{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:49:22Z","timestamp":1782272962755,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006952","name":"Louisiana Board of Regents","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006952","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Prior studies on past year prescription stimulant diversion (PSD) have used small samples with limited representation and generated a wide range of estimates for PSD. This study aimed to estimate the prevalence and identify correlates of PSD using a large, multi\u2010institutional sample of post\u2010secondary students in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>Secondary analysis of a cross\u2010sectional survey administered to either random or census samples (i.e. a random subset or all students, respectively) across 196 post\u2010secondary institutions in the United States during the 2023\u20132024 academic year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The non\u2010representative sample included 4771 post\u2010secondary students who (a) were aged 18\u201325, (b) reported taking a prescription stimulant regularly during the past year with or without a prescription and (c) answered a question about stimulant diversion. The mean age was 20.8\u00a0years (standard error\u2009=\u20090.05), and most students were female (60.7%), White (71.7%) and heterosexual (50.1%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>The weighted prevalence of past\u2010year PSD was calculated from a self\u2010report question. Demographic, socioeconomic, educational, substance use and service characteristics were examined for association with PSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Of 4771 students, 207 reported PSD (4.3%). In the multivariate regression model, PSD was associated with prescription stimulant misuse versus no misuse [adjusted odds ratio (aOR)\u2009=\u20094.02, 95% confidence interval (CI)\u2009=\u20092.32\u20136.99], binge drinking in the past two weeks versus no binge drinking (aOR\u2009=\u20091.57, 95% CI\u2009=\u20091.02\u20132.43) and use of other substances in the past 30\u2009days versus no use (aOR\u2009=\u20094.94, 95% CI\u2009=\u20092.58\u20139.45, Ref\u2009=\u2009no past 30\u2009day substance use). Receiving the prescription from a campus clinic versus any other source was also associated with PSD (aOR\u2009=\u20091.94, 95% CI\u2009=\u20091.04\u20133.63). Age, sex at birth, sexual orientation, race, Grade Point Average (GPA), fraternity or sorority affiliation, degree level, housing and receiving the stimulant from a psychiatrist were not associated with PSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of prescription stimulant diversion in a multi\u2010institutional sample of post\u2010secondary students in the United States was 4.3%, lower than prior estimates. Certain substance use behaviors and obtaining the prescription from a campus clinic were associated with prescription stimulant diversion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70346","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T11:20:21Z","timestamp":1771413621000},"page":"1761-1769","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The prevalence and correlates of prescription stimulant diversion in a large, multi\u2010institutional, cross\u2010sectional sample of US post\u2010secondary students regularly taking prescription stimulants"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0635-5393","authenticated-orcid":false,"given":"James","family":"Aluri","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2134-4043","authenticated-orcid":false,"given":"Ramin","family":"Mojtabai","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine Department of Psychiatry  New Orleans LA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","unstructured":"AluriJ TerzianA MojtabaiR ArriaAM.ADHD Assessment and Treatment Services among a National Sample of US Colleges and Universities. 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