Kanyoni Maurice, Gishoma Darius, Ndahindwa Vedaste
Physiotherapy Department, School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Mental Health Department, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
BMC Res Notes. 2015 May 8;8:190. doi: 10.1186/s13104-015-1148-2.
Substance use among youth is a significant public health concern worldwide. However, little is known in Rwanda about the prevalence of drug use among youth. The goal of the current study was to assess the prevalence and determinants of substance use among youth in Rwanda.
A cross-sectional home survey was carried out with 2479 Rwandan youth. Youth ranging, in age from 14-35 years, were randomly selected from 20 out of the 30 districts in the country. The youth were interviewed using a questionnaire that included socio-demographic information and self-reported substance use. Misuse and dependence on alcohol, marijuana and tobacco were respectively assessed by the Alcohol Use Disorders Identification Test (AUDIT), the Cannabis Abuse Screening Test (CAST), and the Hooked on Nicotine Checklist (HONC).
Overall, the prevalence rate of substance use over the month prior to the survey was 34% for alcohol, 8.5% for tobacco smoking, 2.7% for cannabis, 0.2% for glue and 0.1% for drugs such as diazepam. 7.46% (one in thirteen) of the youth were alcohol dependent, 4.88% (one in twenty) were nicotine dependent, and 2.54% (one in forty) dependent on cannabis.
Our findings demonstrate that tobacco, alcohol, marijuana and other substance use are realities in the daily lives of youth in Rwanda. Further research is needed to monitor the evolution of this phenomenon and its determinants and in order to initiate evidenced-based interventions.
青少年物质使用是全球重大的公共卫生问题。然而，卢旺达对青少年药物使用的流行情况知之甚少。本研究的目的是评估卢旺达青少年物质使用的流行情况及其决定因素。
对2479名卢旺达青少年进行了一项横断面家庭调查。年龄在14至35岁之间的青少年是从该国30个区中的20个区随机选取的。使用一份包含社会人口学信息和自我报告的物质使用情况的问卷对青少年进行访谈。分别通过酒精使用障碍识别测试（AUDIT）、大麻滥用筛查测试（CAST）和尼古丁成瘾清单（HONC）评估对酒精、大麻和烟草的滥用及依赖情况。
总体而言，在调查前一个月内，酒精使用的流行率为34%，吸烟率为8.5%，大麻使用率为2.7%，胶水使用率为0.2%，地西泮等药物使用率为0.1%。7.46%（十三分之一）的青少年酒精依赖，4.88%（二十分之一）的青少年尼古丁依赖，2.54%（四十分之一）的青少年大麻依赖。
我们的研究结果表明，烟草、酒精、大麻和其他物质使用在卢旺达青少年的日常生活中是现实存在的。需要进一步研究以监测这一现象及其决定因素的演变情况，并开展基于证据的干预措施。
