 to 22 engaged in binge drinking in the past month; about 1 in 5 used an illicit drug in the past month.2 Substance use constitutes one of the most serious public health issues for young people in the United States, creating negative health, social, and economic consequences for adolescents, their families, and communities, and for the nation as a whole.3,4
The Center for Behavioral Health Statistics and Quality (CBHSQ) within the Substance Abuse and Mental Health Services Administration (SAMHSA) collects, analyzes, and disseminates behavioral health data from sources such as the National Survey on Drug Use and Health (NSDUH), a national data collection that offers insight into substance use and treatment among the civilian, noninstitutionalized population aged 12 or older, including young adults in college.5 This issue of The CBHSQ Report uses NSDUH data to presents information about substance use among full-time and part-time college students aged 18 to 22.6
NSDUH respondents are asked about their past year and past month use of alcohol and illicit drugs, which includes nine categories: marijuana, cocaine (including crack), heroin, hallucinogens, and inhalants, as well as the nonmedical use of prescription-type pain relievers, tranquilizers, stimulants, and sedatives.7,8 Marijuana is categorized as an illicit drug because marijuana use remains illegal under federal law in all states (under the Controlled Substances Act: http://www.fda.gov/regulatoryinformation/legislation/ucm148726.htm), although the laws regarding marijuana use have changed in a number of states over the past decade.
All estimates in this report are annual averages based on combined 2011 to 2014 NSDUH data. Because NSDUH data were combined from multiple years, the estimates that are presented in this report represent annual averages. In the combined 2011 to 2014 NSDUH data, there were about 25,400 college students aged 18 to 22 who participated in the survey, of whom 21,000 were full-time students and 4,300 were part-time students.9 These sample sizes represent an annual average of 9.0 million full-time students and 2.0 million part-time students. This report presents the estimated number of first-time substance users on an average day by college enrollment status.10 Given that there are more full-time college students than part-time college students, the number of full-time college students engaging in substance use for the first time will be higher than the number of part-time college students engaging in substance use for the first time. This is because presenting the estimated number of users on an average day does not standardize the number of users across varying population sizes and, as a result, it is not useful to compare the number of users who are part-time to the number of users who are full-time. The scale used in the graphics differs for full-time and part-time college students, reflecting the difference in the overall population sizes for both groups.
Full-Time College Students
The combined 2011 to 2014 NSDUH data indicate there was an annual average of about 9.0 million full-time college students aged 18 to 22 in the United States. According to NSDUH data, 9.9 percent of full-time college students aged 18 to 22 drank alcohol for the first time in the past year. Of the 9.0 million full-time college students in the United States, 6.0 percent of used illicit drugs for the first time in the past year. On an average day10 during the past year, full-time college students used the following substances for the first time (Figure 1):
Figure 1. Number of full-time college students aged 18 to 22 who used alcohol or illicit drugs for the first time on an average day
Part-Time College Students
The combined 2011 to 2014 NSDUH data indicate there was an annual average of about 2.0 million part-time college students aged 18 to 22 in the United States. According to NSDUH data, 8.9 percent of part-time college students aged 18 to 22 drank alcohol for the first time in the past year. Of the roughly 2.0 million part-time college students in the United States, 3.8 percent used illicit drugs for the first time in the past year. On an average day10 during the past year, part-time college students used the following substances for the first time (Figure 2):
Figure 2. Number of part-time college students aged 18 to 22 who used alcohol or illicit drugs for the first time on an average day
Full-Time College Students
Nearly 5.4 million full-time college students (60.1 percent of this population) drank alcohol in the past month, with 3.5 million engaging in binge drinking and 1.2 million engaging in heavy alcohol use (39.0 and 13.2 percent, respectively). Nearly 2.0 million full-time college students (22.2 percent) used an illicit drug in the past month.
On an average day during the past year, full-time college students used the following substances (Figure 3):
Full-time college students who used alcohol in the past month drank an average of 4.1 drinks per day on the days on which they drank. Full-time college students who used alcohol in the past month drank on an average of 6.4 days per month.
Figure 3. Number of full-time college students aged 18 to 22 who used alcohol or illicit drugs on an average day
Part-Time College Students
For part-time college students, 1.1 million (56.4 percent of this population) drank alcohol in the past month, with 707,000 engaging in binge drinking and 207,000 engaging in heavy alcohol use (35.5 and 10.4 percent, respectively). Nearly 448,000 part-time college students (22.5 percent) used an illicit drug in the past month.
On an average day during the past year, part-time college students used the following substances (Figure 4):
Part-time college students who used alcohol in the past month drank an average of 3.8 drinks per day on the days on which they drank. Part-time college students who used alcohol in the past month drank on an average of 6.4 days per month.
Figure 4. Number of part-time college students aged 18 to 22 who used alcohol or illicit drugs on an average day
College is often the time when young people begin to engage in substance use. Findings in this report show that, on an average day, alcohol and marijuana were the substances most frequently initiated by both full-time and part-time college students. Heroin and methamphetamine were the least frequently initiated substances by both populations. Because there are more full-time college students than part-time students, it is not useful to compare the number of full-time and part-time college students who are using substances because the differences between the numbers reflect the varying population sizes rather than the proportion of the populations using (i.e., differences in percentages). However, it is possible to compare the information in the report on the average number of drinks consumed by full-time and part-time students. This comparison revealed that the average number of alcoholic drinks consumed by full-time college students slightly exceeded the average number of drinks consumed by part-time college students on days on which they drank alcohol; however, the levels of binge and heavy alcohol use indicate that this is a concern in both populations. Many full-time and part-time college students engaged in binge drinking and in heavy alcohol use.
Although college affords young people numerous new experiences, neither substance use initiation nor substance abuse are universal college experiences. Providing college students with credible and accurate information about the harm associated with substance use is crucial to prevention. To learn about SAMHSA’s efforts to promote behavioral health among students and prevent substance use, go to htttp://www.samhsa.gov/school-campus-health/.
Lipari, R.N., & Jean-Francois, B. A Day in the Life of College Students Aged 18 to 22: Substance Use Facts. The CBHSQ Report: May 26, 2016. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Rockville, MD.