Addressing substance abuse among healthcare professionals in a tertiary healthcare facility in Nigeria: a case study of Nnamdi Azikiwe university teaching hospital

Chidindu Prince Anagwu; Gabriel Chidera Edeh; Onyeka Chukwudalu Ekwebene; Timothy Ugochukwu Igwe; Charles Chinedu Nwankwo; Theophilus Nwanyigor Agbo; Benjamin Chukwunonso Okonkwo; Kenneth Okezie Nwafor

doi:10.18203/2320-6012.ijrms20241523

Authors

Chidindu Prince Anagwu Department of Medicine and Surgery, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
Gabriel Chidera Edeh Department of Medicine and Surgery, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
Onyeka Chukwudalu Ekwebene Department of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN, USA
Timothy Ugochukwu Igwe Department of Medicine and Surgery, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
Charles Chinedu Nwankwo Department of Medicine and Surgery, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
Theophilus Nwanyigor Agbo Department of Medicine and Surgery, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
Benjamin Chukwunonso Okonkwo Department of Medicine and Surgery, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
Kenneth Okezie Nwafor Department of Medicine and Surgery, Faculty of Clinical Sciences, College of Health Sciences, University of Uyo, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241523

Keywords:

Substance abuse, Cannabis, Alcohol, Caffeine

Abstract

Background: The use of psychoactive substances is prevalent worldwide, including among healthcare workers whose well-being, productivity, and effectiveness in addressing substance addiction in patients and the wider community can be significantly impacted. However, the extent of substance misuse among healthcare professionals in Nigeria, with its substantial social and public health implications, remains poorly understood. This research focused on the prevalence, attitudes, substances used, and influencing factors regarding substance misuse among staff at Nnamdi Azikiwe university teaching hospital (NAUTH) in Nnewi.

Methods: A descriptive cross-sectional study was conducted involving 194 healthcare workers, using a multi-stage sampling method. Data were collected via a semi-structured self-administered questionnaire and analyzed with SPSS version 20. Results were presented in tables, considering p values less than 0.05 as significant.

Results: Of the 197 respondents, 63.5% were female and 36.5% male, spanning various professions including doctors, nurses, and other healthcare specialists. Notably, 66% of participants had used substances in their lifetime. Alcohol was the most commonly abused substance, with significant percentages of moderate and high-risk users. Socialization and peer pressure were identified as the predominant factors influencing substance use, with significant statistical associations found between substance use and variables such as profession, sex, and duration of practice.

Conclusions: The study highlighted a considerable prevalence of alcohol use among healthcare workers, who generally held a moderate view towards substance misuse and identified socialization and peer pressure as key factors. These findings underscore the pressing need for targeted training and intervention strategies for substance addiction among healthcare workers in Nigeria.

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References

Substance Abuse. World Health Organization (WHO). Published 2022. Availabe at: https://www.afro.who.int/health-topics/substance-abuse. Accessed on 12 January, 2024.

Marwick K. Crash Course Psychiatry. 5th editon. (Xiu P, Datta S, eds.). Elsevier. 2019.

Diagnostic and Statistical Manual of Mental Disorders. 5th editio. American Psychiatric Association. 2013.

Semple D, Symth R. Oxford Handbook of Psychiatry. 3rd ed. Oxford University Press. 2013.

Koh D, Naing L. Health Workers: A global profile. Wiley Blackwell Encycl Heal Illness, Behav Soc. 2014;1132-7.

Eisler P. Doctors, Medical Staff on Drugs Put Patients at Risk, 2014. Availabe at: https://www.usatoday.com/story/news/nation/2014/04/15/doctors-addicted-drugs-health-care-diversion/7588401/. Accessed on 12 January, 2024.

Merlo L, Singhakant S, Cummings S, Cottler L. Reasons for misuse of prescription drugs aong pyhsicians undergoing monitoring by a physician health program. J Addict Med. 2013;7:349-353.

Degenhardt L, Bharat C, Glantz M, Sampson NA, Scott K, Lim CCW, et al. The epidemiology of drug use disorders cross-nationally: Findings from the WHO’s World Mental Health Surveys. Int J Drug Policy. 2019;71:103-12.

Okeke CD, Ezeama NN, Ekwebene OC, Ikeano CA, Ezeoke CJ. Substance abuse, knowledge of its long-term effects and occurrence of depressive symptoms among health students in a Nigerian tertiary institution. Magna Scientia Adv Res Rev. 2022;05(02):074-85.

Ekwebene OC, Umeanowai NV, Edeh GC, Noah GU, Folasole A, Olagunju OJ, et al. The burden of diabetes in America: a data-driven analysis using power BI. Int J Res Med Sci. 2024;12(2):392-6.

Ekwebene OC, Ekwebene SG. California's community-based tobacco control initiatives: a collaborative approach. Int J Res Med Sci. 2024;12(2):648-50.

Tobacco. World Health Organization (WHO). Published 2020. Available at: https://www.who.int/newsroom/factsheets/detail/tobacco. Accessed on 12 January, 2024.

WHO. Alcohol and drug use disorders: Global health estimates. Chronic Illn Care Princ Pract. Geneva: WHO; 2018: 83-94.

