Abstract
The purpose of this study was to examine cannabis and alcohol use patterns and self-medication motives in college students with and without a formally diagnosed chronic mental or physical health condition who are or are not taking prescription medication for their condition. To that end, college students were surveyed about their frequency of alcohol and cannabis use, as well as their motives for using alcohol and cannabis, including a direct assessment of intentional self-medication. They were also asked if they were taking prescription medication for their health condition. Results showed that more students had used alcohol than cannabis in the past 30 days, but that among users, cannabis was used on significantly more days than alcohol. Half of our sample reported chronic health conditions and nearly 40% of those students reported that they were taking prescription medication for their condition. Those with a physical health condition used alcohol and cannabis at similar rates as those without, while those with a mental health condition used cannabis (but not alcohol) at a higher rate. Those with a mental health condition reported intentionally using both alcohol and cannabis to alleviate their symptoms, while those with a physical condition reported using only cannabis to deliberately self- medicate. Taking prescription medication was associated with a marginally higher frequency of cannabis (but not alcohol) use. All participants, regardless of formal health diagnosis, endorsed cannabis more often than alcohol as a sleep aid, to relieve pain, to increase appetite, and to relax. Alcohol was endorsed more often “to party with friends” and to “get intoxicated”. Taken together, these results show that, like the general population of American adults, college students, and especially those with a chronic mental or physical health problem, use cannabis to self-medicate. Potential implications of this behavior are discussed.