Evaluating substance use in an urbanizing town of mid hills of Northern India

Authors

  • Ajay K Singh District Programme Officer, Department Health and Family Welfare, Solan, Himachal Pradesh, India
  • Kushel Verma Medical Officer, Regional Hospital, Solan, Himachal Pradesh, India
  • Amit Guleria Department of Economics and Sociology, PAU Ludhiana, Punjab, India
  • Shalini Puri District Programme Officer, Department Health and Family Welfare, Solan, Himachal Pradesh, India
  • Ankit Sharma Medical Officer, Regional Hospital, Solan, Himachal Pradesh, India
  • Vaishali Sharma Counsellor (De-addiction), Regional Hospital, Solan, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20204238

Keywords:

Cannabis, Chitta, Cluster analysis, De-addiction, Secondary data, Substance use

Abstract

Background: Substance use is emerging as a major cause of morbidity and mortality across the world. Solan, a fast urbanizing town of India has witnessed mushrooming of industries and educational institutes. A surge in the persons booked under the Narcotic Drug and Psychoactive Substance Act 1985 led us to look into the determinants of the substance use in this region.

Methods: We undertook a cross sectional study of one year secondary data analysis of 750 substance users screened at the de-addiction centre of Solan Hospital. The data mining was done by the cluster analysis technique. SPSS 16 and STATA 13 software were employed.

Results: Mean age of users was 31 years with dominance of males (89.20 %), two third of total users were married, 75% were unemployed, 42% had upper school level education. About 60 and 38% were using cannabis and chitta (a synthetic opioid) respectively. Only 2% were consuming tobacco and alcohol. 62% of substance users had the fear of legal action and 44% had no family history of substance use. 39% had only single parent, 54% had started substance use under peer pressure and duration of use varied between 6 to 24 months.  Alcohol and cannabis were used more in urban and rural areas respectively. 63 and 70% had family history and experience of peer pressure respectively.

Conclusions: Cluster analysis has generated substance specific socio-demographic determinants of substance use which would help in planning appropriate substance use alleviation strategies.

 

References

Roth GA, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, Abdollahpour I. Global, regional and national age –sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet 2018;392:1736-88.

Huertas E, Lopez-Moreno JA, F Vanessa, Echeverry-Alzate V, Buhler K-M. Association between experimental substance use, FAAH-gene variations, impulsivity and sensation seeking. Psichothem 2019;31:239-45.

Bidwell LC, Metrik J, McGeary J, Palmer RH, Francazio S, Knopik VS. Impulsivity, variation in the cannabinoid receptor (CNR 1) and fatty acid amide hydrolase (FAAH) genes, and marijuana related problems. Journal of studies on alcohol and drugs 2013;74:867-78.

Palmer RH, McGeary J, Knopik VS, Bidwell LC, Metrik JM. CNR1 and FAAH variation and affective states induced by marijuana smoking. The American Journal of Alcohol and Drug Abuse 2019;45:514-26.

Evren C, Cinar O, Evren B, Celik S. History of suicide attempt in male substance-dependant inpatients and relationship to borderline personality features, anger, hostility and aggression. Psychiatry Research 2011;190(1):126-31.

Evren C, Cinar O, Evren B, Ulku M, Karabulut V, Umut G. The mediator roles of trait anxiety, hostility and impulsivity in the association between childhood trauma and dissociation in male substance-dependant inpatients. Comprehensive Psychiatry 2013;54(2):158-66.

Acton GS. Measurement of impulsivity in a hierarchical model of personality traits: implications for substance use. Substance use and misuse 2003;38(1):67-83.

Hamdan-Mansour AM, Mahmoud KF, Al Shibi AN, Arabiat DH. Impulsivity and sensation-seeking personality traits as predictors of substance abuse among university student. Journal of psychosocial nursing and mental health services 2018;56.

Ambekar A, Agrawal A, Rao R, Mishra AK, Khandelwal SK, Chadda RK. National Survey on Extent and Pattern of Substance Use in India. Magnitude of Substance Use in India. New Delhi: Ministry of Social Justice and Empowerment, Government of India. Available at: https://www.socialjustice.nic.in/writereaddata/UploadFile/Survey%20Report636935330086452652.pdf. Accessed on 02nd July 2020.

Crime in India 2018 Statistics;1: National Crime Record Bureau. New Delhi, Ministry of Home Affairs, Government of India. Available at: https://www.ncrb.gov.in/sites/default/files/Crime%20in%20India%202018%20-%20Volume%201.pdf. Accessed on 02nd July 2020.

Micro, Small & Medium Enterprises Development Institute. Brief Industrial profile of Solan District. Government of India. Ministry of MSME. 2014-15. Available at www.msmedihimachal.nic.in

Erol A, Karpyak VM. Sex and gender related differences in alcohol use and its consequences: contemporary knowledge and future research considerations. Drug and Alcohol Dependance 2015;156:1-13.

Hoggatt KJ, Jamison AL, Lehavot K, Cucciare MA, Timko C, Simpson TL. Alcohol and drug misuse, abuse, and dependence in women veterans. Epidemiological Reviews 2015;37:23-37.

Bhat BA, Dar SA, Hussain A. Sociodemographic profile, pattern of opioid use, and clinical profile in patients with opioid use disorders attending the de-addiction center of a tertiary care hospital in North India. Indian Journal of Social Psychiartry 2019;35:173-178.

Warrington JS, Lovejoy N, Brandon J, Lavoie K, Powell C. Integrating social determinants of health and laboratory data: a pilot study to evaluate co-use of opioids and benzodiazapines. Academic Pathology 2019;6:2374289519884877.

Bonyani A, Safaeian L, Chehrazi M, Etidali A, Zaghian M, Mashhadian F. A high-school based education concerning drug abuse prevention. Journal of Education and Health Promotion 2018;7:88.

Williams N, Bossert N, Chen Y, Jaanimagi U, Markatou M, Talal AH. Influence of social determinants of health and substance use characteristics on persons who use drug pursuit of care for hepatitis C virus infection. Journal of Substance abuse treatment 2019;102:33-9.

Bessie Ng, Kaur J, Ramjoo SK. Understanding the determinants of substance misuse. Region of peel. Peel Public Health 2018;905-791-7800:1-59.

Siddike PAS, Soron TR, Ahmed HU, Chowdhury CA. Social and family determinants of substance abuse among the patients of two hospitals in Bangladesh. Journal of Addiction Research and Therapy 2017;8:340.

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Published

2020-09-24

How to Cite

Singh, A. K., Verma, K., Guleria, A., Puri, S., Sharma, A., & Sharma, V. (2020). Evaluating substance use in an urbanizing town of mid hills of Northern India. International Journal of Research in Medical Sciences, 8(10), 3611–3617. https://doi.org/10.18203/2320-6012.ijrms20204238

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Original Research Articles