essay on drug addiction among youth

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Essay on Drug Addiction in Youth

Essay on the Signs of Drug Addiction

Essay on the causes of drug addiction, essay on the effects of drug addiction.

• Essay on the Prevention of Drug Addiction
• Essay on the Treatment of Drug Addiction

The most disturbing thing about drug addiction is that people in different countries of the world are becoming addicted to all kinds of drugs. There are different types of street drugs such as – cocaine, meth, marijuana, crack, heroin etc. Heroin is one of the dangerous drugs that suppress your heart’s work and is appropriate to achieve narcotic effect.

The alarming rate of drug consumption has always been a problem and has detrimental effects on the society. Personal and family problems also lead to drug abuse among youngsters who fail to deal with personal problems. The physiological effects of drug addiction can be difficult to endure and this is why the addict must be treated for their condition. The worst thing is that drugs are that they affect youth in every country of the world.

The term drug not only means medicine, but fatal narcotics with different specifications. These drugs have their evil effects on mind and body cells of the addicts. The addict becomes dependent on the drug to a great extent that he/she cannot stop using it. Despite of having full knowledge of its effects on health, addicts use it on a regular basis.

Drug addiction is basically a brain disease that changes the functioning of brain. There is an uncontrollable desire to consume drugs, as a result of which addicted people engage in compulsive behavior to take drugs. The addicts find it impossible to control the intake of drugs, as a result of which they fail to fulfill day-to-day responsibilities in efficient manner. Drug addiction is also referred as drug dependency, as the addict develops dependency for particular substance.

Drug addiction is a compulsive disorder that leads an individual to use substance habitually to achieve desired outcome. Millions of people in the world are suffering with drug addiction and the number is expected to increase in the coming years. If the person is using drugs for a longer period, the outcome may change. For example – early experimentation with drugs is rooted in curiosity. However, as the frequency of substance becomes frequent – the body starts to depend in it to function properly.

The most common signs and symptoms of drug addiction are – obsession with a particular substance, loss of control over the usage of drugs, abandoning the activities which you used to enjoy, etc. Drug addiction may have long term impact on life and one may develop severe symptoms such as – fatigue, trembling, depression, anxiety, headache, insomnia, chills and sweating, paranoia, behavior changes, dilated pupils, poor coordination problems, nausea etc.

There are a number of reasons why youth and teenagers are addicted to drugs or related substances. Lack of self-confidence is considered as one of the primary causes of drug addiction. It can also be due to excessive stress, peer pressure, lack of parental involvement in child’s activities etc. some people consider drug addiction can be the cause of drug use and ignorance. The ignorance of drug addiction along with physical pain of condition becomes a primary cause of drug addiction. Here are some of the causes of drug addiction.

High Level Stress

Young people who have just started their college life or moved to a new city in search of job often face problems with life change. They are more likely to alleviate stress through the use of drugs and similar substances. Finding an easy fix often seems easier than facing the real problem and dealing with it. Trying illegal drugs can lead to addiction and becomes a long term habit.

Social Pressure

Today, we are living in a highly competitive world and it is difficult to grow in such world. There is always a peer pressure in young and old people. However, it is never visible. A lot of young people expect to experience the pressure to use drugs, smoke and drink alcohol. Young people find it difficult to be the person who doesn’t drink or smoke. As they feel isolated and like a social outcast, they make a habit of taking drugs.

Mental Health Conditions

Another primary reason for trying drugs is mental health condition. People who are emotionally weaker tend to feel depressed about the facts of the world. They look for ways to feel free and live life in a normal way as they go through the period of growing up. In such situation, they make a habit of taking drugs and can lead to addiction.

Psychological Trauma

A history of psychological trauma appears to increase the risk of substance abuse. More than 75% of people who suffered from psychological trauma use drugs as a part of self-medicating strategy or provide an avenue towards self-destructive behaviors. Women are more sensitive to drugs than men, and hence need less exposure to similar effects. The availability of these drugs plays an integral role in perpetuation of addictive behaviors within families.

Exposure to Drug Abuse

Exposure to drug abuse in which the young people are raised is another cause why young people get addicted to drugs. If the individuals grow up in an area where adults use drugs, then the person is likely to try the substance themselves. Setting a good example is extremely important to keep them off drugs and related substances. Providing genuine information about drugs is the best way to prevent drug addiction.

There are many negative effects of drug addiction on physical and mental health. As said, drug addiction refers to compulsive and repeated use of dangerous substances. The effects of drug addiction are wide and profound. The psychological effects of drug addiction comes form the reason that the user is addicted to drugs as well as the changes that take place in brain. Many people start using drugs to handle stress. However, the psychological effects of drug addiction involves craving of the substance and using it to the exclusion of all else.

Emotional Effects

The emotional effects of drug addiction include – mood swings, depression, violence, anxiety, decrease in everyday activities, hallucinations, confusion, psychological tolerance to drug effects etc. Besides these, there are many physical effects of drug addiction that are seen in the systems of the body. The primary effects of drug addiction take place in brain, which changes the brain functions and impacts how the body perceives pleasure.

Physical Effects

Other effects of drug addiction include – heart attack, irregular heartbeat, and contraction of HIV, respiratory problems, lung cancer, abdominal pain, kidney damage, liver problem, brain damage, stroke, seizures, and changes in appetite. The impact of drug addiction can be far-reaching and affects every organ of the body. Excessive usage of drugs can weaken immune system and increase susceptibility to infection.

Brain & Liver Damage

The effects of drug addiction are seen in people because the drug floods the brain repeatedly with chemicals such as – serotonin and dopamine. The brain becomes highly dependent on these drugs and cannot function without them. The effects of drug addiction are also seen in babies of drug abusers and can be affected throughout their life.

Drug addiction can cause the liver to work harder, causing significant liver failure or damage. Regarding brain function, drugs can impact daily activities by causing problems with memory, decision making, mental confusion and even permanent brain damage.

Short Term Effects

Different drugs affect body in different ways. There are some short term effects that occur in drug users depending on the amount of substance used, its purity and potency. Drugs can affect the person’s thinking, mood and perception to a great extent. Drugs can temporarily impair motor functioning and interfere with decision making and even reduce inhibition. The most common substances of drug addiction include – opiates, alcohol, barbiturates, inhalants etc.

A lot of people do not realize the damage caused by drug addiction because the short term effects are not apparent at first. The individual may feel quite invincible and unaware that drugs can actually affect almost every system in the body. The long lasting effects of drug addiction may not be known to addict. If treatment is not sought in time, the physical and emotional health will deteriorate.

Long Term Effects

The long term effects of drug addiction can have disastrous consequences on physical and mental health. As the body adapts to the substance, it needs increasing amount of it to experience the desired outcome. As the individual continues to increase the dosage, he/she may develop physical dependence. The individual may face deadly withdrawal symptoms, once he/she stops using the substance.

Legal Consequences

Drug abuse not only causes negative effects on your physical and mental health, but can have legal consequences. Individuals may have to deal with the legal consequences for the rest of their life. A lot of companies require the employees to take drug test before offering job. Driving under the influence of drugs can lead to serious legal action and even heavy fines.

By understanding the physical impact of the substance, individuals can make informed decision regarding their health. Remember that it is never late to seek help, when it comes to treat drug addiction. There are many rehabilitation centers that help you combat drug addiction in a supportive environment.

Essay on the P revention of Drug Addiction

As said, prevention is always better than cure. It is always best option to deter people from drug abuse. Though it is practically impossible to prevent everyone from using drugs, there are things we can do to avoid drug addiction. Here are some effective tips to prevent drug addiction.

Deal with Peer Pressure

The biggest reason why people start using drugs is because of their friends or colleagues who utilize per pressure. No one in this world likes to be left out, especially teens and youngsters. If you are in such situation, you should find a better group of friends who won’t pressure you into harmful things. You should plan ahead of time or prepare a good excuse to stay away from tempting situations.

Treat Emotional Illness

Individuals suffering with any mental condition such as – anxiety, depression, post-traumatic stress etc. should seek help from a physiatrist. There is a strong connection between mental illness and drug addiction. Those with weak emotional status may easily turn to drugs.

Learn to Deal with Pressure

People of today’s generation are overworked and often feel like taking a good break. However, they make the mistake of turning to drugs and end up making life more stressful. Many of us fail to recognize this. The best way is to find other ways to handle stress. Whether it is taking up exercising or reading a good book, you should try positive things that help in relieving stress.

Understand the Risk Factors

If you are not aware of the risk factors of drug addiction, you should first know about drug abuse. Individuals who are aware of the physical and emotional effects of drug addiction are likely to overcome them. People take up drugs when something in their life is not going well and they are unhappy about their life. One should always look at the big picture and focus on priorities, instead of worrying about short term goals.

Develop Healthy Habits

Eating a well-balanced diet and doing regular exercise is the best way to prevent drug addiction. A healthy body makes it easier for people to deal with stress and handle life effectively, which eventually reduces the temptation to use drugs.

The above tips are a just a few ideas that can help prevent drug addiction. However, if the person has already developed drug addiction, he/she should seek drug detox treatment at the earliest.

Essay on the T reatment of Drug Addiction

Drug addiction can be managed effectively like other chronic diseases such as diabetes, heart disease, asthma etc. Treatment of drug addiction is becoming personalized. The comprehensive treatment options not only address addiction, but treat the underlying issues resulting in addiction.

Though there are many options to treat drug addiction, it is not easy. Drug addiction is a chronic disease and one can’t stop using drugs within a few days. A lot of patients need long term or repeated care to stop using drugs completely. Drug addiction treatment depends on the severity of drug abuse. The treatment must stop the person from using drugs as well as keep him away from drugs.

Different treatment methodologies are employed in treating drug abuse. The treatment plan will be devised as per the condition of the addict. It is essential that the treatment is tailored to the unique individual as there is no single treatment that works for all.

Inpatient drug abuse treatment is one of the options that allow the addict to focus on his/her recovery. Attending this treatment facility can increase the chances of completing the drug addiction rehabilitation program, especially if the addict does not have good support system at home.

Outpatient drug abuse treatment is ideal for those addicts who have a supportive environment at home. It is usually recommended for those who want to attend short-term inpatient treatment program.

Cognitive behavioral therapy is another treatment option that is highly effective in treating drug addiction issues. CBT helps in controlling negative thought patterns that lead to drug abuse. Patients can identify the triggers that cause them to use drugs and learn to respond without the need to turn to the substance.

Drug addiction is a complex disease that results from a number of factors such as genetic predisposition, history of violence at home and stress. Researchers have been able to identify the factors that lead to drug abuse. Understanding the root cause of drug addiction is one of the best ways to improve treatment options and outcomes of drug addiction in future.

