DRUG AND SUBSTANCE USE AND ITS PREDICTORS AMONG THE YOUTH IN NYAMIRA SUB COUNTY, NYAMIRA COUNTY

STEPHEN ODHIAMBO WANDO, DR. ASITO S. AMOLO (Ph.D), DR. TITUS J. AMINER (Ph.D)

Abstract


Substance and drug use is one of the emerging public health problems among the youth in Kenya. Moreover, it is associated with a myriad of medical effects including psychiatric problems, organ failures in addition to lethargy, decreased academic performance and risk of contracting sexually transmitted infections. Although substance and drug use has been associated with these problems, the magnitude of substance and drug use and its predictors has not been investigated in poor resource setting in rural areas of Kenya. Therefore, this study was designed to determine the prevalence of substance and drug use and identify their predictors among the youth in a poor resource setting in Nyamira Sub-County in Nyamira County.  To this end this study used a cross-sectional study to evaluate the prevalence of substance and drug use and their predictors in Nyamira slums. The result of this study revealed that there were more males (60.39%) relative females (28.57%) using drugs and substances (p<0.001). A majority of study participants (94.7) had their drug and substance use debut before 20 years.  Being divorced/separated/widowed (3.14, 95%CI 1.27-7.78), non-religious (70.2, 95% CI 7.28-676.83), being a Muslim (OR 3.15, 95%CI 0.61-16.31) and residing in urban area relative to rural (OR 0.84, 95%CI 0.53-1.31) were positively associated with drug and substance use.  In conclusion, this study found that the prevalence of drug and substance use was high in males relative to females. The main predictors of drug and substance use included residing in urban area, being a Muslims or being non-religious and being divorced/separated or widowed. These data therefore indicated the drug and substance use was influenced by a multiplicity of factors. The results of this study would be important for Ministry of health or government or policy makers in formulating age friendly and family based intervention strategies to curb substance and drug use among the youth and increase public awareness.

Key Words: drug, substances use, predictors, Youth

CITATION: Wando, S. O., Asito, S. A., & Aminer, T. J.  (2018). Drug and substance use and its predictors among the youth in Nyamira Sub County, Nyamira County. The Strategic Journal of Business & Change Management.


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References


A. E. Wall and P. L. Kohl, “Substance use in maltreated youth: findings from the national survey of child and adolescent well-being,” Child Maltreatment, vol. 12, no. 1, pp. 20–30, 2007.

Amayo, G. N. (1994). International Institute for Prevention of Drug Abuse: A Handbook for Primary and Secondary Teachers’ Guidelines in Drug Dependence Preventive Education. Nairobi: Lama Limited Printer

American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, Attention-Deficit and Disruptive Behaviour Disorders, Washington, DC, USA, 4th edition, 1994

Anteneh Messele Birhanu, Telake Azale Bistegn and Solomon Meseret Woldehannes. High prevalence of substance use associated factors among high school adolescents in Woreta Town, Northwest Ethiopia: multi-domain factor analysis.

Attention-Deficit/Hyperactivity Disorder: Data & Statistics [Internet]. Centres for Disease Control and Prevention,” 2011

Australian Drug Foundation (ADF) (1999). Drug Nexus in Africa (DNA) 1998, National Drug Strategy Household survey, (NDSHS) Report 1995 -1997).

Bandura, A. (1977). Social Learning Theory. New Jersey: Prentice Hill

Brown, L. D. (2001). Analyses showing how religiosity, social activities, and drug-related beliefs mediate relationships between post-high school experiences and substance use. Monitoring the Future Occasional Paper 50, 2001.

Charach, E. Yeung, T. Climans, and E. Lillie, “Childhood attention-deficit/hyperactivity disorder and future substance use disorders: comparative meta-analyses,” Journal of the American Academy of Child and Adolescent Psychiatry. 2011.

Child Welfare Information Gateway: Definitions of Child Abuse and Neglect [Internet]. US Department of Health & Human Services, 2011.

