Substance misuse in college students

Substance misuse has become increasingly common in the 21st century, especially among students enrolled in colleges and universities. It has social, economic, psychological, and physiological consequences among adolescents, especially with the emergence of the COVID-19 pandemic and its societal complications. The most used substances on college campuses include alcohol, cannabis, cocaine, prescription opioids, recreational drugs (eg, MDMA), and nicotine, and, more recently, e-cigarettes (vaping). Behavioral addictions (eg, internet gambling) are also very common.