A Study of Substance Use In Children And Adolescents In Community Setting

Authors

  • Dr. Neeraj J. Karandikar
  • Dr. Prasad K. Tagad DVVPFs Medical College & Hospital, Ahmednagar-414111, Maharashtra, India

DOI:

https://doi.org/10.46858/vimshsj.7403

Keywords:

Tobacco, alcohol, children- adolescents, Socio-demographic factors

Abstract

Background: Substance abuse problems can be described as developing through a set of progressive stages.  The adolescent period, it self is more vulnerable for beginning of various substance abuse. Adolescents usually begin to use legal drugs like tobacco, alcohol and then cannabis and other illicit drugs.  Objective: To determine the socio-demographic profile of substance using children and adolescents in a community setting.  Methods: 150 families were selected using systematic sampling with random start from a well-defined community. The study was carried out in two phases. In phase I 74 families were identified who had children in this age group 10-19 yrs. There were total of 141 children in this age group. They were further screened for substance use through interview of parents and children. In Phase II, Children who had been found to have used some psychoactive substance were taken in the case study group. Similar number of children who were not using any psychoactive substance was selected for control group from the same 150 families. Both the study group children and control group children were evaluated in detail for Sociodemographic information & nature and extent of substance use by using ICD-10 Diagnostic Criteria For Research. Results: The mean age of the both groups was comparable and males predominated (60.5%) in both group. In both groups, educational level was similar but there was higher number of children who were currently attending school in the control group. Majority of school drop-outs were seen from the study group. (57.9% as compared to 28.9% in the control group). This was statistically significant. ). The prevalence of substance use was found to be around 27%. In our study the most commonly used substance was tobacco & Mishri was the most common form used.  Chewing tobacco, cigarette and gutkha were various other tobacco containing products used. Further, Mishri was more commonly used by females, while cigarette and gutkha were more commonly used by males.  Of the 23 tobacco dependent children 20 were above the age of 16 years. This finding was statistically significant. (P < 0.05). Only the males were found to use alcoholic beverages and all these boys were above the age of 16 years, Beer was the most common form used. Conclusion: Study findings can be used to generate awareness in the community regarding antecedents of substance abuse and the problems arising from it.  Community based-longitudinal studies are needed to understand multiple factors influencing alcohol use and recommend targeted preventive measures.

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References

Kandel D. B. - Epidemiological and Psychosocial perspectives on adolescent drug use. (J. Am. Acad. Child Adolesc. Psychiatry. 1982; 21: 328 - 347).

Kimberly A. Christie, Jack D. Burke et al Epidemiological Evidence for early onset of mental disorders and higher risk of drug abuse in young adults. Am J. Psychintry 1988, 145:971- 975.

Brown Richard A. PHD, Peter M. Lewinsohn et al - Cigarette smoking, Major depression and other psychiatric disorders among Adolescents. J. AM. Academy Child and Adolesc. Psychiatry 1996;35(12) 1602-1610.

Donald lan Macdonald MD- Drugs. Drinking and Adolescence AJDC 1984, 138; 117-125.

Gavarasana S. Doddi V P, Prasad G. V., Allam A, Murphy BS. Et al - A Smoking survey of College Students in India, implications for designing on antismoking policy. Jpn. J. Cancer Res, 1991 Feb; 82(2): 142 - 145.

Ponnudurai R. Somasundaram et al.- Alcohol and Drug Abuse Among Internees Indian JR. Psychiatry, 1984 26(2). 128-132.

Patton George C., MD, Marienne Hibbert, PhD et al. Is smoking Associated with depression and Anxiety in teenagers? Am. J. Public Health 1996; 86: 225-230

Stanton Warren et al - Reasons for Smoking and Nonsmoking in Early adolescence. - Addictive Behaviors, 1993, Vol 18; pp 321 - 329.

Kaminer Yifrah, M.D. - Addictive Disorders in Adolescents - The Psychiatric Clinics of North America Vol. 22 (2) June 1999, 275-288.

Breslau Naomi, PhD. M. Marlyne Kilbey et al. Nicotine dependence, Major Depression and Anxiety in young adult Arch. Gen. Psychiatry 1991; 48: 1069-1074.

. Furgusson David M., PHD, Michael T. Lybskey et al.- Co- morbidity between depressive disorders and Nicotine dependence in a cohort of 16 yrs old- Arch, Gen. Psychiatry 1996, 53 : 1043-1047.

Bukstein G. Oscar, M.D., David A. Brent, M.D., et al.- Co- Morbidity of Substance Abuse and Other Psychiatric Disorders in Adolescents. Am. J. Psychiatry 1989; 146: 1131-1141.

Terhi Aalto-Setala M.D. et al - Depressive symptoms in Adolescence as predictors of early Adulthood Depressive disorders and Maladjustment. Am. J. Psychiatry 2002; 159 1235-1237.

Reinherz et al - Prevalence of Psychiatric disorders in a community Population of older adolescents. J. Am. Acad. Child Adolesc. Psychiatry. 1993, 32; 369 377.

Deykin Eva. Y., Janice C. Levy et al - Adolescent Depression, Alcohol and Drug Abuse -Am. J. Public Health, 1987; Vol 77, 1 78 - 182.

Wilens Timothy E. MD, Biederman Joseph MD et al.- Risk for substance use disorders in youth with child and adolescent onset Bipolar. Disorder; J. Am. Psychiatry 1999, 38 (6) 680-685 Acad Child adolese.

Tobacco use Survey India (1997) Descriptive Report. Types of tobacco used in India and its origin. - Anubhav; Monthly on Social issues. Dec 1997 Vol I issue 9 pp 9-11 Yuva-Pune.

Nitcher S. M., Nitcher M, Sickle D V. et al - Tobacco use among male college students in Karnataka. (TUS India (1999) Nic: Tobacco Use Survey

Boyle Michael, PhD, David R. Offord M.D. et al. Predicting substance use in late adolescence, Results from the Ontario Child Health Study Follow up. Am. J. Psychiatry, 1992; 149: 761-767.

Covey Lirio S. PHD and Debbie Tam - Depressive mood, the single parent Home, and Adolescent cigarette smoking. (Am. J. Public Health 1990; 80: 1330-1333.

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Published

2020-12-17

How to Cite

Karandikar, D. N. J., & Tagad, D. P. K. (2020). A Study of Substance Use In Children And Adolescents In Community Setting. VIMS Health Science Journal, 7(4), 104–109. https://doi.org/10.46858/vimshsj.7403

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