This chapter defines problem drinking; highlights substance abuse issues; and outlines the challenges of substance tolerant campus culture for students and institutions.

Objective: This study examined the associations of anxiety and drinking motives with hazardous and binge alcohol use among young adults. Participants: We recruited young adults (N = 182, mean age 25) between November 2020 and December 2020. Methods: Linear regressions were used to evaluate relationships among hazardous alcohol use (US Alcohol Use…

Objective: Little is known about the extent of student awareness about collegiate recovery communities (CRCs) and of peers in recovery. Participants: A convenience sample of 237 undergraduate students from a diverse major at a private university participated in an anonymous online survey in Fall 2019. Methods: Participants reported whether they…

Housing has been identified as one of the most important areas related to individual well-being in emerging adults attending a tertiary educational institution. Thus, the purpose of this systematic review is to explore the relationship between students' housing conditions and students' psychical, mental, and emotional wellbeing. The review was…

Dangerous alcohol use, or binge drinking and alcohol use that results in significant negative consequences, is a major health concern in university populations. Research on graduate students' and Veteran students' alcohol use is limited. Using protective behavioral strategies (PBS) before or during alcohol use can attenuate the negative…

Objective: This study aimed to determine whether low healthy lifestyle (HL) status was associated with alcohol and food addiction risks among college students. Method: The data were gathered through an online survey questionnaire from 311 college students. The students were divided into either a lower or a higher HL status group, based on HL mean…

Objective: This study examines the prospective relationship between substance use during college and two outcomes: having definite plans to attend graduate school; and, among individuals with plans, enrolling in graduate school upon college graduation. Participants: n = 980 were originally enrolled as first-time, first-year college students in an…

Collegiate recovery programs (CRPs) are university-sanctioned initiatives for students in recovery from alcohol and other drug addiction. Given the ever-rising rates of alcohol and opioid use and misuse, a great need exists to understand how to provide support for those who are considering recovery or who choose a recovery lifestyle in college.…

Due to more college students recovering from addictions, institutions are implementing collegiate recovery communities (CRCs). CRCs provide academic and social support needed for recovering students to succeed and stay sober. Social network analysis tested whether the social connections within a CRC were related to relapse prevention among…

The authors examined college student drinkers' (n = 153) reasons for seeking counseling services and risk for alcohol problems. Students seeking help for impulse- or anger-related issues and depression were at heightened risk for alcohol problems. Only 10% of students sought alcohol-related help despite high rates of hazardous alcohol use (80%)…

Objective: Fraternity and sorority members have one of the highest smoking rates among college students, yet little is known about the social influences on smoking within this subculture. The objective of this study was to examine sorority and fraternity member beliefs about smoking and alcohol use. Methods: In-depth individual interviews were…

This review of research synthesizes more than a decade of published studies on problems associated with fraternity membership beyond alcohol misuse. Topics include sex-related issues, drug use, hazing, and other issues such as gambling, academic dishonesty, campus civility, and fake identification use. Recommendations suggest the need for a role…

The changes in contemporary social and cultural environment determine the necessity to increase the efficiency of adaptive mechanisms, especially for those categories of people who are subject to social risks. One of those categories is students prone to chemical addictions. To study the relationship of forms of social interaction with problems of…

Objective: To improve the CAGE (Cut down, Annoyed, Guilty, Eye opener) questionnaire's predictive accuracy in screening college students. Participants: The sample consisted of 219 midwestern university students who self-administered a confidential survey. Methods: Exploratory factor analysis, confirmatory factor analysis, receiver operating…

Background: Negative attitudes towards substance use and Substance Use Disorders (SUDs) are among the commonly cited barriers to screening and treating these disorders by physicians. These negative attitudes have also been reported in medical students. The aim of this study was to examine attitudes of medical students in Israel towards nicotine,…