A lot of people do not understand why people get addicted to drugs and related substances. They mistakenly view drug abuse as a social problem and characterize the addict as a weak person. Though there is no scientific evidence on how exactly drugs work in brain, it can be successfully treated to help people stop abusing drugs. There are many treatments that help people counteract the disruptive effects of drug addiction and regain complete control over life.

Behavioral therapy is the best way to ensure success in most of the drug addicts. The treatment approaches are tailored to meet the drug abuse pattern of patients. It is not uncommon for an individual to relapse and start drug abuse again. In such case, an alternate treatment is required to regain control and recover completely.

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Essays on Drug Addiction | Causes & Impacts of Drug Addiction in Youth

Drug addiction is the curse. It eats out the very fabric of our society. The following essay discusses the drug addiction with its underlying causes, its impacts and possible solutions for our youth. The essay is in simple language with easy to understand way. It would surely help primary, high school and college level students.

List of Topics

Drug addiction Essay; Major Causes, Impacts & Possible Solution

Drugs are very dangerous for health, addiction of drugs destroys the health.

Habitual drug users spend lot of money on buying drugs and they spend their accumulated wealth on drugs and when they become bankrupt they adopt illegal means of earning money.

The drugs which cause addiction are cocaine, meth, Marijuana, crack and heroin. All types of narcotics are fatal.

Causes of drug Addiction

The consumption of drugs often is observed when an individual specially youngster fail to cope up with personal problems.

Sometimes family issues are give birth to addiction of drugs. The youth throughout the world is vulnerable to drugs, mostly youngsters chose drugs to satiate their desires. Lack of self confidence is the root cause of addiction of drugs.

Due to pressure and excessive stress man often chose drugs and tries to lessen his or her stress by sing drugs. The high level stress compels an individual to use drugs. The social and personal pressure often result in smoking and drinking. It means when an individual start feeling isolated or is ignored in society he or she develop habit of using drugs.

The lack of parental involvement in child’s activities is also a cause of drug addiction in youngsters. Those who are emotionally weak they become drug addict. The availability and exposure of drugs is also a cause of addiction. An individual living in an area where drugs are available and people consume drugs there that individual will also develop habit of consuming drugs.

Effects of drug Addiction on Youth

The addiction of drugs leave adverse effects on the mind and body of an addict. It is a type of brain disease, regular consumption of drugs disrupts the proper functioning of brain.

The uncontrollable desire to consume drugs become worse day by day ultimately an addict find it impossible to control the intake of drugs.

A regular user of drug loses the efficiency of working. One who is drug addict can’t fulfill his or her responsibilities in good manner. The personal health of an individual is entirely lost when he or she become a drug addict. One who consumes more drugs often experiences anxiety, depression, fatigue, headache, sweating, insomnia etc.

The repeated and regular use of drugs leave psychological effects on an individual too. Many physical and mental disorders appear in an individual who uses drugs on regular basis.

Many respiratory diseases, heart attack, lung cancer, kidney failure, liver problems and brain damage are often caused of intake of drugs in excess. The immune system of man is badly affected because of drugs.

Solutions; How to Control Drug Addiction

Drug addiction is very hard to quit, those who are addicted they must be treated tenderly to quit bad habit. One who consumes more drugs he or she must be informed of ill effects of drugs. It is necessary to keep drugs off so that one who is not indulged in it remain far from it.

Though addiction of drugs is very difficult to prevent but there are some steps that can be taken to help stop consumption of drugs.

All individuals who are suffering from mental disorders or are victim of depression and stress must be taken to psychiatrist so that their mental illness is cured and they become able to quit drugs.

People must learn to deal with pressure and stress, the best way to get rid of stress is to handle it properly not to take drugs. There is ignorance among people, they are not known of the risk factors of addiction of drugs, they don’t know the abuse of drugs.

Drug addiction is one the gravest issues that our youths are facing these days. It brings a lot of problems in our lives. Therefore, every possible effort must be made in order to contain this issue forever.

Paragraph On Drug Addiction | Short & Long Paragraphs On Drug Addiction, Causes & Impacts

Any substance consumed by a person which is harmful to his health is called a drug. When one consume these dangerous substances regularly is called an addiction.

Users are mostly addicted in alcohol, cocaine, heroin, nicotine, opioid, painkillers etc. All these drugs are very harmful for physical and mental health. Drugs affect the mental cognition of a user, an addict can’t take good decisions nor he can retain information.

Signs of a drug Addict

The most vivid signs of a drug addict are red eyes, increased heart rate, anxiety, depression, paranoia and inactivity. Their memory power reduces, they feel difficulty in remembering something.

A drug addict can’t work properly without injecting it, he lack to properly coordinate with others. Due to drug addiction, the user become victim of erratic sleep patterns.

Apart from it a drug addict become happy and sad quickly. Sometimes they lose their consciousness, they are not aware of their surroundings and they forget their very existence.

Why Addiction of Drugs is Caused?

Drug addiction is mainly caused to feel happier, when an individual faces loss in life or fails to get something. He feel dejected, sad and unhappy.

In order to overcome this condition the individual start using drugs to feel happy because drugs contain a chemical called dopamine which induces happiness in the consumer and he feel happy. Slowly and gradually he become addicted and doesn’t feel happy until and unless he doesn’t consume the drug.

Effects of Drug Addiction

Drug addiction is very harmful, it not only destroy health but also leave many negatively influences on the psyche of the user.

Mostly drug addicts engage in reckless activities like gambling, stealing, adultery etc. Because of these activities they lose their respect and lose many relationships. Due to addiction of drugs many problems in personal and public relationships are created.

Their personality is badly affected by the excessive consumption of drugs, they stop caring of their hygiene. In both conditions while injecting any drug or without injecting it, a drug addict can’t communicate properly nor can Converse with anyone soundly.

It is observed that as the addiction increases the user lose interest in doing all activities which he loved to do. The addiction of drugs is fatal, it is a life-threatening act because it can kill a person.

All fatal and deadly diseases like kidney failure, lung diseases, heart diseases, brain damage, respiratory problems etc are caused by addiction of drugs.

A drug consumer feel difficulty in breathing, he feel lazy and inactive all the time and can’t perform any work in good way. Memory loss and speech problems affect the user’s personality.

Above all, the users of drugs become moody, hyperactive and victim of hallucinations.

Drug addiction is fatal, we must take steps to control addiction of drugs. Behavioral counseling is the most effective way to treat this disease, it is very important to have counseling with the user and motivate him to quit it before it takes his or her life.

Only the family members and friends can do this, if you find your loved ones addicted make a behavioral counseling with them and motivate them to quit it. Family members and friends can encourage them and can help them to get rid of bad addiction.

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Essay on Impact of Drugs on Youth

Students are often asked to write an essay on Impact of Drugs on Youth in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

Let’s take a look…

100 Words Essay on Impact of Drugs on Youth

Introduction.

Drugs have a significant impact on youth, affecting their health, education, and social relationships.

Health Consequences

Drugs can damage a young person’s physical and mental health. They can lead to addiction, organ damage, and mental disorders.

Educational Impact

Drugs can impair a youth’s ability to concentrate and learn, leading to poor academic performance.

Social Effects

Drug use can lead to isolation from friends and family, and involvement in illegal activities.

The impact of drugs on youth is profound. It’s crucial to educate them about the dangers to prevent drug abuse.

250 Words Essay on Impact of Drugs on Youth

The impact of drugs on youth is a topic of significant concern, affecting individuals, families, and communities worldwide. The youth, being the most vulnerable demographic, are particularly susceptible to the harmful effects of drug use.

The Allure of Drugs

The allure of drugs for young people often stems from a desire to fit in, escape reality, or experiment. Peer pressure, social media influence, and the thrill of rebellion can all contribute to the initiation of drug use. This early exposure can lead to addiction, impacting their physical, mental, and social health.

Physical Impact

Drugs can have devastating physical effects on young bodies. They can hinder growth, affect brain development, and lead to long-term health problems like heart disease and cancer. Moreover, drug use can lead to risky behaviors, increasing the likelihood of accidents, violence, and sexually transmitted diseases.

Mental Impact

On the mental front, drug use can exacerbate or trigger mental health disorders such as depression, anxiety, and psychosis. It can also impair cognitive abilities, memory, and academic performance, limiting a young person’s potential for success.

Social Impact

Socially, drug use can lead to isolation, strained relationships, and a loss of interest in previously enjoyed activities. It can also lead to legal issues, reducing opportunities for future employment and education.

The impact of drugs on youth is profound and far-reaching, affecting all aspects of their lives. It is essential to educate and support our youth, providing them with the tools to resist the allure of drugs, and promoting healthy, drug-free lifestyles.

500 Words Essay on Impact of Drugs on Youth

The global landscape of drug abuse and addiction is a complex issue that has significant implications on the youth. The impact of drugs on youth is far-reaching, affecting not just their physical health, but also their mental well-being, academic performance, and future prospects.

The Physical Consequences

The first and most apparent impact of drugs on youth is the physical damage. Substance abuse can lead to a host of health problems, ranging from liver damage, cardiovascular diseases, to neurological issues. Furthermore, drugs can interfere with the normal growth and development processes, particularly during the critical adolescent years when the body undergoes significant changes.

Mental Health Implications

Drugs do not only harm the body, but also the mind. Regular drug use can lead to mental health disorders such as depression, anxiety, and psychosis. It can also exacerbate pre-existing mental health conditions. Moreover, substance abuse can impair cognitive functions, including memory, attention, and decision-making capabilities, which are vital for academic success and overall life management.

The social implications of drug use among youth are equally significant. Substance abuse can strain relationships with family and friends, leading to isolation and loneliness. It can also lead to delinquency, crime, and a general disregard for societal norms and values. This damage to their social fabric can have long-term consequences, affecting their ability to form meaningful relationships and contribute positively to society.

Educational and Career Impact

Substance abuse can severely impact a young person’s educational attainment and future career prospects. The cognitive impairments caused by drug use can lead to poor academic performance, lower grades, and increased likelihood of dropping out. This, in turn, can limit their career opportunities and earning potential, trapping them in a cycle of poverty and substance abuse.

Prevention and Intervention

Given the severe implications of drug abuse, it is crucial to invest in prevention and intervention strategies. These could include comprehensive drug education programs, early detection and intervention efforts, and providing access to counselling and rehabilitation services. A multi-faceted approach that involves parents, teachers, healthcare professionals, and policymakers can make a significant difference in mitigating the impact of drugs on youth.

In conclusion, the impact of drugs on youth is a multifaceted issue that extends beyond the individual to families, schools, and communities. It is a pressing problem that requires collective effort and commitment to address. By understanding the depth of its impact, we can better equip ourselves to combat this issue and pave the way for a healthier, more productive future for our youth.

That’s it! I hope the essay helped you.

