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Study provide information for health educators creating hookah risk awareness educational programs aimed at reducing rates of hookah smoking among college students. Read more. In 2012, Colorado became one of the first two U. S. states to legalize cannabis for recreational use for adults 21 and older. Given that cannabis use holds potential physical and mental health risks, particularly among adolescent users, concerns have grown regarding changes in use following this change in policy. Based on past literature, two hypotheses were made for this study. First, college student cannabis use would increase after recreational legalization, however just for those 21 years old and older. Second, there would be a positive relation between the influence of cannabis legislation on out of state students decision to attend a Colorado university and their cannabis use. Data from 5,241 undergraduate students was available to test study hypotheses using Pearsons Chi square, negative binomial regressions, and path analysis. Results indicated that cannabis use increased since recreational legalization for all students, but more so for those over 21 years. No differences in past month use frequency were found between pre and post legalization. Influence of cannabis laws on non resident students decision to attend a Colorado college predicted lifetime and past 30 day use. Additionally, out of state students reported higher past 30 day use than in state students. These findings may help inform other states considering recreational legalization of potential outcomes, as well as potential interventions. Read more. Misuse of prescription opioids has substantially increased in the past decade among the general population, including among university students. Relative to the literature concerning opioid misuse among the general population, little information is available regarding the college student population. The purpose of the present study was to conduct a systematic review of the literature concerning the prevalence of prescription opioid misuse among the university student population. The lifetime estimate for prescription opioid misuse among general populations of students ranged from 4% to 19. 7%, with higher estimates for special student populations.