Determinants of substance use among young people attending an urban primary health center in Delhi
-
KA Mogan
,
U Venkatesh
,
Richa Kapoor
Abstract
Introduction
Substance abuse remains one of the major challenges in young people, as it is one of the top five causes of disability-adjusted life years (DALY). The present study aims to find the prevalence and determinants of substance use among young people attending an urban primary health center in Delhi.
Methodology
Systematic random sampling was used to enroll the calculated sample size of 190. Substance use was assessed using ASSIST (an Alcohol Smoking Substance Involvement Screening Tool) and brief intervention was given based on the standard guidelines of ASSIST. The total score among the substance users is calculated and divided into Grades 1, 2 or 3. Log binomial regression was performed to quantify the association between substance use and covariates such as age, sex, education, occupation, family history of substance use, socio-economic status and family type. The association was expressed in odds ratio (OR) with 95 percent confidence interval (CI).
Result
The mean age of study participants was 18.6 ± 4.1, ranges from 10 to 24 years. Out of 48 substance users, 43.7% were consuming only tobacco, 22.9% were consuming only alcohol and 33.3% were polysubstance users. The history of substance use among family members of participants was found to be 46.3%. Median substance involvement score of tobacco, alcohol and cannabis users was 19 (IQR: 14.5–22), 19 (IQR: 13.5–25) and 22.5 (IQR: 22–23), respectively. Among tobacco users, 2.7% were Grade 1 and 7.2% were Grade 2. Four (16%), 20 (80%) and one (4%) of alcohol users were Grades 1, 2 and 3, respectively. Among the cannabis users, four (100%) were in the Grade 2 category. The median age of initiation of substance use among users was 16 (range 13–21) years. The analysis shows substance use was almost 25 times (adjusted OR = 25.84, 95% CI 5.65–118.09) more common among males and it increase by 2.5 times with a decrease in socio-economic status (adjusted OR = 2.52, 95% CI 1.27–5.02) and the result is significant. The substance use was almost 7 times higher when there is a family history of substance usage (adjusted OR = 7.40, 95% CI 2.15–25.4). Residential and marital status were not significantly associated with substance use.
Conclusion
Male sex, lower socio-economic status, participants currently not going to school/college, family history of substance use were found to be significant predictors of substance use among the study participants.
References
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Articles in the same Issue
- Frontmatter
- Editorial
- Adverse effects of stimulant medications in children and adolescents: focus on sleep and growth disturbances
- Review
- Psychological pain and risk of suicide in adolescence
- Original Articles
- Practices, attitudes and barriers faced by internists and pediatricians in transitioning young adult patients to adult medicine
- Prevalence and personal predictors of risky sexual behaviour among in-school adolescents in the Ikenne Local Government Area, Ogun State, Nigeria
- The impact of obesity on self-esteem and academic achievement among university students
- Postural habits in adolescents: the influence of a school physiotherapy program on improving the knowledge of postures
- Peer victimization, depression, and sexual risk behaviors among high school youth in the United States: a gender-based approach
- Clinical profile and care pathways among unaccompanied minor asylum seekers in Vaud, Switzerland
- The effect of child-parent relationship therapy on social skills of Preschool Children: a semi-experimental study
- Behavioural and neuro-electrical correlates of cognitive performance in young mobile gamers of endless runner and match three genres
- Substance abuse in adolescents before admission to Peruvian juvenile detention centers: results from a national census in Peru, 2016
- The effect of positive thinking training on the quality of life of parents of adolescent with thalassemia
- The relationship of parents’ communication patterns and peer-group interaction with sexual risk behavior in adolescents
- Promoting drug abuse preventive behaviors in adolescent students based on the health belief model
- Strengthening health care worker engagement with early adolescence in low- and middle-income countries: an overdue area for action
- Determinants of e-cigarette use among a sample of high school students in Jakarta, Indonesia
- Pediatricians’ knowledge, attitudes and practices surrounding menstruation and feminine products
- Cross-sectional research on sleep hygiene and health complaints among Pakistani college students
- The effect of Islamic semanticism on self-reporting and lifestyles of mothers of adolescents with thalassemia
- Factors associated with premarital sexual behaviour of adolescents who lived in a former prostitution area
- Knowledge and attitudes about toxoplasmosis among female university students in Egypt
- Study of epidemiological determinants of undernutrition among adolescent girls in urban slums of Berhampur, Odisha: a cross-sectional study
- Knowledge and attitudes of adolescents to e-cigarettes: an international prospective study
- Determinants of substance use among young people attending an urban primary health center in Delhi
- Short Communication
- Skin cancer on Instagram: implications for adolescents and young adults