If you’re looking for more, here are essays on other interesting topics:

• Essay on Say No to Drugs
• Essay on Drug Addiction Among Students
• Essay on Effects of Drugs on Society

Apart from these, you can look at all the essays by clicking here .

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Understanding reasons for drug use amongst young people: a functional perspective

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Annabel Boys, John Marsden, John Strang, Understanding reasons for drug use amongst young people: a functional perspective, Health Education Research , Volume 16, Issue 4, August 2001, Pages 457–469, https://doi.org/10.1093/her/16.4.457

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This study uses a functional perspective to examine the reasons young people cite for using psychoactive substances. The study sample comprised 364 young poly-drug users recruited using snowball-sampling methods. Data on lifetime and recent frequency and intensity of use for alcohol, cannabis, amphetamines, ecstasy, LSD and cocaine are presented. A majority of the participants had used at least one of these six drugs to fulfil 11 of 18 measured substance use functions. The most popular functions for use were using to: relax (96.7%), become intoxicated (96.4%), keep awake at night while socializing (95.9%), enhance an activity (88.5%) and alleviate depressed mood (86.8%). Substance use functions were found to differ by age and gender. Recognition of the functions fulfilled by substance use should help health educators and prevention strategists to make health messages about drugs more relevant and appropriate to general and specific audiences. Targeting substances that are perceived to fulfil similar functions and addressing issues concerning the substitution of one substance for another may also strengthen education and prevention efforts.

The use of illicit psychoactive substances is not a minority activity amongst young people in the UK. Results from the most recent British Crime Survey show that some 50% of young people between the ages of 16 and 24 years have used an illicit drug on at least one occasion in their lives (lifetime prevalence) ( Ramsay and Partridge, 1999 ). Amongst 16–19 and 20–24 year olds the most prevalent drug is cannabis (used by 40% of 16–19 year olds and 47% of 20–24 year olds), followed by amphetamine sulphate (18 and 24% of the two age groups respectively), LSD (10 and 13%) and ecstasy (8 and 12%). The lifetime prevalence for cocaine hydrochloride (powder cocaine) use amongst the two age groups is 3 and 9%, respectively. Collectively, these estimates are generally comparable with other European countries ( European Monitoring Centre for Drugs and Drug Addiction, 1998 ) and the US ( Johnston et al ., 1997 , 2000 ).

The widespread concern about the use of illicit drugs is reflected by its high status on health, educational and political agendas in many countries. The UK Government's 10-year national strategy on drug misuse identifies young people as a critical priority group for prevention and treatment interventions ( Tackling Drugs to Build a Better Britain 1998 ). If strategies to reduce the use of drugs and associated harms amongst the younger population are to be developed, particularly within the health education arena, it is vital that we improve our understanding of the roles that both licit and illicit substances play in the lives of young people. The tendency for educators, practitioners and policy makers to address licit drugs (such as alcohol) separately from illegal drugs may be unhelpful. This is partly because young illicit drug users frequently drink alcohol, and may have little regard for the illicit and licit distinction established by the law. To understand the roles that drug and alcohol use play in contemporary youth culture, it is necessary to examine the most frequently used psychoactive substances as a set.

It is commonplace for young drug users to use several different psychoactive substances. The terms `poly-drug' or `multiple drug' use have been used to describe this behaviour although their exact definitions vary. The term `poly-drug use' is often used to describe the use of two or more drugs during a particular time period (e.g. over the last month or year). This is the definition used within the current paper. However, poly-drug use could also characterize the use of two or more psychoactive substances so that their effects are experienced simultaneously. We have used the term `concurrent drug use' to denote this pattern of potentially more risky and harmful drug use ( Boys et al. 2000a ). Previous studies have reported that users often use drugs concurrently to improve the effects of another drug or to help manage its negative effects [e.g. ( Power et al ., 1996 ; Boys et al. 2000a ; Wibberley and Price, 2000 )].

The most recent British Crime Survey found that 5% of 16–29 year olds had used more than one drug in the last month ( Ramsay and Partridge, 1999 ). Given that 16% of this age band reported drug use in the month prior to interview, this suggests that just under a third of these individuals had used more than one illicit substance during this time period. With alcohol included, the prevalence of poly-drug use is likely to be much higher.

There is a substantial body of literature on the reasons or motivations that people cite for using alcohol, particularly amongst adult populations. For example, research on heavy drinkers suggested that alcohol use is related to multiple functions for use ( Edwards et al ., 1972 ; Sadava, 1975 ). Similarly, research with a focus on young people has sought to identify motives for illicit drug use. There is evidence that for many young people, the decision to use a drug is based on a rational appraisal process, rather than a passive reaction to the context in which a substance is available ( Boys et al. 2000a ; Wibberley and Price, 2000 ). Reported reasons vary from quite broad statements (e.g. to feel better) to more specific functions for use (e.g. to increase self-confidence). However, much of this literature focuses on `drugs' as a generic concept and makes little distinction between different types of illicit substances [e.g. ( Carman, 1979 ; Butler et al ., 1981 ; Newcomb et al ., 1988 ; Cato, 1992 ; McKay et al ., 1992 )]. Given the diverse effects that different drugs have on the user, it might be proposed that reasons for use will closely mirror these differences. Thus stimulant drugs (such as amphetamines, ecstasy or cocaine) will be used for reasons relating to increased nervous system arousal and drugs with sedative effects (such as alcohol or cannabis), with nervous system depression. The present study therefore selected a range of drugs commonly used by young people with stimulant, sedative or hallucinogenic effects to examine this issue further.

The phrase `instrumental drug use' has been used to denote drug use for reasons specifically linked to a drug's effects ( WHO, 1997 ). Examples of the instrumental use of amphetamine-type stimulants include vehicle drivers who report using to improve concentration and relieve tiredness, and people who want to lose weight (particularly young women), using these drugs to curb their appetite. However, the term `instrumental substance use' seems to be used when specific physical effects of a drug are exploited and does not encompass use for more subtle social or psychological purposes which may also be cited by users. In recent reports we have described a `drug use functions' model to help understand poly-substance use phenomenology amongst young people and how decisions are made about patterns of consumption ( Boys et al ., 1999a , b , 2000a ). The term `function' is intended to characterize the primary or multiple reasons for, or purpose served by, the use of a particular substance in terms of the actual gains that the user perceives that they will attain. In the early, 1970s Sadava suggested that functions were a useful means of understanding how personality and environmental variables impacted on patterns of drug use ( Sadava, 1975 ). This work was confined to functions for cannabis and `psychedelic drugs' amongst a sample of college students. To date there has been little research that has examined the different functions associated with the range of psychoactive substances commonly used by young poly-drug users. It is unclear if all drugs with similar physical effects are used for similar purposes, or if other more subtle social or psychological dimensions to use are influential. Work in this area will help to increase understanding of the different roles played by psychoactive substances in the lives of young people, and thus facilitate health, educational and policy responses to this issue.

Previous work has suggested that the perceived functions served by the use of a drug predict the likelihood of future consumption ( Boys et al ., 1999a ). The present study aims to develop this work further by examining the functional profiles of six substances commonly used by young people in the UK.

Patterns of cannabis, amphetamine, ecstasy, LSD, cocaine hydrochloride and alcohol use were examined amongst a sample of young poly-drug users. Tobacco use was not addressed in the present research.

Sampling and recruitment

A snowball-sampling approach was employed for recruitment of participants. Snowball sampling is an effective way of generating a large sample from a hidden population where no formal sampling frame is available ( Van Meter, 1990 ). A team of peer interviewers was trained to recruit and interview participants for the study. We have described this procedure in detail elsewhere and only essential features are described here ( Boys et al. 2000b ). Using current or ex-drug users to gather data from hidden populations of drug using adults has been found to be successful ( Griffiths et al ., 1993 ; Power, 1995 ).

Study participants

Study participants were current poly-substance users with no history of treatment for substance-related disorders. We excluded people with a treatment history on the assumption that young people who have had substance-related problems requiring treatment represent a different group from the general population of young drug users. Inclusion criteria were: aged 16–22 years and having used two or more illegal substances during the past 90 days. During data collection, the age, gender and current occupation of participants were recorded and monitored to ensure that sufficient individuals were recruited to the groups to permit subgroup analyses. If an imbalance was observed in one of these variables, the interviewers were instructed to target participants with specific characteristics (e.g. females under the age of 18) to redress this imbalance.

Study measures

Data were collected using a structured interviewer-administered questionnaire developed specifically for the study. In addition to recording lifetime substance use, questions profiled consumption patterns of six substances in detail. Data were collected between August and November 1998. Interviews were audiotaped with the interviewee's consent. This enabled research staff to verify that answers had been accurately recorded on the questionnaire and that the interview had been conducted in accordance with the research protocol. Research staff also checked for consistency across different question items (e.g. the total number of days of drug use in the past 90 days should equal or exceed the number of days of cannabis use during the same time period). On the few occasions where inconsistencies were identified that could not be corrected from the tape, the interviewer was asked to re-contact the interviewee to verify the data.

Measures of lifetime use, consumption in the past year and past 90 days were based on procedures developed by Marsden et al . ( Marsden et al ., 1998 ). Estimated intensity of consumption (amount used on a typical using day) was recorded verbatim and then translated into standardized units at the data entry stage.

Functions for substance use scale

The questionnaire included a 17-item scale designed to measure perceived functions for substance use. This scale consisted of items developed in previous work ( Boys et al ., 1999a ) in addition to functions derived from qualitative interviews ( Boys et al ., 1999b ), new literature and informal discussions with young drug users. Items were drawn from five domains (Table I ).

Participants were asked if they had ever used a particular drug in order to fulfil each specific function. Those who endorsed the item were then invited to rate how frequently they had used it for this purpose over the past year, using a five-point Likert-type scale (`never' to `always'; coded 0–4). One item differed between the function scales used for the stimulant drugs and for alcohol and cannabis. For the stimulant drugs (amphetamines, cocaine and ecstasy) the item `have you ever used [named drug] to help you to lose weight' was used, for cannabis and alcohol this item was replaced with `have you ever used [drug] to help you to sleep?'. (The items written in full as they appeared in the questionnaire are shown in Table III , together with abbreviations used in this paper.)

Statistical procedures

The internal reliability of the substance use functions scales for each of the six substances was judged using Chronbach's α coefficient. Chronbach's α is a statistic that reflects the extent to which each item in a measurement scale is associated with other items. Technically it is the average of correlations between all possible comparisons of the scale items that are divided into two halves. An α coefficient for a scale can range from 0 (no internal reliability) to 1 (complete reliability). Analyses of categorical variables were performed using χ 2 statistic. Differences in scale means were assessed using t -tests.

