Prevalence and Determinants of Psychoactive Substances Use among Youths in Calabar Metropolis, Cross River State

Keywords: Prevalence, Determinants, Psycho-active, Substance and Youths

Abstract

This study was conducted to determine the prevalence and determinants of psychoactive substances use among youths in Calabar Metropolis, Cross River State. To achieve the aim of this study, four (4) research questions were raised as guide. The design adopted for this study was a descriptive cross-sectional survey while multi-stage sampling procedure was used to select a total of 189 youths from the respective communities in the study area for the study. The instrument for data collection was semi-structured questionnaire constructed in consonance with the study objectives. The questionnaire was duly validated with high reliability coefficient. Data collected were analyzed using descriptive statistics including frequency counts, simple percentages, weighted mean score, and Chi-square statistic. Data analysis was conducted with the aid of the Statistical Package for Social Sciences (SPSS) version 20. Results of the study revealed that a majority 164 (86.7%) of the students have used psychoactive substances and same proportion are currently using these substances. The most used psychoactive substances are alcohol 160 (97.6%). The significant reasons why these students involve in the used of these substances were; to conform to peers (3.51±0.36), boost confidence (3.74±0.32), and for experimentation (3.12±0.17). The demographic characteristics of youths associated with the use of psychoactive substances include sex, age, place of residence, and family type (p<0.05). Based on these findings, it was recommended that an enlightenment programme should be designed and implemented in communities especially in Calabar Metropolis to create awareness on the health and legal implications of using psychoactive substances.

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References

Abdallah, MM (2019). Text of the pre-event press briefing to flag-off the commemoration of 2019 international day against drug abuse and illicit drug trafficking. Available at: https://www.vanguardngr.com/2019/06/drug-abuse-ndlea-takes-campaign-to-streets-markets-schools-chairman/.

Abdul-Raheem, B.O. (2018). Sociological factors to drug abuse and the effects on secondary school students’ academic performance in Ekiti and Ondo States, Nigeria. Contemporary Issues in Education Research, Second Quarterly. Available: https://files.eric.ed.gov (Accessed on 10th March 2018).

Adamson, T.A., Ogunlesi, A.O., Morakinyo, O., Akinhanmi, A.O., Onifade, P.O., Erinosho, O.,
(2015). Descriptive national survey of substance use in Nigeria. Journal of Addiction Research and Therapy. 2015;6:234. doi: 10.4172/2155-6105.1000234. [CrossRef] [Google Scholar] [Ref list]

Adekeye, O. A., Adeusi, S. 0., Chenube, O. O., Ahmadu, F. O., &Sholarin, M. A. (2015).Assessment of Alcohol and Substance Use among Undergraduates in Selected Private Universities in Southwest Nigeria. IOSR Journal of Humanities and Social Science Nigerian students; patterns and sociodemographic correlates. American Journal of Psychiatry and Neuroscience. 2017;5(2):22-25.

Adelekan, M.L., Abiodun, O.A., Obayan, A.O., Oni, G., Ogunremi, O.O.. (1992). Prevalence
and pattern of substance use among undergraduates in a Nigerian University. Drug and Alcohol dependence. 1992;29(3):255–261. [PubMed] [Google Scholar] [Ref list]

Afuwai, E. N. (2016). Drug abuse on socio-emotional behaviour among secondary school students in Kaduna State, Nigeria.

Ajala, R. O., &Odunyemi F. T. (2018). Pattern of drug use among adolescents in selected secondary schools in Ibadan North Local

Ajayi, IA, & Ayodele, JB (2023). History and development of education in Ado-Ekiti. Nigeria: Petoa Education Publications.
Ajibulu, E. (2011). Eradicating Drug Abuse in Nigeria- How feasible?. Retrieved from http://www.modernghana.com/news/337520/1/eradicating-drug-abuse-in-nigeriahow-feasible.html
Akanni, O. O., &Adayonfo, E. O. (2015). Correlates of psychoactive substance use among Nigerian adolescents. Sahel Medical

Akindutire, I.O. &Adegboyega, J.A., (2012). Psychoactive substance consumption and
awareness of health effects among students in tertiary institutions in Ekiti state, Nigeria. Journal of Emerging Trends in Educational Research and Policy Studies. 2012;3(3):257–262. [Google Scholar] [Ref list]

Alti-Muazu, M. & Aliyu, A.A. (2018). Prevalence of psychoactive substance use among commercial motorcyclists and its health and social consequences in Zaria, Nigeria.Ann Afr Med. 2008 Jun;7(2):67-71.doi: 10.4103/1596-3519.55678. PMID: 19143162

Amdzaranda, P.A.; Fatoye, F.O.; Oyebanji, A.O.; Ogunro, A.S. &Fatoye, G.K. (2019). Factors associated with psychoactive substance use among a sample of prison inmates in Ilesa, Nigeria. Niger Postgrad Med J,2009 Jun;1 6(2):109-14.PMID: 19606190

American Journal of Psychiatry (2015) Practice guidelines for the treatment of patients with substance use disorders: alcohol, cocaine, opioids. American Journal of Psychiatry, 152:1—59
American Psychiatric Association Practice Guidelines (2016). Treatment of patient with substance use disorders. AM. J. Psych. 2006; 1633: 1-82.

