THE ASSOCIATION BETWEEN SOCIAL CHARACTERISTICS AND PATTERNS OF SUBSTANCE USE DISORDER; A CROSS-SECTIONAL STUDY ON SUDANESE PATIENTS

Authors

  • Omer A Fadllalah Department of Psychiatry, Al-Amal Mental Hospital, Medina, KSA.
  • Abdelaziz A Omer Faculty of Medicine, University of Khartoum, Sudan.
  • Anas Ibn Auf Erada and Mental Health Complex, Taif, Saudi Arabia.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i7.45492

Keywords:

Social aspects, Psychoactive, Substances, Addiction, The pattern of drug use, Sudan

Abstract

Objective: This study aimed to examine the association between different social factors and patterns of substance use disorder in Sudan.

Methods: Data were collected using a structured interviewer-rated questionnaire designed by the researchers, and distributed to the patients who have drug use disorder at the two main psychiatry teaching hospitals in Khartoum state, Sudan.

Results: The total number of participants was 124 and the majority (95.2%) were males, and 54.8% were single. The onset is mostly before the age of 25 years. The most common substance was cannabis followed by alcohol. Only 61 participants (49.1%) had come to the hospital seeking treatment of their own free will, and 41.9% of participants had a family history of substance use which was significantly associated with early-onset. The majority of participants (69.4%) started using psychoactive substances at the age of 15–25 years. Half of the participants use drugs only in a group of friends. Bad relations between parents, and between participants and parents were perceived by participants to have a role in starting drug use.

Conclusion: Substance use is more common among males with an early onset. A family history of substance use associates with an earlier onset. The study shed the light on the social aspects of substance use in Sudan and recommended more efforts to restrict the availability of illicit drugs in the country.

Downloads

Download data is not yet available.

References

Crocq MA. Historical and cultural aspects of man’s relationship with addictive drugs. Dialogues Clin Neurosci 2007;9:355-61. doi: 10.31887/DCNS.2007.9.4/macrocq. PMID: 18286796; PMCID: PMC3202501

Vetulani J. Drug addiction. Part I. Psychoactive substances in the past and presence. Pol J Pharmacol 2001;53:201-14. PMID: 11785921

Kumar N, Kanchan T, Unnikrishnan B, Thapar R, Mithra P, Kulkarni V, et al. Profile of substance use among patients attending De-addiction centres in a coastal city of southern India. PLoS One 2013;8:e57824. doi: 10.1371/journal.pone.0057824. Epub 2013 Feb 28. PMID: 23469075; PMCID: PMC3585211

Daley DC. Family and social aspects of substance use disorders and treatment. J Food Drug Anal 2013;21:S73-6. doi: 10.1016/j. jfda.2013.09.038. PMID: 25214748; PMCID: PMC4158844

World Health Organization. World Health Organization and United Nations Office on Drugs and Crime. Principles of Drug Dependence Treatment. Geneva: World Health Organization; 2008. Available from: http://www.unodc.org/documents/drug-treatment/ UNODC-WHO-Principles-of-Drug-Dependence-Treatment-March08. pdf [Last accessed on 2022 Jun 20].

Lamptey J. Socio-demographic characteristics of substance abusers admitted to a private specialist clinic. Ghana Med J 2005;39:2-7. doi: 10.4314/gmj.v39i1.35973. PMID: 17299533; PMCID: PMC1790802

Eegunranti BA, Fatoye FO, Morakinyo O. Stimulant use among secondary school students in Osogbo, Nigeria. Niger Postgrad Med J 2009;16:218-23. PMID: 19767910

Hafeiz HB. Socio-demographic correlates and pattern of drug abuse in Eastern Saudi Arabia. Drug Alcohol Depend 1995;38:255-9. doi: 10.1016/0376-8716(95)90001-x. PMID: 7555626

Sundaram KR, Mohan D, Advani GB, Sharma HK, Bajaj JS. Alcohol abuse in a rural community in India. Part I: Epidemiological study. Drug Alcohol Depend 1984;14:27-36. doi: 10.1016/0376-8716(84)90016-4. PMID: 6489150

Harrington M, Robinson J, Bolton SL, Sareen J, Bolton J. A longitudinal study of risk factors for incident drug use in adults: Findings from a representative sample of the US population. Can J Psychiatry 2011;56:686-95. doi: 10.1177/070674371105601107. PMID: 22114923

Zenic N, Ostojic L, Sisic N, Pojskic H, Peric M, Uljevic O, et al. Examination of the community-specific prevalence of and factors associated with substance use and misuse among Rural and Urban adolescents: A cross-sectional analysis in Bosnia and Herzegovina. BMJ Open 2015;5:e009446. doi: 10.1136/bmjopen-2015-009446. PMID: 26546145; PMCID: PMC4636607

Madianos MG, Gefou-Madianou D, Richardson C, Stefanis CN. Factors affecting illicit and licit drug use among adolescents and young adults in Greece. Acta Psychiatr Scand 1995;91:258-64. doi: 10.1111/j.1600- 0447.1995.tb09779.x. PMID: 7625208

Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Washington, DC: US Department of Health and Human Services; 2016 Nov. PMID: 28252892

Redonnet B, Chollet A, Fombonne E, Bowes L, Melchior M. Tobacco, alcohol, cannabis and other illegal drug use among young adults: The socioeconomic context. Drug Alcohol Depend 2012;121:231-9. doi: 10.1016/j.drugalcdep.2011.09.002. Epub 2011 Sep 28. PMID: 21955362

Shahraki G, Sedaghat Z, Fararouei M. Family and social predictors of substance use disorder in Iran: A case-control study. Subst Abuse Treat Prev Policy 2019;14:17. doi: 10.1186/s13011-019-0201-x. PMID: 31060577; PMCID: PMC6501311

Available from: https://www.destinationsforteens.com/destinations-blog/family-history-and-addiction-risk [Last accessed on 2022 Jun 20].

