Increasing MDMA use among college students: results of a national survey
Abstract
Purpose To examine the prevalence and changing patterns of ecstasy use among college students, and to determine characteristics, associated behaviors, and interests of ecstasy users.Methods The study analyzes data regarding ecstasy use and related behaviors from the 1997 and 1999 Harvard School of Public Health College Alcohol Study. This is a survey of a nationally representative sample of over 14,000 college students at 119 U.S. four-year colleges. Changes in self-reported annual ecstasy use were examined, and lifestyle and high-risk behaviors associated with Ecstasy use were identified. Data were analyzed using 2 x 2 Chi-square tests and multiple logistic regression fitted by the generalized estimating equations (GEE).Results The prevalence of past year ecstasy use rose from 2.8% to 4.7% between 1997 and 1999, an increase of 69%. This increase was observed across nearly all subgroups of student and college type. A smaller sample of ten colleges revealed that the increase continued in 2000. Ecstasy users were more likely to use marijuana, engage in binge drinking, smoke cigarettes, have multiple sexual partners, consider arts and parties as important, religion as less important, spend more times socializing with friends, and spend less times studying. Unlike other illicit drug users, ecstasy users were not academic underachievers and their satisfaction with education was not different from that of non-ecstasy users.Conclusion Ecstasy use is a high-risk behavior among college students which has increased rapidly in the past decade.
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Of the 112 best drug use or abuse studies, 96 (86%) reported inverse relationships and only one study found a positive relationship.
“Of the 112 best studies, 96 (86%) reported inverse relationships [223–238] and only one study found a positive relationship [239].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [226]
Cites
Longitudinal data analysis using generalized linear models
LIANG, K.-Y., & ZEGER, S. L. (1986) · Biometrika · doi:10.1093/biomet/73.1.13 · Cited by 18,550 · see citing works
Monitoring the Future: National Results on Adolescent Drug Use: Overview of Key Findings
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2003) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1037/e560352009-001 · Cited by 6,930 · see citing works
Models for Longitudinal Data: A Generalized Estimating Equation Approach
Zeger, S. L., Liang, K., & Albert, P. S. (1988) · Biometrics · doi:10.2307/2531734 · Cited by 4,505 · see citing works
Statistical Abstract of the United States: 2007
(2007) · Choice Reviews Online · doi:10.5860/choice.45-1769 · Cited by 2,409 · see citing works
Health and Behavioral Consequences of Binge Drinking in College
Wechsler, H. (1994) · JAMA · doi:10.1001/jama.272.21.1672 · Cited by 1,792 · see citing works
Self-citationThe Pharmacology and Clinical Pharmacology of 3,4-Methylenedioxymethamphetamine (MDMA, “Ecstasy”)
Green, A. R., Mechan, A. O., Elliott, J. M., O’Shea, E., & Colado, M. I. (2003) · Pharmacological Reviews · doi:10.1124/pr.55.3.3 · Cited by 1,272 · see citing works
Wechsler, H., Lee, J. E., Mohler‐Kuo, M., & Lee, H. (2000) · Journal of American College Health · doi:10.1080/07448480009599305 · Cited by 1,023 · see citing works
Self-citationThe natural history of drug use from adolescence to the mid-thirties in a general population sample
Chen, K., & Kandel, D. B. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.1.41 · Cited by 857 · see citing works
Wechsler, H., Dowdall, G. W., Maenner, G., Gledhill-Hoyt, J., & Lee, H. (1998) · Journal of American College Health · doi:10.1080/07448489809595621 · Cited by 681 · see citing works
Self-citationCollege Binge Drinking in the 1990s: A Continuing Problem
Wechsler, H., Lee, J. E., Mohler‐Kuo, M., & Lee, H. (2000) · Cited by 479 · see citing works
Self-citationGreen, A. R., Cross, A. J., & Goodwin, G. M. (1995) · Psychopharmacology · doi:10.1007/bf02246288 · Cited by 417 · see citing works
Subjective Reports of the Effects of MDMA in a Clinical Setting
Greer, G., & Tolbert, R. (1986) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1986.10472364 · Cited by 413 · see citing works
Johnston, L. D., O’Malley, P. M., & Bachman, J. G. (1993) · Deep Blue (University of Michigan) · Cited by 407 · see citing works
Johnston, L. D. (1987) · Journal of Safety Research · doi:10.1016/0022-4375(87)90012-0 · Cited by 386 · see citing works
Ecstasy (MDMA) effects upon mood and cognition: before, during and after a Saturday night dance
Parrott, A. C., & Lasky, J. (1998) · Psychopharmacology · doi:10.1007/s002130050714 · Cited by 342 · see citing works
Hatzidimitriou, G., McCann, U. D., & Ricaurte, G. A. (1999) · Journal of Neuroscience · doi:10.1523/jneurosci.19-12-05096.1999 · Cited by 339 · see citing works
Bachman, J. G., Johnson, L. D., & O’Malley, P. M. (1998) · American Journal of Public Health · doi:10.2105/ajph.88.6.887 · Cited by 285 · see citing works
Pathology of deaths associated with "ecstasy" and "eve" misuse.