Anyanwu, O. U., Ibekwe, R. C., &Ojinnaka, N. C. (2016). Pattern of substance abuse among adolescent secondary school students in Abakaliki. Cogent Medicine,3(1272160), 1-7

Anyanwu, O. U., Ibekwe, R. C., &Ojinnaka, N. C. (2017). Psychosocial dysfunction among adolescents who abuse substances in secondary schools in Abakaliki, Nigeria. Nigerian Journal of Clinical Practice, 20, 665-669.

Aquocha, C.M. &Nwefoh, E. (2021). Prevalence and Correlates of Substance Use Among
Undergraduates in A Developing Country. Afr Health Sci. 2021 Jun; 21(2): 875–883. doi: 10.4314/ahs.v21i2.49.

Arene FA, Ibanga E, Asor JE. (2018). Epidemiology of paragonimiasis in Cross River basin, Nigeria: prevalence and intensity of infection due to Paragonimusuterobilateralis in Yakurr local government area. Public Health 1998;112:119-22.
Awosusi AO, Afolayan J, Egboyega A (2016) Knowledge of Health Elects and Substance Use among Students of Tertiary Institutions in Southwestern, Nigeria. J Education and Practice 4: 9.

Babalola, E.O., Akinhanmi, A., Ogunwale, A., (2014). Who guards the guards: Drug Use Pattern
Among Medical Students in a Nigerian University. Annals of Medical and Health Sciences Research. 2014;4(3):397–403. doi: 10.4103/2141-9248.133467. [PMC free article] [PubMed] [CrossRef] [Google Scholar] [Ref list]

Bamgboye P, Gabriel V. (2018). Drug abuse and family analysis. Available: http://www.personnelemployee.training.html

Bandura, A. (2008). Social cognitive theory of mass communication. In J. Bryant & M. B. Oliver (Eds.), Media Effects: Advances in Theory and Research (pp. 94-124). New York, NY: Routledge.
Bassi, A. P., Idoko, L., Ogundeko, T. O., Ramyil, M. S. C., Abisoye-Ogunniyan, A., Ogbole, E. A.Chimbuoyim, I. N. (2017). Journal, 18(4), 192-199

Bawa, S. N. (2015). Perceptions of youth on substance abuse in Sokoto, Sokoto State, Nigeria (Masters’ Thesis, University of Ghana, Accra)

Berge, J., Sundell, K., Ojeghan, A., &Hakasson, A. (2016). Role of parenting styles in adolescent substance use: Results from a Swedish longitudinal cohort study. BMJ Open, 6(e008979)

Bernheim, A., Halfon, O., &Boutrel, B. (2015). Controversies about the enhanced vulnerability of the adolescent brain to develop addiction. Frontiers in Psychology, 4(118), 1-11

Boerngen-Larceda, R. (2016). Neurobiology of the action of drugs of abuse. In D. de Micheli, A. L. M. Andrade, E. A. da Silva & F. M. L. O. de Souza (Eds.), Drug abuse in adolescence: Neurobiological, cognitive, and psychological issues (pp. 57-68).

Catalano, R.F.; Haggerty, K.P.; Fleming, C.B.; Brewer, D.D.; and Gainey, R.R. (2022). Children of substance abusing parents: Current findings from the Focus on Families project. In: McMahon, R.J., and Peters, R.D., (eds). The Effects of Parental Dysfunction on Children. New York: Kluwer Academic Press/Plenum Publishers, pp.179–204.

CHAPTER 1 (2015). Alcohol and Other Drugs". The Public Health Bush Book: Facts & approaches to three key public health issues. ISBN 0-7245-3361-3. Archived from the original on 2015-03-28.

De Freitas, E. P. M., & Luis, M. A. V. (2015). Perception of students about alcohol consumption and illicit drugs. Acta Paul Government Area, Ibadan Oyo State, Nigeria. IOSR Journal of Nursing and Health Science, 7(4), 46-54.

Denwigwe, C. P.; Okpechi, P. A.; Asuquo, P. N. &Eze, A. E. (2019).Family Influences on Substance Abuse Tendencyamong Secondary School Students in Yakurr LocalGovernment Area of Cross River State, Nigeria, Journal of Pharmaceutical Research International (JPRI), 23(2): 1-6, 2018; Article no. JPRI.42708 ISSN: 2456-9119

Ekwueme, O.E., Chukwuneke, F.N. (2010). Prevalence and behaviour effects of psychoactive
substance use among university students in south-eastern Nigeria. Ebonyi Medical Journal. 2010;9:1. doi: 10.4314/ebomed.v9i1.62466. [CrossRef] [Google Scholar] [Ref list]

Etim, I.O. (2023). Drug Abuse among our Youths. Available: nationonline.ng.net.>drug-abuse.

