坦桑尼亚姆贝亚市中学生药物滥用的患病率及影响因素

Prevalence and factors influencing substance abuse among secondary school students in Mbeya City, Tanzania.

作者信息

Gift Abnery, Mweya Clement N

机构信息

Mbeya College of Health and Allied Sciences, University of Dar es Salaam, P.O.Box 608, Mbeya, Tanzania.

Mbeya Medical Research Centre, National Institute for Medical Research, P.O.Box 2410, Mbeya, Tanzania.

出版信息

Afr Health Sci. 2024 Sep;24(3):430-437. doi: 10.4314/ahs.v24i3.47.

DOI:10.4314/ahs.v24i3.47

PMID:40777965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327141/

Abstract

BACKGROUND

Substance abuse among students has far-reaching social, religious, economic, health and demographic consequences, such as unplanned pregnancies, school dropouts, abortions, maternal and newborn mortality, infection risks and other psychological problems. Our study investigated the prevalence of substance abuse among secondary school students in Mbeya City, Tanzania.

METHODS

This school-based cross-sectional study was conducted from January to May 2021 among secondary students from Mbeya City, Tanzania. Students completed a self-administered substance use questionnaire. Data were analysed using descriptive statistics.

RESULTS

A total of 343 students were requested to participate in the study. However, 300 agreed to indicate 87% response rate. 9.7% (n=59) reported substance use, primarily cannabis, 75% (n=225) and alcohol, 68% (n=204). Friends influenced substance use among 82.7% of users. Reported immediate effects included misbehaviour, 73.7% (n=221) and unprotected sex, 72.3% (n=217). Long-term harms were predominantly brain damage (86.7%). Community education (78%) and media campaigns (76.7%) were suggested to curb use.

CONCLUSION

Substance abuse among a sizable minority of Mbeya City secondary school students is driven by peer influence and has detrimental impacts reported by students themselves. Comprehensive education and preventive strategies engaging families, schools and communities are recommended to address this critical youth issue.

摘要

背景

学生中的药物滥用会产生深远的社会、宗教、经济、健康和人口统计学后果，如意外怀孕、辍学、堕胎、孕产妇和新生儿死亡、感染风险以及其他心理问题。我们的研究调查了坦桑尼亚姆贝亚市中学生药物滥用的患病率。

方法

这项基于学校的横断面研究于2021年1月至5月在坦桑尼亚姆贝亚市的中学生中进行。学生们完成了一份自我管理的药物使用问卷。数据采用描述性统计进行分析。

结果

共有343名学生被要求参与研究。然而，300名学生同意参与，回复率为87%。9.7%（n = 59）的学生报告有药物使用情况，主要是大麻（75%，n = 225）和酒精（68%，n = 204）。82.7%的使用者表示药物使用受朋友影响。报告的直接影响包括行为不检（73.7%，n = 221）和无保护性行为（72.3%，n = 217）。长期危害主要是脑损伤（86.7%）。建议开展社区教育（78%）和媒体宣传活动（76.7%）来遏制药物使用。