Milroy, C. M., Clark, J. C., & Forrest, A. R. W. (1996) · Journal of Clinical Pathology · doi:10.1136/jcp.49.2.149 · Cited by 270 · see citing works
Reneman, L., Booij, J., Schmand, B. A., van den Brink, W., & Gunning, B. W. (2000) · Psychopharmacology · doi:10.1007/s002130050057 · Cited by 210 · see citing works
Correlates of college student marijuana use: results of a US National Survey
Bell, R., Wechsler, H., & Johnston, L. D. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb02914.x · Cited by 186 · see citing works
Self-citationGledhill‐Hoyt, J., Lee, H., Strote, J. N., & Wechsler, H. (2000) · Addiction · doi:10.1046/j.1360-0443.2000.951116556.x · Cited by 173 · see citing works
Self-citationKrystal, J. H., Price, L. H., Opsahl, C. A., Ricaurte, G. A., & Heninger, G. R. (1992) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952999209026070 · Cited by 168 · see citing works
Wechsler, H. (1992) · JAMA · doi:10.1001/jama.267.21.2929 · Cited by 150 · see citing works
Self-citationGerra, G., Zaimovic, A., Ferri, M., Zambelli, U., Timpano, M., Neri, E., Marzocchi, G. F., Delsignore, R., & Brambilla, F. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00180-8 · Cited by 138 · see citing works
Subjective reports on the effects of the MDMA (‘ecstasy’) experience in humans
Cohen, R. S. (1995) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(95)00231-6 · Cited by 136 · see citing works
Adverse Reactions with 3,4-Methylenedioxymethamphetamine (MDMA; ???Ecstasy???)
McCann, U. D., Slate, S. O., & Ricaurte, G. A. (1996) · Drug Safety · doi:10.2165/00002018-199615020-00003 · Cited by 123 · see citing works
MDMA and Human Sexual Function
Buffum, J. C., & Moser, C. A. (1986) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1986.10472369 · Cited by 122 · see citing works
Ricaurte, G. A., McCann, U., Szabò, Z., & Scheffel, U. (2000) · Toxicology Letters · doi:10.1016/s0378-4274(99)00216-7 · Cited by 122 · see citing works
Persistent Effects of (±)3,4-Methylenedioxymethamphetamine (MDMA, “Ecstasy”) on Human Sleep
Allen, R. P., McCann, U. D., & Ricaurte, G. A. (1993) · SLEEP · doi:10.1093/sleep/16.6.560 · Cited by 113 · see citing works
Ecstasy: The Clinical, Pharmacological and Neurotoxicological Effects of the Drug MDMA
(1990) · Topics in the neurosciences · doi:10.1007/978-1-4613-1485-1 · Cited by 111 · see citing works
Amphetamine designer drugs – an overview and epidemiology
Christophersen, A. S. (2000) · Toxicology Letters · doi:10.1016/s0378-4274(99)00205-2 · Cited by 109 · see citing works
The Recanting of Earlier Reported Drug Use by Young Adults
Johnston, L. D., & O’Malley, P. M. (1997) · PsycEXTRA Dataset · doi:10.1037/e495622006-005 · Cited by 93 · see citing works
Long term psychiatric and cognitive effects of MDMA use
McGuire, P. K. (2000) · Toxicology Letters · doi:10.1016/s0378-4274(99)00219-2 · Cited by 89 · see citing works
Increasing Use of “Ecstasy“ (MDMA) and other Hallucinogens on a College Campus
Cuomo, M. J., Dyment, P. G., & Gammino, V. M. (1994) · Journal of American College Health · doi:10.1080/07448481.1994.9936359 · Cited by 82 · see citing works
The validity of self‐reported drug use
