Association between coping strategies and drug use in a large cohort of students from a northern Italian University.

Main Article Content

Luca Caricati
Davide Ferrari


drugs, substance use, coping strategies, university students, multilevel analysis


Background and aim of the work. Illicit drug (ID) use/abuse represent a social and economic burden for most countries worldwide which, in spite of the efforts to prevent this phenomena, is often a growing habit especially in the young adults. Preventive measurements, are needed to reduce the adverse health and social consequences of ID use/abuse.

Methods. This study investigated the relationship between coping strategies and ID use in students (N=12316) from the University of Parma, Italy. Information about the ID use in the past 12 months and coping strategies were collected with a cross-sectional research design using an online questionnaire.

Results. More than 25% of the participants used ID in the past year; men were more likely to use drugs than female; the likelihood of using drugs was inversely related to age. The relationship between coping strategies and ID use was analyzed with a multilevel logistic model taking into account the within-department nested structure of data. Analysis revealed that transcendence-orientation and problem-orientation were associated with a reduction of the likelihood to have used drugs. Conversely, avoidance and positive attitude were associated with an increase of the likelihood to have used drugs. Finally, seeking social support revealed a positive but modest association with increasing in drug use.

Conclusions. The ID use association factors identified in this study could be utilized by the appropriate institutions/authorities as a critical review in order to develop relevant public health policies and preventive measures aimed at minimizing the use of ID in this critical age group.


