Policies in Need of a Problem? A Qualitative Study of Medical and Nonmedical Opioid Use among College Student-Athletes in the United States

Concern around nonmedical opioid use (NUPO) among student-athletes in the United States abounds, yet research around NUPO in this population is mixed. While some studies have identified athletic participation and related injury as risk factors for NUPO, the balance of research has found the inverse, or no association. This study represents the first qualitative inquiry into college student-athletes’ history of injury, medical and nonmedical opioid exposure, and pain management practices. Drawing on surveys (n = 280) and interviews (n = 30) with less-elite (i.e., non-NCAA Division I) athletes attending a large state university, our analyses documented little NUPO in this population, despite significant rates of injury and opioid prescription. Interview participants evinced little knowledge, but high fears, around opioid use, while describing potentially harmful levels of over-the-counter drug use. Overall, this study suggests the need for the development of broad, evidence-based curricula concerning pharmacological pain management within this population.