Eze, A. E. (2019). Family background and drug abuse tendency among secondary school students in Yakurr local government area of Cross River State. An Unpublished M.Ed Thesis, University of Calabar, Cross River State, Nigeria.

Fareo, D.O (2012) Drug abuse among Nigerian adolescent’s strategies for counselling. Int J Soc Res Methodol 20: 341-347.
FNPH/NA/CN-OPE, (2021). Nursing Audit Presentation. Daily Nursing Compound reporting in Federal Neuro-Psychiatric Hospital, Calabar. Vol. 1 (34).
Gobir, A.A.; Sambo, M. N.; Bashir, S. S.; Olorukoba, A. A.; Ezeh, O.E.; Bello, M.; Usman, B.; Salaudeen, A. G.; Joseph, S.; Bashar, J. & Omole, N.V., (2017). Prevalence and Determinants of Drug Abuse among Youths in a Rural Community in North Western Nigeria. Tropical Journal of Health Science.Vol. 24. No. 4.
Goncalves, J., Luis, A., Gallardo, E. & Duarte, A. P. (2021). Psychoactive Substances of Natural
Origin: Toxicological Aspects, Therapeutic Properties and Analysis in Biological Samples. Molecules. 2021 Mar; 26(5): 1397. Published online 2021 Mar 5. doi: 10.3390/molecules26051397
Hawkins, J.D., Catalano, R.F., and Miller, J.Y. (2012). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin 112(1):64-105.
Hsu J, Lin JJ, Tsay WI (2014) Analysis of drug abuse data reported by medical institutions in Taiwan from 2002 to 2011. J Food and DrugAnalysis 22: 169-177.

Ialongo, N.; Werthamer, L.; Kellam, S.; Brown, C.; Wang, S.; and Lin, Y. (2019). Proximal impact of two first-grade preventive interventions on the early risk behaviors for later substance abuse, depression, and antisocial behavior. American Journal of Community Psychology 27:599–641, 1999.
Igwe WC, Ojinnaka NC (2015) Mental health of adolescents who abuse ƉƐycŚŽĂcƟvĞ substances in Enugu, Nigeria - a crŽƐƐͲƐĞcƟŽnĂů study. Ital J Pediatr 36: 1824-7288.

Jamilu, Y.R. &Dantsoho, F.A., (2020). Prevalence of Substance Abuse, Assessment of Socio-economic and Demo-graphic Determinants of Commercial Motorcyclists in Katsina State Nigeria. African Journal of Health Sciences, 33 (1): 152-163

Johnson, OE; Akpanekpo, EI; Okonna, EM; Adeboye, SE; Udoh, AJ; (2018). The Prevalence and Factors affecting Psychoactive Substance. Use among Undergraduate Students in University of Uyo, Nigeria. Journal of Community Medicine and Primary Health Care Vol.29, No 2. pp. 11-22. Department of Community Health, University of Uyo Teaching Hospital, Uyo. Email drjohnsonoe@yahoo.com. Telephone: +2348161518358
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2021). Monitoring the Future national results on adolescent drug use: Overview of key findings, 2010. Ann Arbor: Institute for Social Research, The University of Michigan.
Klein A.(1994) Trapped in the traffic: growing problems of drug consumption in Lagos. The Journal of Modern African Studies 32: 657-677.

Ksir& Charles (2022). Drugs, society, and human behavior (9th ed.). Boston [u.a.]: McGraw-Hill. ISBN 978-0072319637
Lapsley, D.K. & Edgerton, J. (2011). Separation-individuation, adult attachment style, and
college adjustment. Counseling & Development Journal. 2011;80(4):484–492. PubMed.
Makanjuola, A.B.; Daramola, T.O. &Obembe, A.O. (2021). Psychoactive Substance Use among Medical Students in a Nigerian University. World Psychiatry, 2007 Jun; 6(2): 112-114, PMCID: PMC2219911, PMID: 18235869
McHugh, R. Kathryn; Votaw, Victoria R.; Sugarman, Dawn E.; Greenfield, Shelly F. (2018). "Sex and gender differences in substance use disorders". Clinical Psychology Review. Gender and Mental Health. 66: 12–23. doi:10.1016/j.cpr.2017.10.012. ISSN 0272-7358. PMC 5945349. PMID 29174306
Merlin, M.D (2023). "Archaeological Evidence for the Tradition of Psychoactive Plant Use in the Old World". Economic Botany. 57 (3): 295–323.

