Assessment of Substance Use Among Medical Students at Centro Universitário Barão de Mauá

Abstract

Abstract: Introduction: Substance use is a public health issue, particularly in universities. The medical course is known for its intense workload and high cognitive demand. In addition to these factors, the predominance of young students, intercollegiate competitions, social events, and high stress levels contribute to an environment that favors the use of various substances. Objectives: To assess substance use among medical students at Centro Universitário Barão de Mauá (CBM), correlating it with general knowledge on the subject and subjective evaluations of students' physical and mental performance. Methods: This is a cross-sectional observational study. A total of 75 CBM medical students responded to an electronic questionnaire in 2022 regarding their consumption of legal, prescribed, and non-prescribed psychoactive substances, as well as supplements and anabolic steroids. Results: Students reported a high intake of energy drinks (89.3%), particularly during exams and competitions. The use of psychostimulants was reported by 24% of students, most of whom used them without a medical prescription. Additionally, a statistically significant relationship was found between consumption rates and the academic period. Regarding supplements, 57.3% of students reported usage, while anabolic steroid use was lower (12%), with both being associated with the pursuit of enhanced athletic performance and aesthetics. Conclusion: The use of substances for cognitive and attentional enhancement is prevalent among students, especially during exams and competitions. The use of supplements and anabolic steroids is more common in the context of physical exercise, sports competitions, and aesthetic purposes.