Coalter, J. R. (2010). Adolescent-onset substance use disorders predict young adult mortality. Journal of Adolescent Health, 42, 637-639 edition, Nairobi, Masola Publishers.

Elizabeth B. R., Susan L. D, and Suman A. R. (2003) Preventing Drug Use among Children and Adolescents: A Research – Based Guide for Parents, Educators,

WakgariDeressaand AkliluAzazh (2011). Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia

Fetsch, R. J. & Yang, R.K. (1990). A ranking of critical economic and social issues facing Colorado families by three groups of Coloradans. Unpublished raw data.

Fraenkel, J. R. &Wallen, N. E. (2008). How to Design and Evaluate Research in Education, (7th ed) New York: McGraw - Hill.

Gathumbi, A. M. (2003). Family and Peer Influences on substance Abuse among secondary school students in Thika District Unpublished PGDE project, Catholic University of Eastern Africa.

Gay, L. R. (1981). Education Research: Competencies for Analysis and Application, Charles Merrill Publishing Co. Columbus.

Ginott, H. G. (1969). Between parent and teenager 1969, New York: Macmillan.

Gorsuch, R.L., &Butler, M. (1976). Initial drug abuse: A review of predisposing social psychological factors. Psychological Built'/in., 83, 120-137.

Hardon, Anita, and NurulIlmiIdrus (2015). On Coba and Cocok: Youth-Led Drug-Experimentation in Eastern Indonesia.

Harte CB, Meston CM (2012). Recreational Use of Erectile Dysfunction Medications in Undergraduate Men in the United States: Characteristics and Associated Risk Factors.

Hines DA, Douglas EM (2012). Alcohol and drug abuse in men who sustain intimate partner violence.

Kaguthi, J. (2006). Drug Abuse in Nairobi Province and Nationally, with specific reference To Educational institutions. Nairobi, Kenya. UNDCP.

Kandel, D. & Chen B. (1995). The natural history of Drug use from adolescents to mid-thirties in a general population sample. America Journal of the Public Health 85: 41 – 47.

Kasundu, Bosco & Mutua, Moses & Chesire, Micheal. (2012). Factors Contributing To Drug Abuse among the Youth in Kenya: A Case of Bamburi Location. 46. 8259-8267.

Kerlinger, F. N. (1973). Foundations of behavioral research (4th ed.). Singapore: Wadsworth Thomson Learning, Inc.

K. D. Wagner, “Childhood ADHD and adolescent substance use,” The Psychiatric Times, 2004

Kinyanjui DW, Atwoli L (2013). Substance use among inmates at the Eldoret prison in Western Kenya.

Kombo, D. K. & Tromp, D.L. (2006). Proposal and Thesis Writing. An Introduction &Lonnie Embleton, Ann Mwangi, Rachel Vreeman, David Ayuku, and Paula Braitstein (2013). The epidemiology of substance use among street children in resource-constrained settings: a systematic review and meta- analysis

Kombo, D. K & Tromp, L.A. (2006). Proposal and Thesis Writing. Nairobi: Pauline Publications Africa. Kombo, D.K. (2005). Sociology of Education. Nairobi and Print Publishers.

MacMillan, J. and Schummacher, S. (1989). Research in education. A conceptual introduction (2nd Ed). London: Scott Foresman and Company.

Martin Frischer, Orsolina I. Martino, James Bashford, Ilana Crome and Peter Croft. Incidence of psychoses among drug dependent patients in primary care with no psychiatric history & A retrospective observational matched cohort study.

J. J. Wilson, “ADHD and substance use disorders: developmental aspects and the impact of stimulant treatment,” American Journal on Addictions, vol. 16, no. 1, pp. 5–13, 2007.

Mbatia, J., Jenkins, R., Singleton, N., & White, B. (2009). Prevalence of alcohol consumption and hazardous drinking, tobacco, and drug use in urban Tanzania, and their associated risk factors. International Journal of Environmental Research and Public Health, 6(7), 1991-2006.