Skog, O. (1992) · British Journal of Addiction · doi:10.1111/j.1360-0443.1992.tb01956.x · Cited by 81 · see citing works
Harrell, A. V. (1997) · PsycEXTRA Dataset · doi:10.1037/e495622006-004 · Cited by 79 · see citing works
Andrews, J. A., & Duncan, S. C. (1997) · Journal of Behavioral Medicine · doi:10.1023/a:1025514423975 · Cited by 63 · see citing works
Mørland, J. G. (2000) · Toxicology Letters · doi:10.1016/s0378-4274(99)00217-9 · Cited by 58 · see citing works
Greer, G. R., & Tolbert, R. (1990) · Topics in the Neurosciences · doi:10.1007/978-1-4613-1485-1_2 · Cited by 57 · see citing works
Shulgin, A. T. (1990) · Topics in the neurosciences · doi:10.1007/978-1-4613-1485-1_1 · Cited by 35 · see citing works
'Rave' Scene, Ecstasy Use, Leap Atlantic
Randall, T. (1992) · JAMA · doi:10.1001/jama.1992.03490120010003 · Cited by 33 · see citing works
'Rave' scene, ecstasy use, leap atlantic
Randall, T. (1992) · JAMA · doi:10.1001/jama.268.12.1506 · Cited by 9 · see citing works
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Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423 · see citing works
“Of the 112 best studies, 96 (86%) reported inverse relationships [223–238] and only one study found a positive relationship [239].”
BackgroundThe Pharmacology and Clinical Pharmacology of 3,4-Methylenedioxymethamphetamine (MDMA, “Ecstasy”)
Green, A. R., Mechan, A. O., Elliott, J. M., O’Shea, E., & Colado, M. I. (2003) · Pharmacological Reviews · doi:10.1124/pr.55.3.3 · Cited by 1,272 · see citing works
Medical Use, Illicit Use and Diversion of Prescription Stimulant Medication
McCabe, S. E., Teter, C. J., & Boyd, C. J. (2006) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2006.10399827 · Cited by 305 · see citing works
Tancer, M., & Johanson, C.-E. (2003) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(03)00172-8 · Cited by 153 · see citing works
Arias-De la Torre, J., Fernández-Villa, T., Molina, A. J., Amezcua-Prieto, C., Mateos, R., Cancela, J. M., Delgado-Rodríguez, M., Ortíz-Moncada, R., Alguacil, J., Almaraz, A., et al. (2019) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2017.10.019 · Cited by 40 · see citing works
- Authors
- Strote, J., Lee, J. E., & Wechsler, H.
- Affiliations
- Stanford Medicine (US)
- Harvard University (US)
- Corresponding author
- Wechsler, Henry
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2002-01
- Volume
- 30
- Issue
- 1
- Pages
- 64-72
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2140302582
- Cited by
- 245
- References
- 42
- Citations by year
- 2024: 1 · 2023: 42 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 7 · 2016: 7 · 2015: 8 · 2014: 5 · 2013: 5 · 2012: 6
- FWCI
- 16.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- MDMA, ecstasy use, university students, prevalence trends, high-risk behaviors, cannabis use, binge drinking, cigarette smoking, multiple sexual partners, student lifestyle, academic performance
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Cross-Sectional Studies, Female, Hallucinogens, Humans, Life Style, Male, Surveys and Questionnaires, Illicit Drugs, Students, United States, Universities, Prevalence, N-Methyl-3,4-methylenedioxyamphetamine, Substance-Related Disorders
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