Factors associated with the use of psychotropic drugs by students at a brazilian public university.

Telma Regina Fares Gianjacomo, Camilo Molino Guidoni, Renne Rodrigues, Selma Maffei de Andrade, J��ssica Vertuan Rufino, Edmarlon Girotto
Author Information
  1. Telma Regina Fares Gianjacomo: Programa de Postgrado en Salud P��blica, Universidad Estatal de Londrina (UEL), Londrina-PR, Brasil. ORCID
  2. Camilo Molino Guidoni: Departamento de Ciencias Farmac��uticas, Universidad Estatal de Londrina (UEL), Londrina-PR, Brasil. ORCID
  3. Renne Rodrigues: Universidad Federal de la Frontera Sur (UFFS), Campus de Chapec��, Chapec��-SC, Brasil. ORCID
  4. Selma Maffei de Andrade: Programa de Postgrado en Salud P��blica, Universidad Estatal de Londrina (UEL), Londrina-PR, Brasil. ORCID
  5. J��ssica Vertuan Rufino: Programa de Postgrado en Salud P��blica, Universidad Estatal de Londrina (UEL), Londrina-PR, Brasil. ORCID
  6. Edmarlon Girotto: Departamento de Ciencias Farmac��uticas, Universidad Estatal de Londrina (UEL), Londrina-PR, Brasil. ORCID

Abstract

BACKGROUND: Motivation for the study. College students are exposed to numerous stressful events, which predispose them to problems such as depression and anxiety, leading to increased consumption of psychotropic medications. Main findings. The use of psychotropic medications was reported by 12.0% of students, being higher among those with access to health insurance and diagnosed with depression and anxiety, as well as among those who reported using illicit drugs and who were dissatisfied with their academic performance. We found lower consumption of psychotropic drugs among women who consumed alcoholic beverages. Implications. The evidence from this study may support actions to promote not only rational drug use campaigns, but also measures to minimize and help students with the stress of academic life.
OBJECTIVE.: To analyze the consumption of psychotropic drugs and their associated factors in university students, stratified by sex.
MATERIALS AND METHODS.: We conducted a cross-sectional study with undergraduate students of a public university in Brazil. The instrument was an online self-administered questionnaire. The outcome variable was the use of psychotropic drugs, based on the Anatomical Therapeutic Chemical (ATC) classification system, and the exposure variables were socio-demographic, academic and health-related. The association between the exposure variables and the outcome was verified by calculating prevalence ratios and their 95% confidence intervals.
RESULTS.: We found that 12.2% (n=396) of the 3238 participants used psychotropic drugs; most were women (78.3%). The prevalence of psychotropic drug use was higher among students with access to health insurance, diagnosis of depression and diagnosis of anxiety. It was also higher in the group of women who reported using illicit drugs in the last three months and in the group of men who reported being dissatisfied or very dissatisfied with their academic performance. We detected low frequency of psychotropic drug use among women who consume alcohol on a weekly basis.
CONCLUSIONS.: Our results show a higher frequency of psychotropic medication use in females, as well as in students with access to health insurance, diagnosis of depression and diagnosis of anxiety, regardless of sex.

References

  1. Hong Kong Med J. 2018 Oct;24(5):466-472 [PMID: 30245480]
  2. Acta Psychiatr Scand. 2019 Jun;139(6):526-535 [PMID: 30980542]
  3. Cien Saude Colet. 2014 Jun;19(6):1825-33 [PMID: 24897482]
  4. Rev Bras Epidemiol. 2017 Jan-Mar;20(1):57-69 [PMID: 28513794]
  5. J Affect Disord. 2019 Feb 1;244:196-208 [PMID: 30352363]
  6. Rev Saude Publica. 2017 Sep 04;51:83 [PMID: 28876411]
  7. Rev Saude Publica. 2022 Dec 09;56:101 [PMID: 36515303]
  8. Scand J Public Health. 2021 May;49(3):317-324 [PMID: 32755295]
  9. Int Rev Psychiatry. 2010;22(5):429-36 [PMID: 21047157]
  10. Rev Assoc Med Bras (1992). 2018 May;64(5):462-468 [PMID: 30304147]
  11. Int J Epidemiol. 2015 Apr;44(2):526-39 [PMID: 25433705]
  12. J Affect Disord. 2021 May 15;287:282-292 [PMID: 33812241]
  13. Front Public Health. 2024 Mar 12;12:1297402 [PMID: 38532969]
  14. Addiction. 2016 Oct;111(10):1836-47 [PMID: 27177849]
  15. Biomedica. 2020 Sep 01;40(3):569-577 [PMID: 33030835]
  16. Res Dev Disabil. 2016 Feb-Mar;49-50:13-21 [PMID: 26647003]
  17. Front Psychiatry. 2021 Sep 20;12:717955 [PMID: 34616318]
  18. J Affect Disord. 2020 Mar 15;265:71-76 [PMID: 31957694]
  19. J Psychiatr Res. 2018 May;100:113-120 [PMID: 29518578]
  20. Am J Physiol Heart Circ Physiol. 2023 Oct 1;325(4):H882-H887 [PMID: 37624099]
  21. Int J Geriatr Psychiatry. 2009 Jun;24(6):563-9 [PMID: 19016456]
  22. PLoS One. 2015 Aug 07;10(8):e0135059 [PMID: 26252517]
  23. Cureus. 2017 Jan 24;9(1):e994 [PMID: 28382237]
  24. Ann Intern Med. 2007 Oct 16;147(8):573-7 [PMID: 17938396]
  25. Cien Saude Colet. 2021 Jun 14;26(suppl 1):2515-2528 [PMID: 34133631]
  26. JAMA. 2016 Dec 6;316(21):2214-2236 [PMID: 27923088]
  27. Perspect Psychiatr Care. 2022 Oct;58(4):2942-2949 [PMID: 35974676]
  28. Sao Paulo Med J. 2022 Sep-Oct;140(5):697-704 [PMID: 35976367]
  29. Int J Public Health. 2018 Jul;63(6):765-773 [PMID: 29691594]
  30. Rev Lat Am Enfermagem. 2010 May-Jun;18(3):421-8 [PMID: 20721432]
  31. Braz J Psychiatry. 2017 Oct-Dec;39(4):369-378 [PMID: 28876408]
  32. Drug Alcohol Depend. 2020 Nov 1;216:108332 [PMID: 33080503]
  33. Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):603-607 [PMID: 31612743]
  34. PLoS One. 2024 Jun 13;19(6):e0305392 [PMID: 38870104]

MeSH Term

Humans
Psychotropic Drugs
Brazil
Female
Universities
Cross-Sectional Studies
Students
Male
Young Adult
Adolescent
Adult

Chemicals

Psychotropic Drugs

Word Cloud

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