{"doi":"10.1016/j.dadr.2021.100005","title":"Stressors experienced during the COVID-19 pandemic and substance use among US college students","abstract":"BACKGROUND: The COVID-19 pandemic caused numerous stressors that may have been linked to substance use among college students. METHODS: = 15,995), a non-probability sample of students attending one of 28 universities, who completed an online survey during the COVID-19 pandemic (September - December 2020). Using multivariable logistic regression, we examined the associations between COVID-19 stressors (concern, racial/ethnic discrimination, financial distress, infection, illness of loved one, death of loved one, caregiving) and substance use (alcohol, cigarette, marijuana), adjusting for age, gender, race/ethnicity, and international student status. All COVID-19 stressors were included in the same weighted logistic regression models. RESULTS: About 46.89% of the sample reported drinking any alcohol (in the past 2 weeks), 7.38% used any cigarettes, and 16.87% used any marijuana over the past month. Multivariable logistic regression models showed that infection and caregiving were significantly associated with alcohol use; racial/ethnic discrimination and financial distress were associated with smoking cigarettes; and concern and infection were associated with marijuana use. CONCLUSIONS: COVID-19 stressors were related to substance use, though the strength and significance of the associations varied depending on the stressors and the type of substance.","journal":"Drug and Alcohol Dependence Reports","year":2021,"id":183694,"datarank":0.40620753016533157,"base_score":2.70805020110221,"endowment":2.70805020110221,"self_citation_contribution":0.40620753016533157,"citation_network_contribution":0.0,"self_endowment_contribution":0.40620753016533157,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9236,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":240003,"name":"Adam M. Leventhal","orcid":"0000-0002-1217-525X","position":1,"is_corresponding":false},{"id":526699,"name":"Christina Tam","orcid":"0000-0002-2383-5890","position":2,"is_corresponding":false},{"id":737534,"name":"Ravi Philip Rajkumar","orcid":"0000-0003-2699-7438","position":3,"is_corresponding":false},{"id":737535,"name":"Sasha Zhou","orcid":"0000-0003-3050-1773","position":4,"is_corresponding":false},{"id":738073,"name":"John D. Clapp","orcid":null,"position":5,"is_corresponding":false},{"id":284199,"name":"Hans Oh","orcid":"0000-0002-8458-8723","position":0,"is_corresponding":true}],"reference_count":54,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T23:48:22.008011Z","pmid":"35156105","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}