Lawoyin T O, Ajumobi O O, Abdul M M, Abdul Malik J O, Adegoke D A, Agbedeyi O A
Department of Community Medicine, College of Medicine, University College Hospital, Ibadan Nigeria.
Afr J Med Med Sci. 2005 Dec;34(4):355-9.
Several studies in Asia, USA and the United Kingdom have shown widespread drug use among adolescents and young adults, thus drawing global attention to this problem. There is however a paucity of data on drug use among youths in rural Nigeria. The target population for this study were adolescents and youths from three out of the 6 senior secondary schools in Igboora, Nigeria, selected by simple random sampling. A cross-sectional study, using interviewer-assisted questionnaire to determine the prevalence of and identify factors associated with drug use. Two hundred and seventy three (69.3%) respodents were currently using one or more drugs of which 123 (45.1%) were single drug users while 150 (54.9%) were multiple drug users. Fourteen different psychoactive substances were reportedly used of which Alabukun, a popular, locally manufactured analgesic (a mixture of acetyl salicylic acid and caffeine) was the most commonly reported drug currently used and ever used. Alcohol was the next commonly reported currently used drug while Kolanut was the next commonly ever-used drug. Tobacco ranked low on the list with only 1.5% current users, while 4.4% reported having ever-used this drug. Following logistic regression analysis, having peers (close friends) and primary caretakers who use drugs, significantly increased the chances of the students using drugs (P < 0.001, P < 0.001). Males compared with females were also significantly more likely to use drugs (P = 0.024). Significant relationship exists between drug use and poor role modeling. Introducing peer counseling, community awareness and working with adults who have adolescents at home would go a long way towards reducing psychoactive drug use at community and household level, particularly among in-school youths.
亚洲、美国和英国的多项研究表明，青少年和青年中存在广泛的药物使用现象，这一问题因此受到全球关注。然而，关于尼日利亚农村地区青少年药物使用的数据却很匮乏。本研究的目标人群是尼日利亚伊博奥拉6所高中中的3所学校的青少年，通过简单随机抽样选取。这是一项横断面研究，使用访谈员辅助问卷来确定药物使用的患病率，并识别与药物使用相关的因素。273名（69.3%）受访者目前正在使用一种或多种药物，其中123名（45.1%）为单一药物使用者，150名（54.9%）为多种药物使用者。据报告，他们使用了14种不同的精神活性物质，其中最常用和曾经使用过的药物是阿拉布昆，一种常见的当地生产的镇痛药（乙酰水杨酸和咖啡因的混合物）。酒精是接下来最常被报告的目前正在使用的药物，而可乐果是接下来最常被报告曾经使用过的药物。烟草在名单上排名较低，目前使用者仅占1.5%，而4.4%的人报告曾经使用过这种药物。经过逻辑回归分析，有吸毒的同龄人（亲密朋友）和主要照顾者，会显著增加学生吸毒的几率（P < 0.001，P < 0.001）。与女性相比，男性吸毒的可能性也显著更高（P = 0.024）。药物使用与不良榜样之间存在显著关系。引入同伴咨询、社区宣传以及与家中有青少年的成年人合作，将大大有助于在社区和家庭层面减少精神活性药物的使用，特别是在校青少年中的使用。