Acuda W, Othieno C, Obondo A, Ilana B. The Epideimology of Addiction in Sub-Saharan Africa: A Synthesis of Reports, Reviews, and Original Articles. Am J Addict. 2011;20(2):87-99.

Mokaya A, Mutiso V, Musau A, Albert T, Yeri K, Zipporah N, et al. Substance Use among a Sample of Healthcare Workers in Kenya : A Cross-Sectional Study. J Psychoactive Drugs. 2016;48(4):310-19.

Ndukuba A, Odinka P, Ndukuba E, Mong E, Muomah E, Igwe M. Perception of Nigerian healthcare professionals about substance abuse and their willingness to seek substance related help: a pilot study. Orient J Med. 2015;27:3-4:86-92.

Humeniuk R, Henry-Edwards S, Alli R. The Alcohol, Smoking and Substance involvement Screening Test (‎ASSIST)‎: manual for use in primary care. World Health Organization. 2010. Available at: https://apps.who.int/iris/handle/10665/44320. Accessed on 12 January, 2024.

Kalebka R, Bruijns S, Van Hoving D. A survey of attitudes towards patient substance abuse and addiction in the Emergency Centre. African J Emerg Med. 2013;3:10-17.

Adeloye D, Auta A, Fawibe A, Muktar G, Nnenna E, Rex GM, et al. Current prevalence pattern of tobacco smoking in Nigeria: a systematic review and meta-analysis. BMC Public Health. 2019;19(1):1719.

Adeloye D, Olawole-Isaac A, Auta A, Dewan M, Mary TD, Chiamaka O, Nnenna E, et al. Epidemiology of harmful use of alcohol in Nigeria: a systematic review and meta-analysis. Am J Drug Alcohol Abuse. 2019;45(5):438-50.

Gureje O, Degenhardt L, Olley B, Uwakwe R, Richard U, Owoidoho U, Abba W, et al. A descriptive epidemiology of substance use and substance use disorders in Nigeria during the early 21st century. Drug Alcohol Depend. 2007;91(1):1-9.

Obadeji A, Oluwole L, Dada U, Oshatimi A. Alcohol use and psychological wellbeing of health workers in a Nigerian hospital: An Exploratory Study. Malawi Med J. 2018;30(1):31-6.

Scott C, Dennis M, Laudet A, Rodney RF, Ronald SS. Surviving drug addiction: the effect of treatment and abstinence on mortality. Am J Public Heal. 2011;101(4):737-44.

Cousin L, Roucoux G, Petit A, Baumann-Coblentz L, Torrente O, Cannafarina A. Perceived stigma, substance use and self-medication in night-shift healthcare workers: a qualitative study. BMC Health Serv Res. 2022;22(1):698.

Gumenyuk V, Howard R, Roth T, Oleg K, Christopher LD. Sleep loss, circadian mismatch, and abnormalities in reorienting of attention in night workers with shift work disorder. Sleep. 2014;37(3):545-56.

Tamura E, Oliveira-Silva K, Ferreira-Moraes F, Eduardo AVM, Natalí NG-V. Circadian rhythms and substance use disorders: a bidirectional relationship. Pharmacol Biochem Behav. 2021;201:173105.

Ekwebene OC, Ogbuagu CN, Modebe IA, Ogbuagu EN, Igwemadu WS, Emelumadu OF. Assessment of dietary pattern, health implication and the nutritional status of clinical medical students of a tertiary institution in southeast Nigeria. Int J Health Sci Res. 2020;10(9):346-59.

Olagunju OJ, Ekwebene OC, Olagunju OE, Osanyinlusi O, Oyebanji OA, Egbo B. Malaria Parasitemia and Severe Health Complications in Children Under Five Years of Age in Nigeria: A Study Using the Demographic and Health Survey (DHS) Malaria Indicator Survey (MIS) 2021. Cureus. 2024;16(4):e58907.

Ekwebene OC, Obidile VC, Azubuike PC, Nnamani CP, Dankano NE, Egbuniwe MC. COVID-19 Vaccine Knowledge and Acceptability among Healthcare Providers in Nigeria. Int J Trop Dis Heal. 2021;42(5):51-60.

Igwe TU, Edeh GC, Ekwebene OC, Anagwu CP, Agbo TN, Abalihe UO. The Menopause Chronicles: A Dive into Nigerian Women's Perceptions at a Tertiary Care Center. Asian Res J Gynaecol Obstetr. 2023;6(1):89-99.

Ekwebene OC, Obidile VC, Nnamani CP, Eleje GU, Ekwebene CF. Pre and post flooding malaria parasitemia in gravid women, Southeast, Nigeria. J Clin Images Med Case Rep. 2021;2(5):1368

Obiekwe SJ, Ezeugwunne IP, Ekwebene OC, Nwaugochi IE, Edeh GC, Modum ER, et al. Exploring the Impacts of Menstrual-Pelvic Pain on School Activity in Rural Secondary School Girls. Asian J Med Health. 2023;21(10):43-58.

Ozughalu JN, Orji AE, Ekwebene OC, Edeh CG. Trends in childhood morbidity and mortality in the era of pandemic. Int J Health Sci Res. 2022;12(2):227-32.