DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151388

Contributing and consequential correlates of illicit substance use among students

Rehana Khalil

Abstract


Background: The world has made tremendous social progress during the past 30 years but opposite has occurred with problems related to drug abuse and addictive disorders. Over the last 30 years, awareness of illicit drugs, access to them and their abuse have dramatically increased. Reports from the United Nations, observations of experts, studies of crime, education, work and health - all show a general agreement that populations at highest risk are those in the age range most needed for productive work i.e., youth, indicating harmful consequences through decreased productivity and thus halting the developmental process of a nation.

The aim of this study was to explore the leading and resulting correlates of illicit use of substances (drugs) among college students of ages between 15 to 25 years studying in different institutes of Karachi, Pakistan.

Methods: It was a cross sectional study conducted among teens and youth studying in different institutes of Karachi, Pakistan in the year 2015. A questionnaire included multiple-choice and open-ended. The questions were focused on type of substance use, the reason behind, contributing factors, monthly expenditure, dependence upon drug, and effects of illicit substance use. 600 students completed the questionnaire. The data were analysed using IBM SPSS Statistics version 20 and Microsoft excel.

Results: The contributing attributes identified included easy accessibility through friends, dealers, and over the counter, Motivation through family members like parents (6%), siblings (8%), cousins/uncles (20%) or friends (50%), The reasons behind were recreational purpose (54%), social pressure (22%) and education stress (24%). The consequential correlates included behavioural, physical and psychological attributes. The results showed that 26% of the students were dependent on the drugs of their choice. Medical problems (physical and mental) identified in sample included 36% withdrawal symptoms (grouchiness, sleeplessness, decreased appetite, anxiety, cravings), 58% experienced mood swings, 40% experienced blackouts, rate15% depression and anxiety, convulsions and impaired memory and others like, hepatitis B & C, Lung infections, and increased heart..

This study also shows that substance abuser admitted behavioural changes among themselves as one-third of the students showed negligence to their families, 24% lose their friends and about 38% showed a decline in performance at school, Majority of the respondents were also found to be involved in illegal activities to obtain drugs and more than one-third arrested for the possession of contraband drugs.

Conclusions: It was found that majority of the respondents’ friends were involved in drug use and less commonly their cousins and family members. Most of them started drug consumption at age between 15-19 years and were mainly doing it for recreational purposes; other reasons were social pressure or educational stress. The  consequential correlates identified includes, behavioural attributes distorted relationship with family and friends, poor performance in education, and delinquent activities like imprisonment and other unlawful pursuits. Other attributes were medical including physical manifestation of substance abuse like blackouts, hepatitis B & C, increased heart rate, convulsions and lung infections. The psychological manifestations listed depression & anxiety, and impaired memory.

 


Keywords


Illicit substances, Substance use among students, Correlates of substance use, Contributing correlates of illicit substance, Consequential correlates of illicit substance

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References


Scientific consensus report produced in 2004 by the World Health Organization (WHO):"Neuroscience of psychoactive substance use and dependence" Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances, green facts. Available http://www.greenfacts.org/en/psychoactive-drugs/index.htm#1.

Illicit Drug Trends in Pakistan report, United Nations Office on Drugs and Crime Country Office, Pakistan. The Paris pact initiative: A partnership to counter trafficking and consumption of Afghan opiates. UNODC, April 2008.

Adalf EM, Gliksman L, Demers A, Newton-Taylor B. The prevalence of elevated psychological distress among Canadian undergraduates: findings from the 1998 Canadian Campus Survey. J Am Coll Health. 2001;50:67-72.

Benton SA, Robertson JM, Tseng W, Newton FB, Benton SL. Changes in counseling center client problems across 13 years. Prof Psychol. 2003;34:66-72.

Cornish JAE, Riva MT, Henderson MC, Kominars KD, McIntosh S. Perceived distress in university counseling center client across a six-year period. J Coll Stud Dev. 2000;41:104-9.

Stanley N, Manthrope J. Responding student’s mental health needs: impermeable system and diverse users. J Ment Health. 2001;10:41-52.

Adelekan ML. West Africa subregion: an overview of substance abuse problems. Drugs: Education, Prevention and Policy. 1996;3(3):231-7.

Anumonye A. Drug use among young people in Lagos, Nigeria. Bull Narcotics. 1980;32:39-92.

Gledhill-Hoyt J, Lee H, Strote J, Wechsler H. Increased use of marijuana and other illicit drugs at US colleges in the 1990s: results of three national surveys. Addiction. 2000;95:1655-67.

Walsh A. Drug use and sexual behaviour: users, experimenters and abstainers. J Soc Psychol. 1992;132:691-3.

Leibsohn JM. Relationship between drug and alcohol use and peer group association of college freshmen as they transit from high school. J Drug Educ. 1994;24:177-92.

Fass DF, Benson RI, Leggett DG. Assessing prevalence and awareness of violent behaviors in the intimate partner relationship of college students using internet sampling. J College Stud Psychother. 2008;22:66-72.

Hayes JA, Crane AL, Locke BD. Safe me from myself: college student’s fears of losing control and acting violently. J College Stud Psychother. 2010;24:181-202.

Pauley PM, Hesse C. The effect of social support,depression,and stress on drinking behavior in college student sample. Commun Stud. 2009;60:493-508.

Shafiq M, Shah Z, Saleem A, Siddiqi MT, Shaikh KS, Salahuddin FF, et al. Percepion of Pakistani medical students about drug and alcohol: a questionnaire-based survey. Subst Abuse Treat Prev Policy. 2006;1:31.

Drugs in the Global Village Pakistan, extent, patterns and trends in illicit drug supply. Available http://artengine.ca/eliany/html/drugprofiles/drugsinglobalvillage/asia/pakistan.html. Accessed 01 October 2015.

Drug Addiction Highest in Pakistan: International Narcotic Control Board; 2001.

Narcotics Control Division, Anti Narcotics Force; “Drug Abuse Assessment study of Pakistan; 2000- 2003”.

Population explosion in Karachi. Available at http://tribune.com.pk. Accessed on 26 September 2015.

Niaz U, Siddiqui S, Hassan S, et al. A survey of psychosocial correlates of drug abuse in young adults aged 16-21, in Karachi: Identifying ‘high risk’ population to target intervention strategies. Pak J Med Sci. 2005;21(3):271-7.

Ali H, Bushra R, Asla N. Profile of drug users in Karachi city, Pakistan. EMHJ. 2011;17.

Hughes SO, et al. Defining patterns of drinking in adolescence: A cluster analytic approach. J Studies Alcohol. 1992;53(1):40-7.

Margulies RZ, et al. A longitudinal study of onset of drinking among high-school students. J Studies Alcohol 1977; 38(5):897-912.

Kaplan CD, Bieleman B, TenHouten WD. Are there ‘casual users’ of cocaine? In C Wiley (Ed.), Cocaine: Scientific and social dimension Ciba Foundation Symposium. 1998; pp. 57-80.

Zaman M, Razzaq S, Hassan R, Qureshi J, Ijaz H. Drug abuse among the students. PJPR. 2015;1(1).

The social impact of drug abuse. UNDCP, World Summit for Social Development, 1995. Available at https://www.unodc.org/pdf/technical_series_1995-03-01_1.pdf. Accessed 01 October 2015.

United States Government, Morbidity and Mortality Weekly Report. 3 8, No. 45, pp. 780-783.