The sample consisted of 364 young poly-substance users (205 males; 56.3%) with a mean age of 19.3 years; 69.8% described their ethnic group as White-European, 12.6% as Black and 10.1% were Asian. Just over a quarter (27.5%) were unemployed at the time of interview; a third were in education, 28.8% were in full-time work and the remainder had part-time employment. Estimates of monthly disposable income (any money that was spare after paying for rent, bills and food) ranged from 0 to over £1000 (median = £250).

Substance use history

The drug with the highest lifetime prevalence was cannabis (96.2%). This was followed by amphetamine sulphate (51.6%), cocaine hydrochloride (50.5%) (referred to as cocaine hereafter) and ecstasy (48.6%). Twenty-five percent of the sample had used LSD and this was more common amongst male participants (χ 2 [1] = 9.68, P < 0.01). Other drugs used included crack cocaine (25.5%), heroin (12.6%), tranquillizers (21.7%) and hallucinogenic mushrooms (8.0%). On average, participants had used a total of 5.2 different psychoactive substances in their lives (out of a possible 14) (median = 4.0, mode = 3.0, range 2–14). There was no gender difference in the number of different drugs ever used.

Table II profiles use of the six target drugs over the past year, and the frequency and intensity of use in the 90 days prior to interview.

There were no gender differences in drug use over the past year or in the past 90 days with the exception of amphetamines. For this substance, females who had ever used this drug were more likely to have done so during the past 90 days than males (χ 2 [1] = 4.14, P < 0.05). The mean number of target drugs used over the past 90 days was 3.2 (median = 3.0, mode = 3.0, range 2–6). No gender differences were observed. Few differences were also observed in the frequency and intensity of use. Males reported drinking alcohol more frequently during the three months prior to interview ( t [307] = 2.48, P < 0.05) and using cannabis more intensively on a `typical using day' ( t [337] = 3.56, P < 0.001).

Perceived functions for substance use

There were few differences between the functions endorsed for use of each drug `ever' and those endorsed for use during `the year prior to interview'. This section therefore concentrates on data for the year prior to interview. We considered that in order to use a drug for a specific function, the user must have first hand knowledge of the drug's effects before making this decision. Consequently, functions reported by individuals who had only used a particular substance on one occasion in their lives (i.e. with no prior experience of the drug at the time they made the decision to take it) were excluded from the analyses. Table III summarizes the proportion of the sample who endorsed each of the functions for drugs used in the past year. Roman numerals have been used to indicate the functions with the top five average scores. Table III also shows means for the total number of different items endorsed by individual users and the internal reliability of the function scales for each substance using Chronbach's α coefficients. There were no significant gender differences in the total number of functions endorsed for any of the six substances.

The following sections summarize the top five most popular functions drug-by-drug together with any age or gender differences observed in the items endorsed.

Cannabis use ( n = 345)

Overall the most popular functions for cannabis use were to `RELAX' (endorsed by 96.8% of people who had used the drug in the last year), to become `INTOXICATED' (90.7%) and to `ENHANCE ACTIVITY' (72.8%). Cannabis was also commonly used to `DECREASE BOREDOM' (70.1%) and to `SLEEP' (69.6%) [this item was closely followed by using to help `FEEL BETTER' (69.0%)]. Nine of the 17 function items were endorsed by over half of those who had used cannabis on more than one occasion in the past year. There were no significant gender differences observed, with the exception of using to `KEEP GOING', where male participants were significantly more likely to say that they had used cannabis to fulfil this function in the past year (χ 2 [1] = 6.10, P < 0.05).

There were statistically significant age differences on four of the function variables: cannabis users who reported using this drug in the past year to help feel `ELATED/EUPHORIC' or to help `SLEEP' were significantly older than those who had not used cannabis for these purposes (19.6 versus 19.0; t [343] = 3.32, P < 0.001; 19.4 versus 19.0; t [343] = 2.01, P < 0.05). In contrast, those who had used cannabis to `INCREASE CONFIDENCE' and to `STOP WORRYING' tended to be younger than those who did not (19.0 versus 19.4; t [343] = –2.26, P < 0.05; 19.1 versus 19.5; t [343] = –1.99, P < 0.05).

Amphetamines ( n = 160)

Common functions for amphetamine use were to `KEEP GOING' (95.6%), to `STAY AWAKE' (91.3%) or to `ENHANCE ACTIVITY' (66.2%). Using to help feel `ELATED/EUPHORIC' (60.6%) and to `ENJOY COMPANY' (58.1%) were also frequently mentioned. Seven of the 17 function items were endorsed by over half of participants who had used amphetamines in the past year. As with cannabis, gender differences were uncommon: females were more likely to use amphetamines to help `LOSE WEIGHT' than male participants (χ 2 [1] = 21.67, P < 0.001).

Significant age differences were found on four function variables. Individuals who reported using amphetamines in the past year to feel `ELATED/EUPHORIC' were significantly older than those who did not (19.9 versus 19.0; t [158] = 2.87, P < 0.01). In contrast, participants who used amphetamines to `STOP WORRYING' (18.8 versus 19.8; t [158] = –2.77, P < 0.01), to `DECREASE BOREDOM' (19.2 versus 19.9; t [158] = –2.39, P < 0.05) or to `ENHANCE ACTIVITY' (19.3 versus 20.1; t [158] = –2.88, P < 0.01) were younger than those who had not.

Ecstasy ( n = 157)

The most popular five functions for using ecstasy were similar to those for amphetamines. The drug was used to `KEEP GOING' (91.1%), to `ENHANCE ACTIVITY' (79.6%), to feel `ELATED/EUPHORIC' (77.7%), to `STAY AWAKE' (72.0%) and to get `INTOXICATED' (68.2%). Seven of the 17 function items were endorsed by over half of those who had used ecstasy in the past year. Female users were more likely to use ecstasy to help `LOSE WEIGHT' than male participants (Fishers exact test, P < 0.001).

As with the other drugs discussed above, participants who reported using ecstasy to feel `ELATED/EUPHORIC' were significantly older than those who did not (19.8 versus 18.9; t [155] = 2.61, P < 0.01). In contrast, those who had used ecstasy to `FEEL BETTER' (19.3 versus 20.0; t [155] = –2.29, P < 0.05), to `INCREASE CONFIDENCE' (19.2 versus 19.9; t [155] = –2.22, P < 0.05) and to `STOP WORRYING' (19.0 versus 19.9; t [155] = –2.96, P < 0.01) tended to be younger.

LSD ( n = 58)

Of the six target substances examined in this study, LSD was associated with the least diverse range of functions for use. All but two of the function statements were endorsed by at least some users, but only five were reported by more than 50%. The most common purpose for consuming LSD was to get `INTOXICATED' (77.6%). Other popular functions included to feel `ELATED/EUPHORIC' and to `ENHANCE ACTIVITY' (both endorsed by 72.4%), and to `KEEP GOING' and to `ENJOY COMPANY' (both endorsed by 58.6%). Unlike the other substances examined, no gender or age differences were observed.

Cocaine ( n = 168)

In common with ecstasy and amphetamines, the most widely endorsed functions for cocaine use were to help `KEEP GOING' (84.5%) and to help `STAY AWAKE' (69.0%). Consuming cocaine to `INCREASE CONFIDENCE' and to get `INTOXICATED' (both endorsed by 66.1%) were also popular. However, unlike the other stimulant drugs, 61.9% of the cocaine users reported using to `FEEL BETTER'. Ten of the 17 function items were endorsed by over half of those who had used cocaine in the past year.

Gender differences were more common amongst functions for cocaine use than the other substances surveyed. More males reported using cocaine to `IMPROVE EFFECTS' of other drugs (χ 2 [1] = 4.00, P < 0.05); more females used the drug to help `STAY AWAKE' (χ 2 [1] = 12.21, P < 0.001), to `LOSE INHIBITIONS' (χ 2 [1] = 9.01, P < 0.01), to `STOP WORRYING' (χ 2 [1] = 8.11, P < 0.01) or to `ENJOY COMPANY' of friends (χ 2 [1] = 4.34, P < 0.05). All participants who endorsed using cocaine to help `LOSE WEIGHT' were female.

Those who had used cocaine to `FEEL BETTER' (18.9 versus 19.8; t [166] = –3.06, P < 0.01), to `STOP WORRYING' (18.6 versus 19.7; t [166] = –3.86, P < 0.001) or to `DECREASE BOREDOM' (18.9 versus 19.6; t [166] = –2.52, P < 0.05) were significantly younger than those who did not endorse these functions. Similar to the other drugs, participants who had used cocaine to feel `ELATED/EUPHORIC' in the past year tended to be older than those who had not (19.6 versus 18.7; t [166] = 3.16, P < 0.01).

Alcohol ( n = 312)

The functions for alcohol use were the most diverse of the six substances examined. Like LSD, the most commonly endorsed purpose for drinking was to get `INTOXICATED' (89.1%). Many used alcohol to `RELAX' (82.7%), to `ENJOY COMPANY' (74.0%), to `INCREASE CONFIDENCE' (70.2%) and to `FEEL BETTER' (69.9%). Overall, 11 of the 17 function items were endorsed by over 50% of those who had drunk alcohol in the past year. Male participants were more likely to report using alcohol in combination with other drugs either to `IMPROVE EFFECTS' of other drugs (χ 2 [1] = 4.56, P < 0.05) or to ease the `AFTER EFFECTS' of other substances (χ 2 [1] = 7.07, P < 0.01). More females than males reported that they used alcohol to `DECREASE BOREDOM' (χ 2 [1] = 4.42, P < 0.05).

T -tests revealed significant age differences on four of the function variables: those who drank to feel `ELATED/EUPHORIC' were significantly older (19.7 versus 19.0; t [310] = 3.67, P < 0.001) as were individuals who drank to help them to `LOSE INHIBITIONS' (19.6 versus 19.0; t [310] = 2.36, P < 0.05). In contrast, participants who reported using alcohol just to get `INTOXICATED' (19.2 versus 20.3; t [310] = –3.31, P < 0.001) or to `DECREASE BOREDOM' (19.2 versus 19.6; t [310] = –2.25, P < 0.05) were significantly younger than those who did not.

Combined functional drug use

The substances used by the greatest proportion of participants to `IMPROVE EFFECTS' from other drugs were cannabis (44.3%), alcohol (41.0%) and amphetamines (37.5%). It was also common to use cannabis (64.6%) and to a lesser extent alcohol (35.9%) in combination with other drugs in order to help manage `AFTER EFFECTS'. Amphetamines, ecstasy, LSD and cocaine were also used for these purposes, although to a lesser extent. Participants who endorsed the combination drug use items were asked to list the three main drugs with which they had combined the target substance for these purposes. Table IV summarizes these responses.

