Nigerian Field Epidemiology and Laboratory Training Program, Nigeria.
Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Pan Afr Med J. 2021 Oct 19;40:109. doi: 10.11604/pamj.2021.40.109.22000. eCollection 2021.
psychoactive substance use (PSU) is a patterned use of a drug in which the user consumes the substance in amounts or methods which are harmful to themselves or others. Psychoactive substance use takes a considerable toll on financial status, academic achievement and health status of addicts. In Nigeria, PSU is on the increase, one of the most disturbing health-related problems and a leading cause of premature death among school aged population worldwide. We therefore, determined the knowledge of health effects and determinants of psychoactive substance use among secondary school students in Sokoto Metropolis, Nigeria.
we conducted a cross-sectional study among 430 secondary school students that were selected using multistage sampling in Sokoto, Northwestern, Nigeria from April to May 2019. We collected data using a semi-structured, interviewer-administered questionnaire. We calculated proportions and adjusted odds ratios (OR) with 95% confidence intervals (CI) in a binary logistic regression model.
knowledge of health effects of PSU was good in 38.1% of the respondents with a mean score of 19.6 ± 10.0. The overall prevalence of PSU was high among current users (16.3%), male participants (78.6%) and those aged 17-years or more (68.6%). Independent predictors of current use of psychoactive substances were poor knowledge of health effects (aOR: 4.1, 95% CI: 1.7-10.0) and father´s use of psychoactive substances (aOR: 10.3, 95% CI= 1.9-57.1).
knowledge of health effects of psychoactive substances was generally poor among the participants with an associated high prevalence among current users. Poor knowledge of its health effects determines the use of psychoactive substances. We conducted awareness campaigns and health talk on health effects of PSU to secondary school students in the State. The Federal Ministry of Education should ensure that PSU-related topics are incorporated in the secondary school curriculum.
精神活性物质使用（PSU）是指一种有规律的药物使用方式，使用者以对自己或他人有害的数量或方式消耗物质。精神活性物质的使用给成瘾者的财务状况、学业成绩和健康状况带来了相当大的损失。在尼日利亚，PSU 的使用呈上升趋势，这是全球范围内最令人不安的与健康相关的问题之一，也是导致学龄人口过早死亡的主要原因。因此，我们确定了尼日利亚索科托大都市区中学生对精神活性物质使用的健康影响和决定因素的知识。
我们在尼日利亚西北部索科托市进行了一项横断面研究，于 2019 年 4 月至 5 月期间使用多阶段抽样选择了 430 名中学生。我们使用半结构化的访谈式问卷收集数据。我们在二项逻辑回归模型中计算了比例和调整后的优势比（OR）及其 95％置信区间（CI）。
38.1％的受访者对 PSU 健康影响的认识良好，平均得分为 19.6 ± 10.0。当前使用者（16.3％）、男性参与者（78.6％）和 17 岁及以上的参与者（68.6％）中，PSU 的总体患病率较高。精神活性物质当前使用的独立预测因素是对健康影响的知识较差（调整后的 OR：4.1，95％CI：1.7-10.0）和父亲使用精神活性物质（调整后的 OR：10.3，95％CI= 1.9-57.1）。
参与者对精神活性物质健康影响的认识普遍较差，当前使用者的患病率较高。对其健康影响的知识不足决定了精神活性物质的使用。我们在该州向中学生开展了关于 PSU 健康影响的宣传活动和健康讲座。联邦教育部应确保在中学课程中纳入与 PSU 相关的主题。