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2. Vivancos R, Abubakar I, Hunter PR. Sex, drugs and sexually transmitted infections in British university students. Int J STD AIDS. 2008; Published Online First: 2008. doi:10.1258/ijsa.2007.007176
3. Ferrari D, Manca M, Banfi G, Locatelli M. Alcohol and illicit drugs in drivers involved in road traffic crashes in the Milan area. A comparison with normal traffic reveals the possible inadequacy of current cut-off limits. Forensic Sci Int. 2018;282:127–32.
4. Ferrari D, Manca M, Premaschi S, Banfi G, Locatelli M. Toxicological investigation in blood samples from suspected impaired driving cases in the Milan area : Possible loss of evidence due to late blood sampling. Forensic Sci Int. 2018;288:211–7.
5. Sommet A, Ferrières N, Jaoul V, Cadieux L, Soulat J-M, Lapeyre-Mestre M, et al. Use of Drugs, Tobacco, Alcohol and Illicit Substances in a French Student Population. Therapies. 2012; Published Online First: 2012. doi:10.2515/therapie/2012056
6. Arsandaux J, Montagni I, Macalli M, Bouteloup V, Tzourio C, Galéra C. Health Risk Behaviors and Self-Esteem Among College Students: Systematic Review of Quantitative Studies. Vol. 27, International Journal of Behavioral Medicine. 2020. p. 142–59.
7. Locke GW, Shilkret R, Everett JE, Petry NM. Interpersonal guilt and substance use in college students. Subst Abus. 2015; Published Online First: doi:10.1080/08897077.2014.885482
8. Mohammadpoorasl A, Ghahramanloo AA, Allahverdipour H, Augner C. Substance abuse in relation to religiosity and familial support in Iranian college students. Asian J Psychiatr. Published Online First: 2014. doi:10.1016/j.ajp.2013.12.015
9. Suerken CK, Reboussin BA, Sutfin EL, Wagoner KG, Spangler J, Wolfson M. Prevalence of marijuana use at college entry and risk factors for initiation during freshman year. Addict Behav. Published Online First: 2014. doi:10.1016/j.addbeh.2013.10.018
10. European Monitoring Centre for Drugs and Drug Addiction. European Drug Report 2019 [Internet]. European Union Publications Office. 2020. Available from:
11. El Ansari W, Vallentin-Holbech L, Stock C. Predictors of illicit drug/s use among university students in Northern Ireland, Wales and England. Glob J Health Sci. 2015;7(4):18–29.
12. Gomes FC, de Andrade AG, Izbicki R, Almeida AM, de Oliveira LG. Religion as a protective factor against drug use among Brazilian university students: A national survey. Rev Bras Psiquiatr. Published Online First: 2013. doi:10.1016/j.rbp.2012.05.010
13. Molinaro S, Siciliano V, Curzio O, Denoth F, Mariani F. Concordance and consistency of answers to the self-delivered ESPAD questionnaire on use of psychoactive substances. Int J Methods Psychiatr Res. Published Online First: 2012. doi:10.1002/mpr.1353
14. Molinaro S, Siciliano V, Curzio O, Denoth F, Salvadori S, Mariani F. Illegal substance use among Italian high school students: Trends over 11 years (1999-2009). PLoS One. Published Online First: 2011. doi:10.1371/journal.pone.0020482
15. Gerra G, Benedetti E, Resce G, Potente R, Cutilli A, Molinaro S. Socioeconomic status, parental education, school connectedness and individual socio-cultural resources in vulnerability for drug use among students. Int J Environ Res Public Health. Published Online First: 2020. doi:10.3390/ijerph17041306
16. Gerra G, Angioni L, Zaimovic A, Moi G, Bussandri M, Bertacca S, et al. Substance Use among High-School Students: Relationships with Temperament, Personality Traits, and Parental Care Perception. Subst Use Misuse. Published Online First: 2004. doi:10.1081/JA-120028493
17. Poscia A, Parente P, Frisicale EM, Teleman AA, De Waure C, Di Pietro ML. Risky behaviours among university students in Italy. Ann Ist Super Sanita. Published Online First: 2015. doi:10.4415/ANN-15-02-07
18. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
19. Lyness KP, Koehler AN. Effect of coping on substance use in adolescent girls: a dyadic analysis of parent and adolescent perceptions. Int J Adolesc Youth. 2016;21(4):449–61.
20. Aldridge-Gerry AA, Roesch SC, Villodas F, McCabe C, Leung QK, Da Costa M. Daily stress and alcohol consumption: Modeling between-person and within-person ethnic variation in coping behavior. J Stud Alcohol Drugs. 2011;72(1):125–34.
21. Wills TA, Walker C, Mendoza D, Ainette MG. Behavioral and emotional self-control: Relations to substance use in samples of middle and high school students. Psychol Addict Behav. 2006;20(3):265–78.
22. Leonard NR, Gwadz M V., Ritchie A, Linick JL, Cleland CM, Elliott L, et al. A multi-method exploratory study of stress, coping, and substance use among high school youth in private schools. Front Psychol. 2015;6.
23. Buckner JD, Zvolensky MJ, Crosby RD, Wonderlich SA, Ecker AH, Richter A. Antecedents and consequences of cannabis use among racially diverse cannabis users: An analysis from ecological momentary assessment. Drug Alcohol Depend. 2015;147:20–5.
24. Vargas C, Trujillo HM. Cannabis consumption by female psychology students: The influence of perceived stress, coping and consumption of drugs in their social environment. Univ Psychol. 2012;11(1):119–30.
25. Capella M del M, Adan A. The age of onset of substance use is related to the coping strategies to deal with treatment in men with substance use disorder. PeerJ. 2017;2017(8):3660.
26. Blevins CE, Stephens RS, Walker DD, Roffman RA. Situational determinants of use and treatment outcomes in marijuana dependent adults. Addict Behav. 2014;39(3):546–52.
27. Dermody SS, Cheong JW, Manuck S. An evaluation of the stress-negative affect model in explaining alcohol use: the role of components of negative affect and coping style. Subst Use Misuse. 2013;48(4):297–308.
28. Foà C, Tonarelli A, Caricati L, Fruggeri L. COPE-NVI-25: validazione italiana della versione ridotta della Coping Orientation to the Problems Experienced (COPE-NVI). Psicol della Salut. 2015;(2):123–40.
29. Carver CS, Scheier MF, Weintraub KJ. Assessing Coping Strategies: A Theoretically Based Approach. J Pers Soc Psychol. 1989;56(2):267–83.
30. Sica C, Magni C, Ghisi M, Altoè G, Sighinolfi C, Chiri LR, et al. Coping Orientation to Problems Experienced-Nuova Versione Italiana (COPE-NVI): Uno strumento per la misura degli stili di coping. Psicoter Cogn e Comport. 2008;14(1):27–53.
31. Enders CK, Tofighi D. Centering Predictor Variables in Cross-Sectional Multilevel Models: A New Look at an Old Issue. Psychol Methods. 2007;12(2):121–38.
32. Cohen J. Statistical power analysis for the behavioral sciences. Vol. 2nd, Statistical Power Analysis for the Behavioral Sciences. 1988. p. 567.
33. Von Sydow K, Lieb R, Pfister H, Höfler M, Wittchen HU. What predicts incident use of cannabis and progression to abuse and dependence? A 4-year prospective examination of risk factors in a community sample of adolescents and young adults. Drug Alcohol Depend. 2002;68(1):49–64.

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