Overall functions for drug use

In order to examine which functions were most popular overall, a dichotomous variable was created for each different item to indicate if one or more of the six target substances had been used to fulfil this purpose during the year prior to interview. For example, if an individual reported that they had used cannabis to relax, but their use of ecstasy, amphetamines and alcohol had not fulfilled this function, then the variable for `RELAX' was scored `1'. Similarly if they had used all four of these substances to help them to relax in the past year, the variable would again be scored as `1'. A score of `0' indicates that none of the target substances had been used to fulfil a particular function. Table V summarizes the data from these new variables.

Over three-quarters of the sample had used at least one target substance in the past year for 11 out of the 18 functions listed. The five most common functions for substance use overall were to `RELAX' (96.7%); `INTOXICATED' (96.4%); `KEEP GOING' (95.9%); `ENHANCE ACTIVITY' (88.5%) and `FEEL BETTER' (86.8%). Despite the fact that `SLEEP' was only relevant to two substances (alcohol and cannabis), it was still endorsed by over 70% of the total sample. Using to `LOSE WEIGHT' was only relevant to the stimulant drugs (amphetamines, ecstasy and cocaine), yet was endorsed by 17.3% of the total sample (almost a third of all female participants). Overall, this was the least popular function for recent substance use, followed by `WORK' (32.1%). All other items were endorsed by over 60% of all participants.

Gender differences were identified in six items. Females were significantly more likely to have endorsed the following: using to `INCREASE CONFIDENCE' (χ 2 [1] = 4.41, P < 0.05); `STAY AWAKE' (χ 2 [1] = 5.36, P < 0.05), `LOSE INHIBITIONS' (χ 2 [1] = 4.48, P < 0.05), `ENHANCE SEX' (χ 2 [1] = 5.17, P < 0.05) and `LOSE WEIGHT' (χ 2 [1] = 29.6, P < 0.001). In contrast, males were more likely to use a substance to `IMPROVE EFFECTS' of another drug (χ 2 [1] = 11.18, P < 0.001).

Statistically significant age differences were identified in three of the items. Those who had used at least one of the six target substances in the last year to feel `ELATED/EUPHORIC' (19.5 versus 18.6; t [362] = 4.07, P < 0.001) or to `SLEEP' (19.4 versus 18.9; t [362] = 2.19, P < 0.05) were significantly older than those who had not used for this function. In contrast, participants who had used in order to `STOP WORRYING' tended to be younger (19.1 versus 19.7; t [362] = –2.88, P < 0.01).

This paper has examined psychoactive substance use amongst a sample of young people and focused on the perceived functions for use using a 17-item scale. In terms of the characteristics of the sample, the reported lifetime and recent substance use was directly comparable with other samples of poly-drug users recruited in the UK [e.g. ( Release, 1997 )].

Previous studies which have asked users to give reasons for their `drug use' overall instead of breaking it down by drug type [e.g. ( Carman, 1979 ; Butler et al ., 1981 ; Newcomb et al ., 1988 ; Cato, 1992 ; McKay et al ., 1992 )] may have overlooked the dynamic nature of drug-related decision making. A key finding from the study is that that with the exception of two of the functions for use scale items (using to help sleep or lose weight), all of the six drugs had been used to fulfil all of the functions measured, despite differences in their pharmacological effects. The total number of functions endorsed by individuals for use of a particular drug varied from 0 to 15 for LSD, and up to 17 for cannabis, alcohol and cocaine. The average number ranged from 5.9 (for LSD) to 9.0 (for cannabis). This indicates that substance use served multiple purposes for this sample, but that the functional profiles differed between the six target drugs.

We have previously reported ( Boys et al. 2000b ) that high scores on a cocaine functions scale are strongly predictive of high scores on a cocaine-related problems scale. The current findings support the use of similar function scales for cannabis, amphetamines, LSD and ecstasy. It remains to be seen whether similar associations with problem scores exist. Future developmental work in this area should ensure that respondents are given the opportunity to cite additional functions to those included here so that the scales can be further extended and refined.

Recent campaigns that have targeted young people have tended to assume that hallucinogen and stimulant use is primarily associated with dance events, and so motives for use will relate to this context. Our results support assumptions that these drugs are used to enhance social interactions, but other functions are also evident. For example, about a third of female interviewees had used a stimulant drug to help them to lose weight. Future education and prevention efforts should take this diversity into account when planning interventions for different target groups.

The finding that the same functions are fulfilled by use of different drugs suggests that at least some could be interchangeable. Evidence for substituting alternative drugs to fulfil a function when a preferred drug is unavailable has been found in other studies [e.g. ( Boys et al. 2000a )]. Prevention efforts should perhaps focus on the general motivations behind use rather than trying to discourage use of specific drug types in isolation. For example, it is possible that the focus over the last decade on ecstasy prevention may have contributed inadvertently to the rise in cocaine use amongst young people in the UK ( Boys et al ., 1999c ). It is important that health educators do not overlook this possibility when developing education and prevention initiatives. Considering functions that substance use can fulfil for young people could help us to understand which drugs are likely to be interchangeable. If prevention programmes were designed to target a range of substances that commonly fulfil similar functions, then perhaps this could address the likelihood that some young people will substitute other drugs if deterred from their preferred substance.

There has been considerable concern about the perceived increase in the number of young people who are using cocaine in the UK ( Tackling Drugs to Build a Better Britain 1998 ; Ramsay and Partridge, 1999 ; Boys et al. 2000b ). It has been suggested that, for a number of reasons, cocaine may be replacing ecstasy and amphetamines as the stimulant of choice for some young people ( Boys et al ., 1999c ). The results from this study suggest that motives for cocaine use are indeed similar to those for ecstasy and amphetamine use, e.g. using to `keep going' on a night out with friends, to `enhance an activity', `to help to feel elated or euphoric' or to help `stay awake'. However, in addition to these functions which were shared by all three stimulants, over 60% of cocaine users reported that they had used this drug to `help to feel more confident' in a social situation and to `feel better when down or depressed'. Another finding that sets cocaine aside from ecstasy and amphetamines was the relatively common existence of gender differences in the function items endorsed. Female cocaine users were more likely to use to help `stay awake', `lose inhibitions', `stop worrying', `enjoy company of friends' or to help `lose weight'. This could indicate that women are more inclined to admit to certain functions than their male counterparts. However, the fact that similar gender differences were not observed in the same items for the other five substances, suggests this interpretation is unlikely. Similarly, the lack of gender differences in patterns of cocaine use (both frequency and intensity) suggests that these differences are not due to heavier cocaine use amongst females. If these findings are subsequently confirmed, this could point towards an inclination for young women to use cocaine as a social support, particularly to help feel less inhibited in social situations. If so, young female cocaine users may be more vulnerable to longer-term cocaine-related problems.

Many respondents reported using alcohol or cannabis to help manage effects experienced from another drug. This has implications for the choice of health messages communicated to young people regarding the use of two or more different substances concurrently. Much of the literature aimed at young people warns them to avoid mixing drugs because the interactive effects may be dangerous [e.g. ( HIT, 1996 )]. This `Just say No' type of approach does not take into consideration the motives behind mixing drugs. In most areas, drug education and prevention work has moved on from this form of communication. A more sophisticated approach is required, which considers the functions that concurrent drug use is likely to have for young people and tries to amend messages to make them more relevant and acceptable to this population. Further research is needed to explore the motivations for mixing different combinations of drugs together.

Over three-quarters of the sample reported using at least one of the six target substances to fulfil 11 out of the 18 functions. These findings provide strong evidence that young people use psychoactive drugs for a range of distinct purposes, not purely dependent on the drug's specific effects. Overall, the top five functions were to `help relax', `get intoxicated', `keep going', `enhance activity' and `feel better'. Each of these was endorsed by over 85% of the sample. Whilst all six substances were associated to a greater or lesser degree with each of these items, there were certain drugs that were more commonly associated with each. For example, cannabis and alcohol were popular choices for relaxation or to get intoxicated. In contrast, over 90% of the amphetamine and ecstasy users reported using these drugs within the last year to `keep going'. Using to enhance an activity was a common function amongst users of all six substances, endorsed by over 70% of ecstasy, cannabis and LSD users. Finally, it was mainly alcohol and cannabis (and to a lesser extent cocaine) that were used to `feel better'.

Several gender differences were observed in the combined functions for recent substance use. These findings indicate that young females use other drugs as well as cocaine as social supports. Using for specific physical effects (weight loss, sex or wakefulness) was also more common amongst young women. In contrast, male users were significantly more likely to report using at least one of the target substances to try to improve the effects of another substance. This indicates a greater tendency for young males in this sample to mix drugs than their female counterparts. Age differences were also observed on several function items: participants who had used a drug to `feel elated or euphoric' or to `help sleep' tended to be older and those who used to `stop worrying about a problem' were younger. If future studies confirm these differences, education programmes and interventions might benefit from tailoring their strategies for specific age groups and genders. For example, a focus on stress management strategies and coping skills with a younger target audience might be appropriate.

Some limitations of the study need to be acknowledged. The sample for this study was recruited using a snowball-sampling methodology. Although it does not yield a random sample of research participants, this method has been successfully used to access hidden samples of drug users [e.g. ( Biernacki, 1986 ; Lenton et al ., 1997 )]. Amongst the distinct advantages of this approach are that it allows theories and models to be tested quantitatively on sizeable numbers of subjects who have engaged in a relatively rare behaviour.

Further research is now required to determine whether our observations may be generalized to other populations (such as dependent drug users) and drug types (such as heroin, tranquillizers or tobacco) or if additional function items need to be developed. Future studies should also examine if functions can be categorized into primary and subsidiary reasons and how these relate to changes in patterns of use and drug dependence. Recognition of the functions fulfilled by substance use could help inform education and prevention strategies and make them more relevant and acceptable to the target audiences.

Structure of functions scales

Profile of substance use over the past year and past 90 days ( n = 364)

Proportion (%) of those who have used [substance] more than once, who endorsed each functional statement for their use in the past year

Combined functional substance use reported by the sample over the past year

Percentage of participants who reported having used at least one of the target substances to fulfil each of the different functions over the past year ( n = 364)

We gratefully acknowledge research support from the Health Education Authority (HEA). The views expressed in this paper are those of the authors and do not necessarily reflect those of the HEA. We would also like to thank the anonymous referees for helpful comments and suggestions on an earlier draft of this paper.