National Drug Laws Enforcement Agency (2020). Available at: https://nigeria.tradeportal.org/media/NDLEA%20Act.pdf.

National Institute on Drug Abuse (NIDA), (2023). 25 National Institutes of Health -U. S Department of Health and Human Services: Preventing drug use among children and adolescents, 2nd Ed.
Nwoga , CN., Ndak, AZ., Audu, MD, Goar, SG., Armiya'u, AY., Agbir, TM.. &Dakwak , SJ. (2016). Pattern and Effect of Substance Usse in Jos South, North Central Nigeria. Department of Psychiatry, University of Jos, Plateau state, Nigeria.
Obafemi, F. (2018). Drug abuse in Nigeria. Causes, Effects and Solutions. Available: nigerianfinder.com/drug abuse.

Onukogu, U.C.; Ekpe, E.E.; Edet, B. & Anya, C.A. (2019). Substance use among secondary school students in Calabar, Nigeria: A study in advance of establishing a school-based prevention program. National Institute on Drug Abuse (NIH). https://nida.nih.gov/international/abstracts/substance-use-among-secondary-school-students-in-calabar-nigeria-study-in-advance-establishing

Oyakhilome, F. (2019) Perspective and Strategies in the Control of the Traffic in Narcotics Drugs and Psychoactive Substances. In Kalu and Osibajo (Ed.) Narcotics: Law and Policy in Nigeria. Federal Ministry of Justice, Lagos, Pg no: 1-6.
Oyira, E.J. &Opiah, M.O., (2019). The Societal Variables and Prevalence of Substance Abuse Among the Youth in Calabar, Cross River State, Nigeria. International Journal of Nursing, Midwife and Health Related Cases, Vol.5, No.3, pp.7-19

Pasche S, Kleintjes S, Wilson D, Stein DJ, Myers B (2015) Improving Addiction Care in South Africa: Development and Challenges to Implementing Training in Addictions Care at the University of Cape Town. Int J Ment Health Ad 13: 322-332.

Rutter M. (2019). The interplay of nature nurture and developmental influences. The challenge ahead for mental health Achieves of General Psychiatry. 59: 996-1000.

Sharif, S., et. al., (2021). The use and impact of cognitive enhancers among university students: a
systematic review. Brain Sci. 2021;11:355.

Shuaibu, H.O.; Haliza, A. R.; Samah, A.A. &Zulkefli, N.A.M.; (2020). Psychoactive Substance Use among Nigerian Secondary School Students: A Review of Current Literature. Pertanika Journal of Social Science and Humanities. https://www.researchgate.net/publication/347914475

Silva, M.L., Guimarães C.F., Salles D.B., (2014). Risk and protective factors to prevent relapses
of psychoactive substances users. Revista Rene. 2014;15:1007–1015.

Switzerland: Springer International Publishing Center for Disease Control and Prevention (2018, April 16). Teen substance use & risks. CDC Features. Retrieved from: https://www.cdc.gov/features/teen-substance-use/index.html

United Nations Office on Drugs and Crime Relatório Mundial sobre Drogas,
(2010). https://www.unodc.org/lpo-brazil/pt/frontpage/2010/06/23-relatorio-mundial-sobre-drogas-2010-do-unodc-revela-tendencias-de-novas-drogas-e-de-novos-mercados.html

UNODC (2018) Global illicit drug trends 2018. New York, NY, United Nations Office on Drugs and Crime

UNODC, 2019. World Drug Report 2019: https://www.unodc.org/wdr2019/
Walitzer, Kimberly S.; Dearing, Ronda L. (2018). "Gender differences in alcohol and substance use relapse". Clinical Psychology Review. Relapse in the addictive behaviors. 26 (2): 128–148. doi:10.1016/j.cpr.2005.11.003. ISSN 0272-7358. PMID 16412541
Weil, A. (2019). The Natural Mind: A Revolutionary Approach to the Drug Problem (Revised ed.). Houghton Mifflin. p. 15. ISBN 0-618-46513-8.

WHO (2017) The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva, World Health Organization.

WHO, (2014). Neuroscience of psychoactive substance use and dependence: summary. 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: bookorders@who.int).

WHO, (2021), Substance Abuse, Regional Office of Africa, https://www.afro.who.int/health-topics/substance-abuse
World Health Organization, (2018). Management of substance abuse. Psychoactive
Substance. 2018. Retrieved from www.who.int/substance_abuse/terminology/psychoactive substances/en/ [Ref list]
Published
2024-11-28
How to Cite
Edet Okon, U., & Idongesit Akinamoh, T. (2024). Prevalence and Determinants of Psychoactive Substances Use among Youths in Calabar Metropolis, Cross River State. GPH - International Journal of Health Sciences and Nursing, 7(06), 01-26. https://doi.org/10.5281/zenodo.14252442