Fuller-Thomson E, Filippelli J, Lue-Crisostomo CA. Gender-specific association between childhood adversities and smoking in adulthood: Findings from a population-based study. Public Health 2013;127:449-60. doi: 10.1016/j.puhe.2013.01.006. Epub 2013 Mar 5. PMID: 23465733

Rana M, Marhorta D. Family environment as a predictor of aggressive behaviour. Stud Psychol 2005;47:61-74.

Dawson DA. The link between family history and early onset alcoholism: Earlier initiation of drinking or more rapid development of dependence? J Stud Alcohol 2000;61:637-46. doi: 10.15288/ jsa.2000.61.637. PMID: 11022800

Whitesell M, Bachand A, Peel J, Brown M. Familial, social, and individual factors contributing to risk for adolescent substance use. J Addict 2013;2013:579310. doi: 10.1155/2013/579310. Epub 2013 Mar 20. PMID: 24826363; PMCID: PMC4008086

Sellami R, Feki I, Zahaf A, Masmoudi J. The profile of drug users in Tunisia: Implications for prevention. Tunis Med 2016;94:531-4. PMID: 28603825

Hingson RW, Heeren T, Winter MR. Age at drinking onset and alcohol dependence: Age at onset, duration, and severity. Arch Pediatr Adolesc Med 2006;160:739-46. doi: 10.1001/archpedi.160.7.739. PMID: 16818840

Stueve A, O’Donnell LN. Early alcohol initiation and subsequent sexual and alcohol risk behaviors among urban youths. Am J Public Health 2005;95:887-93. doi: 10.2105/AJPH.2003.026567. PMID: 15855470; PMCID: PMC1449273

King KM, Meehan BT, Trim RS, Chassin L. Marker or mediator? The effects of adolescent substance use on young adult educational attainment. Addiction 2006;101:1730-40. doi: 10.1111/j.1360- 0443.2006.01507.x. PMID: 17156172; PMCID: PMC2238681

Odgers CL, Caspi A, Nagin DS, Piquero AR, Slutske WS, Milne BJ, et al. Is it important to prevent early exposure to drugs and alcohol among adolescents? Psychol Sci 2008;19:1037-44. doi: 10.1111/j.1467- 9280.2008.02196.x. PMID: 19000215; PMCID: PMC3664402

Bardwell G, Boyd J, Kerr T, McNeil R. Negotiating space and drug use in emergency shelters with peer witness injection programs within the context of an overdose crisis: A qualitative study. Health Place 2018;53:86-93. doi: 10.1016/j.healthplace.2018.07.011. Epub 2018 Jul 27. PMID: 30059897; PMCID: PMC6150825

Small W, Moore D, Shoveller J, Wood E, Kerr T. Perceptions of risk and safety within injection settings: Injection drug users’ reasons for attending a supervised injecting facility in Vancouver, Canada. Health Risk Soc. 2012;14:307-24. doi: 10.1080/13698575.2012.680950

Papamihali K, Yoon M, Graham B, Karamouzian M, Slaunwhite AK, Tsang V, et al. Convenience and comfort: Reasons reported for using drugs alone among clients of harm reduction sites in British Columbia, Canada. Harm Reduct J 2020;17:90. doi: 10.1186/s12954-020-00436- 6. PMID: 33228676; PMCID: PMC7682134

Martin CS, Chung T, Langenbucher JW. How should we revise diagnostic criteria for substance use disorders in the DSM-V? J Abnorm Psychol 2008;117:561-75. doi: 10.1037/0021-843X.117.3.561. PMID: 18729609; PMCID: PMC2701140

Osman T, Victor C, Abdulmoneim A, Mohammed H, Abdalla F, Ahmed A, et al. Epidemiology of substance use among university students in sudan. J Addict 2016;2016:2476164. doi: 10.1155/2016/2476164. Epub 2016 Feb 24. PMID: 27006856; PMCID: PMC4783543

Ibn Auf A, Alnor MA. Sudanese medical students’ perceptions of psychoactive substance use. Addict Health 2020;12:186-95. doi: 10.22122/ahj.v12i3.269. PMID: 33244395; PMCID: PMC7679488

Published

07-07-2022

How to Cite

Fadllalah, O. A., A. . A. Omer, and A. Ibn Auf. “THE ASSOCIATION BETWEEN SOCIAL CHARACTERISTICS AND PATTERNS OF SUBSTANCE USE DISORDER; A CROSS-SECTIONAL STUDY ON SUDANESE PATIENTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 7, July 2022, pp. 184-8, doi:10.22159/ajpcr.2022.v15i7.45492.

Issue

Section

Original Article(s)