Drug use patterns and continuous enrollment in college: results from a longitudinal study
Open accessAbstract
OBJECTIVE: Few longitudinal studies have examined the relationship between illicit drug use and academic outcomes among college students. This study characterized drug use patterns of a cohort of young adults who were originally enrolled as first-time, first-year college students in a longitudinal study. It evaluated the association between these drug use patterns and continuous enrollment during college, holding constant demographic characteristics, high school grade point average, fraternity/sorority involvement, personality/temperament characteristics, nicotine dependence, and alcohol use disorder. METHOD: Participants (n = 1,133; 47% male) were purposively selected from one university and interviewed annually for 4 years, beginning with their first year of college, regardless of continued college attendance. Enrollment data were culled from administrative records. Group-based trajectory analyses characterized 4-year longitudinal drug use patterns. Two grouping variables were derived based on (a) marijuana use frequency and (b) number of illicit drugs used other than marijuana. Seventy-one percent of the sample was continuously enrolled in the home institution during the first 4 years of study. RESULTS: Multivariable logistic regression models demonstrated that infrequent, increasing, and chronic/heavy marijuana use patterns were significantly associated with discontinuous enrollment (adjusted odds ratio = 1.66, 1.74, and 1.99, respectively), compared with minimal use, holding constant covariates. In separate models, drug use other than marijuana also was significantly associated with discontinuous enrollment. CONCLUSIONS: Marijuana use and other illicit drug use are both associated with a decreased likelihood of continuous enrollment in college, independent of several other possible risk factors. These findings highlight the need for early intervention with illicit drug users to mitigate possible negative academic consequences.
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Over a four year period, around 40% of frequent marijuana users dropped out of college, compared to around 25% of minimal users.
“In the context of substance use, Arria et al. (2013) showed that over a four year period, around 40% of frequent marijuhana users dropped out of college, compared to around 25% of minimal users.”
From The effect of e-mental health interventions on academic performance in university and college students: A meta-analysis of randomized controlled trials (2020) · cites this paper as Arria et al. (2013)
The Correlates of longitudinal drug use patterns section reports discontinuous enrollment for 40.8% of chronic/heavy marijuana users versus 24.9% of minimal users over four years. But the Measures section says discontinuous enrollment includes transfers and temporary gaps, and explicitly declines to classify students as having dropped out. The percentages therefore do not establish dropout rates. (LLM, conf=0.93)
Experimental — accuracy not yet measuredReports of retention and other long-term indicators of academic success are scarce, potentially because their assessment is sensible only in longitudinal designs (e.g., Arria et al., 2013; Eisenberg et al., 2009).
“In a similar vein, reports of retention and other long-term indicators of academic success are scarce, potentially because their assessment is sensible only in longitudinal designs (e.g. Arria et al., 2013; Eisenberg et al., 2009).”
From The effect of e-mental health interventions on academic performance in university and college students: A meta-analysis of randomized controlled trials (2020) · cites this paper as Arria et al., 2013
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- Authors
- Arria, A. M., Garnier-Dykstra, L. M., Caldeira, K. M., Vincent, K. B., Winick, E. R., & O’Grady, K. E.
- Affiliations
- Treatment Research Institute (US)
- University of Maryland, College Park (US)
- Venue
- Journal of Studies on Alcohol and Drugs
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 2013-01
- Volume
- 74
- Issue
- 1
- Pages
- 71-83
- ISSN
- 1937-1888 (ISSN-L)
- 1938-4114
- PMC
- PMC3517265
- OpenAlex
- W2027922740
- Cited by
- 149
- References
- 62
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 6 · 2023: 9 · 2022: 12 · 2021: 19 · 2020: 21 · 2019: 14 · 2018: 10 · 2017: 11 · 2016: 19 · 2015: 7 · 2014: 6 · 2013: 3
- FWCI
- 8.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Studies on Alcohol and Drugs (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R01-DA14845, R56DA014845, R01DA014845)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Education › Higher Education Research Studies
- Social Sciences › Demography › Youth, Drugs, and Violence
- Keywords
- illicit drug use, cannabis use, college retention, educational outcomes, group-based trajectory modeling, drug use patterns, alcoholism, nicotine dependence, young adults
- MeSH terms
- Adolescent, Marijuana Abuse, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Prospective Studies, Risk Factors, Illicit Drugs, Students, Time Factors, United States, Universities, Multivariate Analysis, Logistic Models, Substance-Related Disorders, Young Adult
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