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• Published: 07 November 2021

How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention

• Pia Kvillemo   ORCID: orcid.org/0000-0002-9706-4902 1 ,
• Linda Hiltunen 2 ,
• Youstina Demetry 3 ,
• Anna-Karin Carlander 4 ,
• Tim Hansson 5 ,
• Johanna Gripenberg 1 ,
• Tobias H. Elgán 1 ,
• Kim Einhorn 4 &
• Charlotte Skoglund 1 , 4  

Substance Abuse Treatment, Prevention, and Policy volume  16 , Article number:  83 ( 2021 ) Cite this article

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The use of alcohol and illicit drugs during adolescence can lead to serious short- and long-term health related consequences. Despite a global trend of decreased substance use, in particular alcohol, among adolescents, evidence suggests excessive use of substances by young people in socioeconomically affluent areas. To prevent substance use-related harm, we need in-depth knowledge about the reasons for substance use in this group and how they perceive various prevention interventions. The aim of the current study was to explore motives for using or abstaining from using substances among students in affluent areas as well as their attitudes to, and suggestions for, substance use prevention.

Twenty high school students (age 15–19 years) in a Swedish affluent municipality were recruited through purposive sampling to take part in semi-structured interviews. Qualitative content analysis of transcribed interviews was performed.

The most prominent motive for substance use appears to be a desire to feel a part of the social milieu and to have high social status within the peer group. Motives for abstaining included academic ambitions, activities requiring sobriety and parental influence. Students reported universal information-based prevention to be irrelevant and hesitation to use selective prevention interventions due to fear of being reported to authorities. Suggested universal prevention concerned reliable information from credible sources, stricter substance control measures for those providing substances, parental involvement, and social leisure activities without substance use. Suggested selective prevention included guaranteed confidentiality and non-judging encounters when seeking help.

Conclusions

Future research on substance use prevention targeting students in affluent areas should take into account the social milieu and with advantage pay attention to students’ suggestions on credible prevention information, stricter control measures for substance providers, parental involvement, substance-free leisure, and confidential ways to seek help with a non-judging approach from adults.

Alcohol consumption and illicit drug use are major public health concerns causing great individual suffering as well as substantial societal costs [ 1 , 2 ]. Early onset of substance use is especially problematic since the developing brain is vulnerable to the effects of alcohol and drugs, increasing the risk of long-term negative effects, such as harmful use, addiction, and mental health problems [ 3 , 4 , 5 , 6 ]. Short-term consequences of substance use include intoxication [ 5 , 7 ], accidents [ 8 [, academic failure [ 9 ], and interaction with legal authorities [ 10 ], which calls for effective substance use prevention in adolescents and young adults. Such prevention interventions may be universal, targeting the general population, e.g., legal measures and school based programs, or selective, targeting certain vulnerable at-risk groups, i.e., subsections of the population [ 11 ]. Selective prevention can be carried out within a universal prevention setting, such as health care or school, but also be delivered directly to the group which it aims to target, face-to-face or digitally [ 12 , 13 , 14 , 15 ].

The motives to use substances are governed by a number of personal, social and environmental factors [ 16 ], ranging from personal knowledge, abilities, beliefs and attitudes, to the influence of family, friends and society [ 17 , 18 , 19 , 20 ]. Cooper and colleagues [ 21 ] have previously identified a number of motives for drinking, i.e., 1) enhancement (drinking to maintain or amplify positive affect), 2) coping (drinking to avoid or dull negative affect), 3) social (drinking to improve parties or gatherings), and 4) conformity (drinking due to social pressure or a need to fit in). Similar motives for illicit drug use have been found by e.g. Kettner and colleagues, who highlighted the attainment of euphoria and enhancement of activities as prominent motives for use of psychoactive substances among people using psychedelics in parallel with other substances [ 22 ], along with Boys and colleagues [ 23 , 24 , 25 ], who reported on changing mood (e.g., to stop worrying about a problem) and social purposes (e.g., to enjoy the company of friends) as motives for using illicit drugs among young people. Additionally, the authors found that the facilitation of activities (e.g., to concentrate, to work/study), physical effects (e.g., to lose weight), and the managing of the effects of other substances (e.g., to ease or improve) motivated young people to use illicit drugs.

Prior research has repeatedly shown that low socioeconomic status is a risk factor for substance use and related problems [ 26 , 27 , 28 ]. However, recent research from Canada [ 29 ], the United States [ 30 , 31 , 32 ], Serbia [ 33 ], Switzerland [ 34 ], and Sweden [ 35 ] suggest that high socioeconomic status too is associated with excessive substance use among young people, although for other reasons [ 29 , 30 , 31 , 32 , 33 , 34 ]. Previous research has highlighted two main explanations for excessive substance use among young people in families with high socioeconomic status; i) exceptionally high requirements to perform in both school and leisure activities and ii) absence of adult contact, emotionally and physically, due to parents in resourceful and affluent areas spending a lot of time on their work and careers [ 36 , 37 ]. In addition to these explanations, high physical and social availability due to substantial economic resources and a social milieu were substance use is a natural element, may enable extensive substance use among economically privileged young people [ 30 , 38 , 39 ].

In parallel with identification of various groups at risk for extensive substance use, a growing number of young people globally abstain from using substances [ 1 , 40 , 41 ]. By analyzing data derived from a nationally representative sample of American high school students, Levy and colleagues [ 40 ] found an increasing percentage of 12th-graders reporting no current (past 30 days) substance use between 1976 and 2014, showing that a growing proportion of high school students are motivated to abstain from substance use. However, while this global decrease in substance use among adolescents is mirrored in Swedish youths, in particular alcohol use, a more detailed investigation shows large discrepancies across different socioeconomic and geographic areas. Affluent areas in Sweden stand out as breaking the trend, showing increasing alcohol and illicit drug use among adolescents [ 42 , 43 ].

To date, we lack in-depth knowledge of why youths in affluent areas keep using alcohol and illicit drugs excessively. Furthermore, despite implementation of various strategies and interventions over the last decades [ 14 , 44 , 45 , 46 , 47 , 48 ], we have yet no clear guidelines on how to effectively prevent substance use in this specific group, although the importance of parents’ role for preventing substance use in privileged adolescents has been highlighted in a recent study [ 29 ]. Moreover, despite the fact that attitudes are assumed to guide behavior [ 49 , 50 ] and consequently the reception and effects (behavior change) of prevention interventions, the knowledge about affluent adolescents’ attitudes toward current substance use prevention interventions remains limited. To our knowledge, the only study exploring adolescents’ attitudes to substance use prevention was carried out among Spanish adolescents who participated in “open-air gatherings of binge drinkers”. The study concerned adolescents irrespective of their economic background and revealed positive attitudes to restrictions for drunk people [ 19 ]. Thus, extended knowledge on what motivates young people in affluent areas to excessively use substances, or abstaining from using, as well as their attitudes to prevention is warranted.

In the current study, we aim to explore motives for using, or abstaining from using, substances among students in affluent areas. In addition, we aim to explore their attitudes to and suggestions for substance use prevention. The findings may make a valuable contribution to the research on tailored substance use prevention for groups of adolescents that may not be sufficiently supported by current prevention strategies.

A qualitative interview study was performed among high school students in one of Stockholm county’s most affluent municipalities. The research team developed a semi-structured interview guide (supplementary Interview guide) covering issues regarding the individual’s physical and mental health, extent of alcohol and illicit drug use, motives for use or abstinence, relationships with peers and family, alcohol and drug related norms among peers, family and in the society, and attitudes towards strategies to prevent substance use. Examples of interview questions are: How would you describe your health? Which are the main reasons why young people drink, do you think? How do you get hold of alcohol as a teenager?

What do you know about drug use among young people in Municipality X? How would you describe your social relationships with peers in and outside Municipality X?

The study was approved by the Swedish Ethical Review Authority (dnr. 2019–02646).

Study setting

Sweden has strict regulations of alcohol and illicit drugs compared to many other countries [ 45 , 46 ]. Alcohol beverages (> 3.5% alcohol content by volume) can only be bought at the Swedish Alcohol Retailing Monopoly “Systembolaget” by people 20 years of age or older, or at licensed premises (e.g., bars, restaurants, clubs), at the minimum age of 18 years. The use of illicit drugs is criminalized. The study was carried out in a municipality with 45% higher annual median income than the corresponding figure for all of Sweden, along with the highest educational level among all Swedish municipalities, i.e., 58% of the population (25 years and over) having graduated from university and hold professional degrees, as compared with the national average of 26%. Furthermore, only 6.1% of the inhabitants receive public assistance, compared to a national average of 13.4% [ 51 ].

Recruitment

Purposive sampling was used to recruit students from the three high schools located in the selected municipality. Contact was established by the research team with the principals of the high schools that agreed to participate in the study. Information and invitation to participate in the study was published on the schools’ online platforms, visible for parents and students. Students communicated their initial interest in participating to the assistant principal. Upon consent from the students, the assistant principal forwarded mobile phone numbers of eligible students to the research team. Also, students from other schools in the selected municipality were asked by friends to participate and upon contact with the research team were invited to participate. Forty students signed up to take part in the study, of which 20 were finally interviewed, representing four schools (three in the selected municipality and one in a neighbor municipality). Before the interview, informed consent was obtained by informing the students about confidentiality arrangements, their right to withdraw their participation and subsequently asking them about their consent to participate. The consent was recorded and transcribed along with the following interview. Twenty students who had initially signed up were excluded after initial consent due to incorrect phone numbers or if the potential participants were not reachable on the agreed time for participation. The reason for terminating the recruitment after 20 interviewees was based on the fact that little or no new information was considered to occur by including additional participants.

Participants

The final sample consisted of 20 students. Background information of the participants is presented in Table  1 . The group included eleven girls and nine boys between 15 and 19 years of age. Seven participants attended natural sciences/technology/mathematic programs and 13 attended social sciences/humanities programs. Twelve participants lived in the socioeconomically affluent municipality where the schools were located and eight in neighboring municipalities. The sample included three abstainers and 17 informants who were using substances, the latter referring to self-reported present use of alcohol and/or illicit drugs (without further specification). Additionally, 18 of the participants reported that at least one of their parents had a university education.

During April–May 2020, semi-structured telephone interviews with the students were conducted by five of the authors (PK, YD, AKC, TH, CS). The interviewers had continuous contact during the interview process, exchanging their experiences from the interviews and also the content of the interviews. After 20 interviews had been conducted, it was assessed that no or little new information could be obtained by additional interviews and the interview process was terminated. The interviews, on average around 60 min long, were recorded on audio files and transcribed verbatim.

Qualitative content analysis, informed by Hsieh & Shannon [ 52 ] and Granheim & Lundman [ 53 ], was used to analyze the interview material. To increase reliability of the analytic process, a team based approach was employed [ 54 ], utilizing the broad expertise represented in the research team and the direct experience of information collected from the five interviewers.

