J Health Care Poor Underserved. 2020;31(4):1765-1784. doi: 10.1353/hpu.2020.0131.
Adolescent substance use is influenced by a multitude of socio-ecological factors ranging from intrapersonal to policy-related. We systematically searched electronic databases using variations and Boolean connections of substance use terms to identify literature on Nigerian adolescent substance use (alcohol, drugs, and tobacco). Using the social ecological model to organize findings from the review, we present the intrapersonal, interpersonal, institutional, community, and/or policy factors of substance use identified in the studies. Of the 13 studies reviewed, most examined only intrapersonal and interpersonal factors affecting Nigerian adolescent substance use, while none clearly examined the impact of other ecological levels (community and policy) on adolescent substance use. All the studies reviewed were cross-sectional, and none employed a sound theoretical framework to guide their inquiry. This review underscores the need for future theory-driven, longitudinal research that captures the dynamic nature of Nigerian adolescent substance use behaviors and other associated health-related behaviors, such as sexual behaviors and intentional/unintentional injuries.
青少年物质使用受到多种社会生态因素的影响，从个人内在因素到与政策相关的因素都有涉及。我们系统地检索了电子数据库，使用物质使用相关术语的变体和布尔连接来识别关于尼日利亚青少年物质使用（包括酒精、毒品和烟草）的文献。我们使用社会生态模型来组织综述中的发现，呈现了研究中确定的物质使用的个人内在、人际、制度、社区和/或政策因素。在审查的 13 项研究中，大多数仅研究了影响尼日利亚青少年物质使用的个人内在和人际因素，而没有一项研究清楚地考察了其他生态层面（社区和政策）对青少年物质使用的影响。所有审查的研究都是横断面研究，没有一项研究采用合理的理论框架来指导他们的探究。这项综述强调了未来需要进行理论驱动的、纵向的研究，以捕捉尼日利亚青少年物质使用行为和其他相关健康相关行为（如性行为和故意/非故意伤害）的动态性质。
