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Articles
Published: 2024-02-25

Breaking the silence: navigating adolescent knowledge, attitude, and perception on substance abuse in Diyala Province, Iraq

Department of Family and Community Medicine, College of Medicine, University of Diyala, Diyala, Iraq
Department of Consultation Clinics, Baquba Teaching Hospital, Diyala Health Directorate, 32001, Diyala, Iraq
Department of Paediatric, Albatool Teaching Hospital, Diyala Health Directorate, 32001, Diyala, Iraq
Adolescent, Drugs, Substance, Abuse, Addicts, Knowledge, Attitude, Perception, Iraq

Abstract

Background: Drug use often leads to a range of health risks, social complications, and involvement in criminal behavior. This study aims to investigate adolescents' understanding, opinions, and perspectives on substance abuse. 

Methods: Between October and December 2023, a cross-sectional study was undertaken in Diyala Province, Iraq. High school students were sampled using a multistage sampling technique. Bivariate analysis utilized independent sample t-tests and one-way analysis of variance (ANOVA). Additionally, a multivariable linear regression analysis was performed to predict factors associated with knowledge, attitudes, and perceptions. All statistical analyses were carried out using SPSS version 16.

Results: The study encompassed 365 students, with a mean age (SD) of 17.5 (+ 8.2), predominantly male (57.3%). Overall accuracy rates for knowledge, attitude, and perception stood at 87.1%, 86.7%, and 88.7%, respectively. Approximately 5.2% of the sample reported cannabis (hashish) use. Regression analysis revealed significant associations between higher knowledge scores and male gender (p=0.002, 95% CI:0.341, 0.729), urban residency (p<0.0001, 95% CI:1.165, 4.524), and monthly income > US$400 (p >0.0001, 95% CI:0.907, 1573). Attitudes toward drug abuse prevention were influenced by male gender and highly educated parental backgrounds (p<0.001, 95% CI:1.412, 5.223; p=0.002, 95% CI: 2.160, 4.881; p=0.007, 95% CI:1.810, 5.690). Perception scores were significantly associated with male gender (p=0.001, 95% CI: 0.430, 0.691), students from smaller families (p=0.013, 95% CI:2.201, 5.003), and those in the sixth class (p=0.021, 95% CI:1.423, 4.202).

Conclusion: While adolescents demonstrate a solid understanding of societal norms and consequences associated with substance abuse, there may still be areas where perceptions can be refined and aligned more closely with the realities of drug abuse.