The software NVivo 12 was utilized for structuring the interview data. Initially, one of the researchers (PK) read all the interviews repeatedly, searching for meaningful units which could be grouped into preliminary categories and codes, as exemplified in Table 2 . During the process, a preliminary coding scheme was developed and presented to the whole research team. After discussion, the coding scheme was slightly revised. Following this procedure, a second coder (CS) applied the updated coding scheme along with definitions (codebook) [ 54 ], coding all the interviews independently. Subsequent discussions between PK, YD and CS, resulted in an additionally revised coding scheme. This scheme was utilized by PK and another researcher (LH), who had not been involved in the interviewing or coding, coding all of the interviews independently. The agreement between the coders PK and LH was high and a few disagreements solved through discussion. No change in the codes was necessary and the research team agreed on the coding scheme as outlined in Fig.  1 .

Final coding scheme

The interview material generated three main categories, six subcategories and 27 codes. The results are presented under headings corresponding to the identified subcategories, since they are directly connected to the aim of the study. Content from the main category “External factors” is initially presented to illustrate the context in which the students form their motivation to use or abstain from using substances, as well as their attitudes towards prevention.

External factors

The external factors found in the interview material concerned wealth, availability of alcohol and other substances, parental norms and peer norms. Informants living in the affluent municipality described an expensive lifestyle with boats, ski trips, summer vacations abroad, and frequent restaurant visits, in contrast to informants from other areas who described a more modest lifestyle. These differences were further accentuated by informants’ descriptions of large villas in the affluent municipality, where students can arrange parties while the parents go to their holiday homes. Some informants further pointed to the fact that people in this municipality easily can afford to buy illicit drugs, increasing the availability.

The reason why they do it [use illicit drugs] in [the affluent municipality] is because the parents go away, which make it easier to have parties and be able to smoke grass at home, and also because they can afford it .

Parents’ alcohol norms seemed to vary between families, but most informants described modest drinking at home, with parents consuming alcohol on certain occasions and sometimes when having dinner. However, several informants described that they as minors/children were offered to taste alcohol from the parents’ glasses. Most of the informants meant that their parents trust them not to drink too much when partying.

They [my parents] have said to me that drinking is not good, but that they understand if I drink, sort of.

Both parents’ and peers’ norms appear to influence substance use among the students, The impression is that there is an alcohol liberal norm in the local society among adults as well as among adolescents.

If you want to have a social life in community X, then it is very difficult … you almost cannot have it if you don’t drink at parties.

Motives for using substances

Confirming that both alcohol and illicit drugs are frequently used among students in the current municipality, a number of motives for substance use were expressed by the participants. The most prominent motive appeared to be a desire to feel a part of the social milieu and to attain or maintain high social status, with fear of being excluded from attractive social activities and parties if abstaining from substance use. The participants indicated that you are expected to drink alcohol to be included in the local community social life, claiming that this applied to the adult population as well. Alcohol consumption and even intoxication are perceived to be the norm in the students’ social life and several of the participants noted that abstainers risk being considered too boring to be invited to parties.

The view is that you cannot have fun without alcohol and therefore, you don’t invite sober people.

There seemed to be a high awareness of one’s own as well as peers’ popularity and social status. Participants evaluated peers as high or low status, fun or boring, claiming that trying to be cool and facilitate contact with others motivates people to use substances. High status students are, according to some participants, frequently invited to parties where alcohol and other substances are easily accessible.

I would say that our group of friends has more status. [… ] You know quite a few [people] and you are invited to quite a lot of parties. You can often evaluate the group of friends, i.e. their status, based on which parties they are invited to. […] Some [groups of friends] only drink alcohol and some even take drugs and drink alcohol.

Some differences in traditions and norms between schools was discerned, with certain schools being especially known for high alcohol consumption and drug use procedures when including new students in the school-community. One of the participants described fairly extensive norm violations, with respect to the law, on these occasions, e.g., strong peer pressure to drink alcohol and use illicit drugs, combined with humiliation of new students, careless driving under the influence of substances with other students in the car, and “punishment” by future exclusion from social events of those who don’t participate at these occasions. On the other hand, already popular, or more senior students, appear to be able to abstain from substance use on occasions without being questioned or risk social exclusion. High self-esteem and a firm approach when occasionally saying no to substances is often respected according to the participants. To avoid peer pressure to use alcohol or illicit drugs, the participants suggested acceptable excuses, such as school duties, bringing your moped or car to the party, having a sports activity or work the day after, or having plans with your parents or extended family during the weekend.

Apart from peer influence, several students expressed hedonistic motives, such as enjoying a nice event or simply to have fun.

If you want a little extra fun, then you take drugs.

Apart from social enhancement motives for using substances, some students reported that relaxing from academic pressure or rewarding oneself after an intense period of studying motivates them to use substances. Almost every participant expressed high academic ambitions. One participant who claimed to be very motivated to study expressed drinking due to stress, as illustrated in the extract below:

You study a lot and you are stressed over school. Then it can be very nice to go out and drink and you can forget everything else for a few hours. […] So it can be a “stress reliever” in that way.

Yet another participant explained that academic failure had previously made her use substances to comfort herself. Coping with mental health problems, such as depression, was also stated as a reason for substance use. Moreover, some participants reported that they use ADHD (Attention Deficit Hyperactivity Disorder) medication to be able to study more intensively.

Motives for abstaining from using substances

A number of motives for totally or temporarily abstain from substance use were put forward by the students, such as a wish to be healthy, keep control and avoid embarrassment, influence of parents, academic pressure, sports ambitions or simply lack of interest. Lack of interest in alcohol and drugs was expressed foremost by those attending natural sciences programs and those who totally abstained from substance use.

I attend the engineering program and I don’t think the interest in alcohol and parties is as present as it might be on social sciences programs.

Fear of health consequences was predominantly related to abstaining from illicit drugs, but also alcohol. Motives for abstaining from alcohol included perceived risk of being addicted, due to relatives having alcohol problems (heredity), and taking medicine, for example ADHD medicine, since combining alcohol and medication was perceived as risky. Some students had observed friends getting “weird” or “laze” after using illicit drugs, which made them hesitant to use such substances themselves. With regard to parental norms, most parents were by the participants reported to be “normal drinkers” themselves and quite relaxed about their teens’ alcohol consumption. This applied to both the parents of older teens and minors. However, many of the participants reported that their parents would be upset and disappointed if they found out that their child used illicit substances, which motivated some of them to abstain. Reasons for abstaining from substance use included academic strivings, sports performance ambitions, driving, or other activities requiring sobriety, which the students referred to as socially acceptable reason to abstain from substance use. Prioritizing studies over partying was explicitly expressed as the primary motive to abstain by some of the participants.

We are a group of five or six who come from other municipalities. […] We don’t party and such things and we may be seen as a bit boring. But we are a little more responsible and we are more motivated to study than the others in the class.

A wish to save money and reluctance to support the illegal drug production were also mentioned as reasons to abstain from substance use, however to a lesser extent.

Universal prevention viewed as attractive or feasible

With regard to substance information interventions, some students wanted detailed information about different substances’ physical and psychological effects. The participants emphasized the importance of credible sources or persons providing the information, mentioning researchers, young medical students and even parents as credible sources of information. Individuals who had experience of substance use were also suggested.

You have to tell the facts in a way that makes us want to listen. With the help of various spokespersons who have been involved in it, for example.

Several students stressed the importance of being able to identify with the person sending the message and suggested influencers as plausible sources. Someone who is difficult to relate to was given as an example of a non-credible, as the following excerpt shows:

They shouldn’t take a heroin addicts who talk about having found Jesus, because I do not think it would touch the children or touch the young. You have to somehow find … someone that can relate to the young people.

As for universal prevention, the students also suggested intensified legal measures for companies and people providing young people with alcohol or drugs.

For example, make it difficult for young people to have access to alcohol [...], allocate more time as a police officer to catch the drug dealers.

Both alcohol and illicit drugs were reported as easily accessible. Students can obtain alcohol via social media platforms, such as Instagram and Snapchat, where “liquor cars” market themselves and offer home delivery. In addition, older siblings or peers and even some parents were, according to the informants, providing minor students with alcohol. The main way to access illicit drugs is via parties where older students offer drugs to younger peers. Access to prescription drugs was also reported.

Several of the participants agreed that parental involvement is constructive for substance use prevention. Many of them reported having supportive and caring parents involved in their lives, but at the same time referring to friends’ parents as being more absent, resulting in extensive partying in large homes without parental control. Some students reported that parents don’t realize to what extent youths are using substances and that the parents should pay even more attention to what their children do.

I think [parents should be] keeping track, good track of the kids […] . Keeping track of what they are doing and ask them how they feel and things, I think that helps.

In line with leisure activities as a reason to abstain from substance use, some participants suggested that social activities other than partying could be a way of preventing substance use, as expressed by one participant when asked about plausible ways to prevent substance use.

Find a sport or friend that you train with […] instead of going to a party,

Talking about their leisure activities, the participants expressed joy and that these activities made them relax while being social.

The leisure interests, like working out and hanging out with friends, is relaxing and in contrast to the everyday in some way .

Universal prevention viewed as inappropriate

Several of the participants expressed great skepticism towards traditional universal preventive strategies, such as lectures by teachers, social workers or researchers. Some teachers were perceived as ignorant and unengaged, lecturing about substances only by duty.

The teachers have been a bit like ‘now we’re going to talk about drugs […] and then you have fifteen minutes and they say something like ‘here we are a drug free and smoke and tobacco free school’, and no one obeys.

Some students also doubted that the information provided from school and society is true, suspecting exaggerated report on harm, and that they prefer information from social media platforms such as Youtube or other online sources.

It feels like the information we get in school is a bit exaggerated, a bit made up for us […] A bit like this, ‘now we’ll get the young people to stop’.

Selective prevention viewed as attractive or feasible

In circumstances where students are worried about their own or peers’ substance use, participants stressed the need for a way to connect with local authority, health care or other support anonymously, without being registered in medical records or being reported to the authorities. Moreover, the participants emphasized the importance of a non-judging approach from professionals when they reach out to students at risk of excessive substance use.

If you wonder about something or if you are worried about something, then you should be able to turn to adults without being yelled at and know that you are getting positive feedback like ‘I understand you’ and ‘how can we fix this?’

Selective prevention viewed as inappropriate

As indicated above, help-seeking seemed to be counteracted by fear of being recorded in medical records or in the criminal registries. One participant mentioned an incident where a student, caught smoking marijuana, was prosecuted and that this student’s life had been severely affected with cancellation of planned studies abroad and rejection of driving license application. These consequences had, according to the participant, resulted in the student “giving up” and selling illicit alcohol to other students instead of trying to strive for a good future life. Admitting that such an incident can serve as a warning to other students, the fear of consequences is, according to the participant, still an obstacle to seeking help.

People don’t really know what to do when they see their friends do it [use substances]. You don’t want to tell on them, because they are afraid that if it is written down somewhere, then everything can be ruined.

