Department of Clinical and Biological Sciences, University of Torino, Torino, Italy.
Piedmont Centre for Drug Addiction Epidemiology, ASL TO3, Grugliasco, Torino, Italy.
Drug Alcohol Rev. 2019 Sep;38(6):712-724. doi: 10.1111/dar.12974. Epub 2019 Aug 27.
Nigeria is composed of six geopolitical zones plus one Federal Capital Territory. Differences between zones can differentially influence the adoption of risk behaviours by adolescents. This paper aims to describe the knowledge, attitudes, beliefs, risk perception, skills and substance use among Nigerian secondary school students highlighting the differences by geopolitical zone.
The population size of each zone was taken into account in extracting the 32 schools for the survey. The characteristics of the social environment, tobacco, alcohol and substance use, knowledge, beliefs, risk perception, attitudes, personal skills and school climate were investigated through an anonymous questionnaire.
A total of 4078 adolescents participated in the survey: 5.1% reported they had smoked cigarettes at least once in their life, 33.6% drank alcohol, 13.1% experienced drunkenness, 7.5% used cannabis and 11.6% other drugs. The highest rates of alcohol use were observed in the South, whilst the use of tobacco, cannabis and other drugs was higher in the North. Knowledge about tobacco, alcohol and marijuana was quite low across all zones. Scores for self-esteem, decision-making and refusal skills, risk perception and beliefs were lower in the North.
This study shows a high prevalence of adolescent alcohol and substance use in Nigeria. There is a need for planning and implementing evidence-based drug education and prevention programs across the country. Prevention activities targeting adolescents could help to reduce the later life burden of disease related to use of tobacco, alcohol and other drugs.
尼日利亚由六个地缘政治区和一个联邦首都区组成。各地区之间的差异可能会对青少年的风险行为的采用产生不同的影响。本文旨在描述尼日利亚中学生的知识、态度、信念、风险认知、技能和物质使用情况，重点强调地缘政治区的差异。
在抽取用于调查的 32 所学校时，考虑到了每个区的人口规模。通过匿名问卷调查了社会环境特征、烟草、酒精和物质使用、知识、信念、风险认知、态度、个人技能和学校氛围。
共有 4078 名青少年参与了调查：5.1%的人报告至少有一次吸过烟，33.6%的人喝过酒，13.1%的人喝醉过，7.5%的人使用过大麻，11.6%的人使用过其他毒品。酒精使用率最高的是南部地区，而北部地区吸烟、大麻和其他毒品的使用率较高。所有地区对烟草、酒精和大麻的知识都相当低。自尊心、决策和拒绝技能、风险认知和信念得分在北部地区较低。
本研究表明，尼日利亚青少年的酒精和物质使用率较高。需要在全国范围内规划和实施基于证据的毒品教育和预防计划。针对青少年的预防活动有助于减少与吸烟、饮酒和使用其他毒品相关的未来生活疾病负担。
