Prevalence of substance use among college students in Eldoret, western Kenya
Prevalence of substance use among college students in Eldoret, western Kenya
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DOI：
10.1186/1471-244x-11-34
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发表时间：
2011-02-28
期刊：
影响因子：
4.4
通讯作者：
Ogot, Evans M.
中科院分区：
文献类型：
--
作者：
Atwoli, Lukoye;Mungla, Prisca A.;Ogot, Evans M.
背景：大学生的药物使用预示着晚年生活中与药物相关的问题。低收入国家对这一现象的研究很少，大多集中在中小学生。因此，本研究旨在确定低收入国家大学生中与药物使用相关的流行率和因素。 方法：设计：使用自我管理的世界卫生组织模型核心调查问卷进行描述性横断面调查，以收集肯尼亚西部埃尔多雷特市内学院和大学校园学生使用各种药物的信息。背景：随机选择埃尔多雷特市的四所高等教育机构纳入研究——三所高等教育非大学机构和一所大学校园。受试者：同意参与这项研究的 500 名学生，其中 4 个参与机构各有 125 名学生。平均年龄为 22.9 岁（18-32，标准差 2.5），男性占样本的 52.2%。 结果：任何物质使用的终生流行率为 69.8%，没有任何社会人口因素与之显着相关。终生饮酒流行率为51.9%，97.6%的饮酒者在研究前一周饮酒过。吸烟率为42.8%，男性吸烟率显着高于女性（p < 0.05）。使用的其他物质有大麻（2%）和可卡因（0.6%）。在承认吸毒的人中，75.1%是由朋友介绍的，23.5%是由核心家庭成员以外的亲戚介绍的。大多数使用物质的人想要放松（62.2%）或缓解压力（60.8%）。与饮酒相关的问题包括争吵和打架、财产损失和损坏、与父母的问题、医疗问题和计划外的无保护性行为。结论：埃尔多雷特的大学生中物质使用的流行率很高，并在该人群中造成严重的身体和心理社会问题。很大一部分饮酒者报告了严重的不良反应，这提高了采取有针对性的干预措施的必要性，以减少随后的物质依赖和其他有害后果的风险。
Background: Substance use among college and university students predicts substance related problems in later life. Few studies on this phenomenon have been carried out in low income countries, and most focus on primary and secondary school students. This study therefore aimed to establish the prevalence and factors associated with drug use among university and college students in a low income country.Methods: Design: A descriptive cross-sectional survey using the Self-Administered WHO Model Core Questionnaire to collect information on use of various drugs among students in colleges and university campuses within Eldoret Municipality in Western Kenya. Setting: Four tertiary learning institutions in Eldoret Municipality were randomly selected for inclusion in the study-three tertiary level non-university institutions and one university campus. Subjects: Five hundred students who gave consent to participate in the study, 125 from each of the four participating institutions. The mean age was 22.9 years (18-32, s. d. 2.5), and males made up 52.2% of the sample.Results: Lifetime prevalence rate of any substance use was 69.8%, and none of the socio-demographic factors was significantly associated with this. Lifetime prevalence rate of alcohol use was 51.9%, and 97.6% of alcohol users had consumed alcohol in the week prior to the study. The prevalence rate of cigarette use was 42.8%, with males having statistically significantly higher rates than females (p < 0.05). Other substances used were cannabis (2%) and cocaine (0.6%). Among those who admitted to using substances, 75.1% were introduced by a friend while 23.5% were introduced by a relative other than a member of the nuclear family. Majority of those using substances wanted to relax (62.2%) or relieve stress (60.8%). Problems associated with alcohol use included quarrelling and fights, loss and damage to property, problems with parents, medical problems and unplanned unprotected sex.Conclusion: The prevalence of substance use among college and university students in Eldoret is high and causes significant physical and psychosocial problems in this population. A large proportion of those using alcohol reported serious adverse effects, raising the necessity of targeted interventions to reduce the risk of subsequent substance dependence and other deleterious consequences.