Semwal Jayanti, Vallabh Vidhisha, Uniyal Akanksha, Shrivastava Ashok, Bijalwan Rajeev, Nagrath Deepti
Department of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Rural Development Institute, Himalayan Institute Hospital Trust, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
J Family Med Prim Care. 2025 Mar;14(3):954-962. doi: 10.4103/jfmpc.jfmpc_1260_24. Epub 2025 Mar 25.
Substance abuse issues are identified, in Uttarakhand, despite limited and outdated data. Thus, our study aims to assess the risk and prevalence of substance abuse (alcohol, tobacco, cannabis, cocaine, opioids, amphetamines, inhalants, sedatives, and hallucinogens) among teenagers and young people in the suburbs of Dehradun district of Uttarakhand.
A survey was conducted among 14,203 individuals aged 10-24 from Doiwala Block (6023 participants) and Sahaspur Block (8180 participants). The survey included participants from the community and schools/colleges and used the CRAFT and ASSIST questionnaire to establish risk scores for different drugs.
In Doiwala block, the overall prevalence of substance use was 13.02%. The Risk Scoring for CRAFFT revealed that 58% of the 64 participants showed a high degree of risk of substance abuse. In Sahaspur Block, the overall prevalence of substance use was 8.14%. Among 10-17 years individuals (n = 107) using the CRAFFT questionnaire, 30% scored more than or equal to 2, which reflected a high potential risk.
The growing epidemic of substance abuse is preventable in the community with collective efforts of the society, law enforcement department, community leaders, ASHA workers, school teachers, and health personnels. The best platform to achieve a difference in the community is at the school level, where the adolescents spend 6-7 hours of their time every day.
Addiction treatment programs that heavily emphasize inpatient treatment or hospitalization in addiction centers are unlikely to be able to keep up with the tremendous increase in the prevalence of substance abuse.
尽管数据有限且过时,但北阿坎德邦仍发现了药物滥用问题。因此,我们的研究旨在评估北阿坎德邦德拉敦区郊区青少年和年轻人中药物滥用(酒精、烟草、大麻、可卡因、阿片类药物、安非他明、吸入剂、镇静剂和致幻剂)的风险和流行程度。
对来自杜维瓦拉街区(6023名参与者)和萨哈斯布尔街区(8180名参与者)的14203名10 - 24岁个体进行了调查。该调查包括来自社区和学校/学院的参与者,并使用CRAFT和ASSIST问卷来确定不同药物的风险评分。
在杜维瓦拉街区,药物使用的总体流行率为13.02%。CRAFFT风险评分显示,64名参与者中有58%表现出高度的药物滥用风险。在萨哈斯布尔街区,药物使用的总体流行率为8.14%。在使用CRAFFT问卷的10 - 17岁个体(n = 107)中,30%的得分大于或等于2,这反映出高潜在风险。
通过社会、执法部门、社区领袖、印度健康活动家(ASHA)工作人员、学校教师和卫生人员的共同努力,社区中不断增长的药物滥用流行问题是可以预防的。在社区中产生影响的最佳平台是学校层面,青少年每天在学校花费6 - 7个小时。
严重强调住院治疗或在戒毒中心住院的成瘾治疗项目不太可能跟上药物滥用流行率的巨大增长。