McCabe, S. E, Boyd, C. J. Teter C. J. (2009) ―Subtypes of Non-Medical Prescription Drug Misuse. Drug Alcohol Dependency 102 (1-3): 63-70

Miller, J. Y. (2009). Risk and protective factors for alcohol use and other drug problems in adolescence and early adulthood: Implications for substance use prevention. Psychological Bulletin 1992 & 112, 64–105.

Mmaduakonam, A. (1998). Research Methods: An Introduction. Ontisha: West and Solomon Publishers Ltd.

Mugenda, O., &Mugenda A. (1999).Research Methods.Quantitative and Qualitative Approaches. African Centre for technology Studies Press, Nairobi, Kenya.

Mwenesi, H. (1996). Rapid assessment of drug use in Kenya. KEMLI, Nairobi.

GOK (2010). Alcohol use in learning institutions & Nairobi, Government press.

GOK, (2007). Report Situation Assessment of Drugs and Substance abuse in. Nairobi.

GOK, (2012). Report Situation Assessment of Drugs and Substance abuse in. Nairobi.

Nairobi, Pauline’s Publications.

National census. (2009) Republic of Kenya

Ndetei, M. (2004). United Nations Office on drugs and crime: A study on the linkages between drug abuse, injecting drug use and HIV/AIDS in Kenya. New York: WHO publication.

Ngesu, L. M., Ndiku, J. and Masese, A. (2008). Drug Dependence and Abuse in Kenyan Secondary Schools: Strategies for Intervention. Educational Research and Review 3 (10), pp304 – 308.

Orodho. A.J. (2005), Elements of Educational and social sciences Research Methods Nairobi: Masola Publishers.

Otieno A. O., & Ofulla A. V. O., (2009). Drug abuse in Kisumu town western Kenya, Nairobi: An African Journal of Food Agriculture Nutrition and Development (AJFAND) online.

Pudo, M. W. (1998). Lets Talk About Drugs and Drug Use. Nairobi: Global Bookman Publishers

Reda AA, Moges A, Biadgilign S, Wondmagegn BY (2012). Prevalence and Determinants of Khat (Catha edulis) Chewing among High School Students in Eastern Ethiopia: A Cross-Sectional Study.

Rubin, Z. (1984) How parents influence their children’s friendships. New York: Plenum Press.

Sadock B. J., &Sadock V.A., (2003).Substance - related disorders, in (eds.) Kaplan & Sadock‟s Synopsis of Psychiatry: Ninth Edition, Lippincott Williams &Walkins.

Santrock, J. (2001). AdolescenceMcGrow hill Inc

Smokeless tobacco use among adolescents in Ilala Municipality, Tanzania.Kaduri P1, Kitua H, Mbatia J, Kitua AY, Mbwambo J.

The worldwide prevalence of ADHD: a systematic review and metaregression analysis. PolanczykG1, deLima MS, Horta BL, Biederman J, Rohde LA.

Tun W, Sheehy M, Broz D, et al (2015). HIV and STI Prevalence and Injection Behaviors Among People Who Inject Drugs in Nairobi: Results from a 2011 Bio-behavioral Study Using Respondent-Driven Sampling. AIDS and Behavior.

United Nations. (1992). World Drug Report. New York

United Nations. (2007). Kenya Regional Office: Overview of Regional Demand for Illicit Drugs

Van Atta, R.E. (2005). The pseudologia fantastica defense in combat-determined post- traumatic stress disorder: A study of the nature of this defense and how to differentiate it from malingering. The Forensic Examiner, 14 (1), 14-25.

Yu, Gary et al (2015). Complex Drug Use Patterns and Associated HIV Transmission Risk Behaviors in an Internet Sample of U.S. Men Who Have Sex with Men.




DOI: http://dx.doi.org/10.61426/sjbcm.v5i4.995

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