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References

  1. McLellan AT. Substance Misuse and Substance use Disorders: Why do they Matter in Healthcare? Trans Am Clin Climatol Assoc. 2017;128:112-130.
  2. Al-Hemiary NJ, Al-Diwan JK, Hasson AL, Rawson RA. Drug and alcohol use in Iraq: findings of the inaugural Iraqi Community Epidemiological Workgroup. Subst Use Misuse. 2014 Nov;49(13):1759-63. doi: 10.3109/10826084.2014.913633.
  3. Arteaga I, Chen CC, Reynolds AJ. Childhood Predictors of Adult Substance Abuse. Child Youth Serv Rev. 2010 Aug;32(8):1108-1120. doi: 10.1016/j.childyouth.2010.04.025.
  4. Watts LL, Hamza EA, Bedewy DA, et al. A meta-analysis study on peer influence and adolescent substance use. Curr Psychol. 2023. https://doi.org/10.1007/s12144-023-04944-z.
  5. Das JK, Salam RA, Arshad A, Finkelstein Y, Bhutta ZA. Interventions for Adolescent Substance Abuse: An Overview of Systematic Reviews. J Adolesc Health. 2016 Oct;59(4S):S61-S75. doi: 10.1016/j.jadohealth.2016.06.021.
  6. Nawi AM, Ismail R, Ibrahim F, Hassan MR, Manaf MRA, Amit N, Ibrahim N, Shafurdin NS. Risk and protective factors of drug abuse among adolescents: a systematic review. BMC Public Health. 2021 Nov 13;21(1):2088. doi: 10.1186/s12889-021-11906-2.
  7. Alhyas L, Al Ozaibi N, Elarabi H, El-Kashef A, Wanigaratne S, Almarzouqi A, Alhosani A, Al Ghaferi H. Adolescents' perception of substance use and factors influencing its use: a qualitative study in Abu Dhabi. JRSM Open. 2015 Mar 2;6(2):2054270414567167. doi: 10.1177/2054270414567167.
  8. NIDA. Drug Misuse and Addiction. [Internet]. Bethesda (MD): National Institute on Drug Abuse; 2024 Jan 5 [cited 2024 Feb 24]. Available from: https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction.
  9. AlObaidi A. Iraq: children's and adolescents' mental health under conditions of continuous turmoil. Int Psychiatry. 2011 Feb 1;8(1):4-5.
  10. Al-Samarrai MAM, AL- Any BN, Al-Delaimy AK, Yahyaa BT, Ali Jadoo SA. Impact of internal displacement on psychosocial and health status of students residing in the hostel of Anbar University, Iraq. Journal of Ideas in Health. 2020 May 25 ;3(1):140-4. DOI: 10.47108/jidhealth.vol3.iss1.25.
  11. Al Juboori R. Violence and Child Mental Health Outcomes in Iraq: Mapping Vulnerable Areas. Psychiatry International. 2024; 5(1):39-52. https://doi.org/10.3390/psychiatryint5010004.
  12. Al-Imam A, Motyka MA, Hoffmann B, Al-Ka'aby H, Younus M, Al-Hemiary N, Michalak M. Risk Factors of Suicidal Ideation in Iraqi Crystal Methamphetamine Users. Brain Sci. 2023 Sep 2;13(9):1279. doi: 10.3390/brainsci13091279.
  13. Mohammed MK, Ibraheem NM, Khudhair MA. Knowledge and attitude of substance abuse among the youths in Tikrit Iraq. J Popul Ther Clin Pharmacol. 2022 Jan 21;28(2):e92-e98. doi: 10.47750/jptcp.2022.865.
  14. The New Humanitarian, Middle East and North Africa, Iraq, Human Rights News, Drug abuse among children on the rise; 9 May 2007. Available on: https://www.thenewhumanitarian.org/report/72042/iraq-drug-abuse-among-children-rise [Accessed on 10th December 2023].
  15. Bryan A, Moran R, Farrell E, O'Brien M. Drug-Related Knowledge, Attitudes and Beliefs in Ireland: Report of a Nation-Wide Survey. Dublin: The Health Research Board; 2000.
  16. United Nations. World Drug Report 2018. United Nations publication, Sales No. E.18.XI.9. 2018. Retrieved from https://www.unodc.org/wdr2018.
  17. Degenhardt L, Stockings E, Patton G, Hall WD, Lynskey M. The increasing global health priority of substance use in young people. Lancet Psychiatry. 2016;3(3):251–64. doi:10.1016/S2215-0366(15)00508-8.
  18. Ritchie H, Roser M. Drug Use - Our World in Data. Global Change Data Lab; 2019. Available from: https://ourworldindata.org/drug-use [Accessed 15 November 2020].
  19. European Monitoring Centre for Drugs and Drug Addiction. European Drug Report 2023: Trends and Developments. Available from: https://www.emcdda.europa.eu/publications/european-drug-report/2023/cannabis_en [Accessed on 11 December 2023].
  20. Mavura RA, Nyaki AY, Leyaro BJ, Mamseri R, George J, Ngocho JS, Mboya IB. Prevalence of substance use and associated factors among secondary school adolescents in Kilimanjaro region, northern Tanzania. PLoS One. 2022 Sep 2;17(9):e0274102. doi: 10.1371/journal.
  21. Haddad L, Shotar A, Umlauf M, Al-Zyoud S. Knowledge of substance abuse among high school students in Jordan. J Transcult Nurs. 2010 Apr;21(2):143-50. doi: 10.1177/1043659609357632.
  22. Okwuikpo MI, Chionye, SC, Ajaegbu VU, Maitanmi JO, Leslie TA. Knowledge And Perception Of Substance Abuse Among Teenagers In Selected Secondary Schools In Ajeromi Lga, Lagos State. IOSR Journal of Nursing and Health Science (IOSR-JNHS)2020; 9(3):42-50.
  23. John Gramlich. Nearly half of Americans have a family member or close friend who’s been addicted to drugs. Pew Research Center. October 26, 2017. Available from: https://www.pewresearch.org/short-reads/2017/10/26/nearly-half-of-americans-have-a-family-member-or-close-friend-whos-been-addicted-to-drugs/ [Accessed on 20 December 2023].
  24. Chandler RK, Fletcher BW, Volkow ND. Treating drug abuse and addiction in the criminal justice system: improving public health and safety. JAMA. 2009 Jan 14;301(2):183-90. doi: 10.1001/jama.2008.976.
  25. Rahimian Boogar I, Tabatabaee SM, Tosi J. Attitude to substance abuse: do personality and socio-demographic factors matter? Int J High Risk Behav Addict. 2014 Sep 1;3(3):e16712. doi: 10.5812/ijhrba.16712.
  26. Kapoor V, Tomar V, Bakhshi P, Shukla M, Kumar V. Perception, Attitude and Support of Society Towards Drug Abuse: Do Gender, Age and Education Matter? Journal of Health Management. 2021;23(2):264-274. doi:10.1177/09720634211011566.
  27. Divya, T., Radhakrishnan, G., AnuChithra, S. (2018). The Level of Awareness and Attitude on Ill-Effects of Substance Abuse among Adolescent Students in Selected High Schools at Belgaum District, India. International Journal of Health Sciences & Research, 8 (3).
  28. Nagar, S. A. &Hamed, W. S. (2018). Substance abuse as perceived by adolescents: A preventive approach for their safety. American Journal of Nursing Research, 6(5), 299-308
  29. Masibo, R. M., Mndeme, E., Nsimba, S. E. D. (2013). An assessment of knowledge, attitudes and practices of psychoactive substance use among secondary school students in Dodoma Municipality, Tanzania. American Journal of Research Communication, 1(4), 200-240
  30. Al-Hemiary NJ, Hashim MT, Al-Diwan JK, Abdul Razzaq E. Alcohol and drug abuse in post-conflict Iraq. (2016). Journal of the Faculty of Medicine Baghdad, 57(4), 290-294. https://doi.org/10.32007/jfacmedbagdad.574392.
  31. Gordon K, Kutywayo A, Frade S, Naidoo N, Mullick S. Socio-demographic and social support factors related to substance use in South African in-school adolescents: Insights from the Girls Achieve Power (GAP Year) trial in three peri-urban settings. Gates Open Res. 2021 Nov 9;5:154. doi: 10.12688/gatesopenres.13422.1.


How to Cite

1.
Ali Jadoo SA, Mahdy A, Al-ezzi BNAA- ezzi. Breaking the silence: navigating adolescent knowledge, attitude, and perception on substance abuse in Diyala Province, Iraq. jidhealth [Internet]. 2024 Feb. 25 [cited 2024 Apr. 27];7(1):1007-14. Available from: https://jidhealth.com/index.php/jidhealth/article/view/324