Also, parents were by the participants reported as being reluctant to seek help for their children, because of fear of the reporting of their child’s behavior or crime to authorities, with subsequent negative consequences.

Parents do not dare either because they don’t want it to be about their children. I know some parents who have found drugs in their children’s rooms, but do not want to ruin [future prospects] for them.

The current study aimed to explore motives for using or abstaining from using substances, including alcohol, among students in affluent areas, as well as their attitudes to and suggestions for substance use prevention.

Summary of results

The motives for using substances among the students are associated with social aspects as.

well as own pleasure and coping with stressful situations. The most prominent motive appears to be a desire to feel a part of the current social milieu and to attain or maintain high social status within the peer group. Several of the students expressed fear of being excluded from attractive social activities if abstaining from substance use, although some meant that they were not interested in substances and didn’t care if they were perceived as boring, and also had found a small group of friends with whom they socialized. Motives for abstaining, apart from lack of interest, included academic ambitions, activities requiring sobriety, parental influence, and a wish to stay healthy. The students expressed negative attitudes towards current information-based prevention as well as problems with using selective prevention interventions due to fear of being registered or reported to the authorities. Students’ suggestions for feasible universal prevention concerned reliable information from credible sources, stricter substance control measures, extended parental involvement, and social leisure activities without substance use. Suggestions regarding selective prevention were guaranteed confidentiality and non-judging encounters when seeking help due to substance use problems.

Comparison with previous research

Children of affluence are generally presumed to be at low risk for negative health outcomes. However, the current study, in accordance with other recent studies [ 29 , 55 ], suggest problems in several domains including alcohol and drug use and stress related problems, even if the cause of these problems cannot be determined based on our interview study. Previous explanations for extensive substance use among affluent young people have been exceptionally high-performance requirements in both school and in leisure activities, and absence of emotional and physical adult contact, resulting from parents in affluent areas spending a lot of time on their jobs and careers [ 30 , 56 , 57 , 58 ]. These explanations can be viewed in the light of Cooper and colleagues’ [ 21 ] as well as Boys and colleagues’ [ 23 , 24 , 25 ] previously identified coping motive for substance use. Coping appears among affluent young people as a central motive for substance use, i.e., coping with performance requirements and perhaps with negative affects due to parents’ absence. In the current study, however, social motives, including conformity, i.e., using substances due to social pressure and a need to fit in [ 21 , 23 , 24 , 25 ] appears to be the most prominent motive, supporting the social learning theory which proposes that behavior can be acquired by observing and imitating others and by rewards connected to the behavior [ 16 , 59 ]. Interestingly, a small group of participants, especially from natural sciences programs, resisted the general pressure to use substances and found a social context of a few friends with whom they socialized without striving for high social status in the larger social context. The wish to be included in the social life and achieve high social status within the peer group was described as a central motive for substance use among a majority of the students, along with fear of being excluded if abstaining. Previous research show that high socioeconomic status is a protective factor for substance use disorder among adults [ 60 ], but among young people it may be the opposite. High status appears to be an important risk factor for the use of substances, at least among those striving for higher status. The students report that they, to achieve high status, must attend parties and at least drink alcohol. After achieving high status, which has resulted in frequent invitations to parties, students then may pose an even higher risk of excessive alcohol and drug use. In line with previous studies, results show that individuals with larger social networks, which has shown to be an indicator for social status among young, also drink more [ 35 , 61 ]. However, status can also act as a protective factor. Individuals with higher status have, according to the interviewees, slightly more room for maneuver to temporarily say no to substances at a party, without being pressured or ashamed. Nevertheless, several of the interviewees reported that they have to choose between using substances or being excluded from desirable social activities, as abstainers are considered “boring”. The results further show that alcohol and other drugs are popular among affluent youth and the information from the participants indicate that the students perceive substance use to be under control. One possible explanation is that high affluence can contribute to a sense of control over one’s life [ 62 ]. Although previous studies show that young people from affluent areas drink more, the risk of developing alcohol problems is still greater among young people who grow up in more disadvantaged areas [ 57 ]. Why this is the case is unclear. There is a widespread belief that affluent youngsters have plenty of social and financial resources in the family and thus receive the right help (e.g., psychotherapy) when they have problems [ 62 ], which could explain why they do not develop alcohol problems. However, research also shows that parents in affluent areas seek less help than others when their children are troubled [ 30 , 63 ], partly due to difficulties in accepting and revealing problems within the family [ 62 ]. In the current study, the informants expressed doubts about the possibility to be guaranteed confidentiality when seeking help, which may mean that there are concerns among both children and parents about the risk of losing status and a good reputation if seeking help for substance use problems. Consequently, there is a risk that any substance use problems will not be noticed in this group [ 62 ].

Previous research indicates that academic pressure may promote substance use [ 56 , 64 ]. However, in the current study academic pressure, due to high ambitions, was reported both as a reason for using substances and abstaining, the former to cope with stress or relax, the latter to maintain a sharp intellect and receive high grades. Moreover, previous research has demonstrated an association between pressure from extracurricular activities or “over scheduling” and negative outcomes among affluent students ( 39 ). In the current study, this did not stand out as a critical vulnerability factor. Instead, students reported extracurricular and leisure activities as relaxing and fun and an accepted reason to abstain from substance use while still attending activities where peers were using substances.

With regard to adult or parental contact, previous research shows that mental health and substance use among adolescents in socioeconomic affluent areas are associated with parents’ lack of reaction to teenage substance use (i.e. liberal, allowing attitudes and minor or no repercussions on discovering use) and parents’ lack of knowledge of their teens’ activities [ 30 ]. In our study, the students reported that their parents do not generally react with punishment due to their child’s alcohol consumption. However, the participants thought that parents probably should react more condemningly due to illicit drug use, if revealed. The Swedish criminalization of illicit substance use [ 46 ] may influence parents to adopt stricter norms with regard to their children’s illicit substance, because of the consequences for revealed substance use that may occur in the Swedish context. Also, parents in the current study were reported as being reluctant to seek help for their children out of fear of negative consequences that may affect their children. This result is in line with previous research, showing that concern about admitting problems in their children is elevated among affluent parents [ 30 ], mentioned above. In the current study, the participants further reported closeness to their parents and that their parents cared about how they spent their time. That said, some parents of wealthy peers were reported as being more absent, resulting in extensive partying in large homes without parental control. Previous research has shown the nature of family relationships and perceptions of closeness to be important protective factors for adolescent mental health [ 56 ], and this seems to apply to the students in the current study.

The students’ attitudes to current substance use prevention, aimed to increase students’ knowledge, are to a large extent negative. Information provided in school were reported as exaggerated and uninteresting. Instead, students suggested interventions focusing on credible sources of reliable information, such as from people with personal adverse experiences of substance use and people whom they can identify with. Whether people with own experience of substance use are credible or helpful in a more objective way can be disputed, but the students seem to put their trust in them rather than other persons. This result is partly in line with previous research on school-based programs in general, suggesting that the role of the teacher (the one who deliver the information) is central and that the use of peer leaders can be successful in engaging the students who receive the message [ 65 , 66 ]. Some informants in the current study meant that the teachers in school were ignorant and unengaged, lecturing about substances only by duty, which of course can be problematic for the sense of credibility among those receiving the information. Previous research has demonstrated that for older adolescents, a social influence approach can increase the effectiveness of alcohol and drug prevention interventions, as can health education, basic skills training and the inclusion of parental support [ 67 ]. Again, this research applies to adolescents in general and not to affluent youth specifically.

Interestingly, the students also suggested stricter regulations on substances with intensified legal measures for those providing substances. Positive attitudes to limiting access of alcohol for drunk people have previously been shown in a Spanish study among adolescents participating in an open-air gatherings of binge drinkers [ 19 ]. The positive attitude to stricter regulations for those providing substances is interesting in the light of the students’ desire for a non-judging approach when having to seek help for own substance use, as described below. Previous research, however, supports strict policy measures to decrease availability as an effective measure for substance use prevention in the general population [ 68 ]. The students further suggested increased parental control and activities and venues which can be attended without using substances, for example sporting/training with friends. Leisure activities without substance use have recently been offered to e.g., adolescents in general in an Icelandic prevention strategy [ 69 ], however more research is needed to see if this kind of prevention is attractive also for large groups of affluent students as an alternative to parties and whether it also appears to be effective in reducing substance use in this group. Clearly, some affluent students without ambitions to receive high social status do find socialization without using substances attractive, as shown in the current study. With regard to selective prevention, the students were critical of the current risk of being reported to parents, registered within medical records or reported to the authorities if turning to professionals for support for substance use problems. They claimed that this circumstance serves as a massive counteracting force to seek help at an early stage for oneself or for peers and that the possibility of reaching out anonymously is essential for taking the first step in seeking help. Moreover, the adolescents in this study call for an open and non-judging approach when turning to health care staff, parents or other adults, which is in line with so called Motivational Interviewing, a non-judging approach aimed to enhance motivation to change by exploring and resolving ambivalence about e.g., substance-related behaviors [ 70 ], which has shown promising results with regard to reduction of alcohol consumption among young people [ 71 ].

Strengths and limitations

The current study has a number of strengths. Firstly, we were able to recruit both male and female students between 15 and 19 years of age, living inside the affluent community as well as in neighboring municipalities, which provided us with a broad base of the students’ social context. Secondly, we included informants using substances as well as abstainers, increasing the possibility to get a broad view of motives to use or abstain from using substances among affluent youth. Thirdly, the research group has extensive experience in qualitative analysis as well as working with adolescents and young adults with mental health problems, including alcohol and drug consumption or abuse. However, our study must also be viewed in the context of some limitations. Students with more severe health or psychosocial problems may have refrained from participating, biasing the results towards adolescents of more stable psychosocial functioning. Moreover, interview studies are always vulnerable for social desirability bias due to a potential desire to give socially acceptable answers [ 72 ]. However, the possibility to terminate participation at any time, along with the circumstance that most of the interviewers are health care professionals, thereby used to handle secrecy in consultation situations, may have decreased the risk of desirability bias in the current study.

Several of the motives guiding substance use behavior among young people in general also seem to apply to affluent youth. A desire to feel a part of the current social milieu and to attain or maintain high social status within the peer group were reported as prominent motives for substance use among affluent students in the current study. Given that the social milieu is crucial for the substance use behavior in this context, future research on substance use prevention targeting this group could with advantage pay attention to suggestions on prevention strategies given by the students. Students’ suggestions include reliable prevention information from credible sources, stricter substance control measures targeting those providing substances, parental involvement, leisure activities without substance use, and confidential ways to seek help, involving a non-judging approach from professionals and other adults.

Availability of data and materials

Collected data will be available from the Centre for Psychiatry Research, a collaboration between Karolinska Institutet and Region Stockholm, but restrictions apply to their availability, as they were used under ethical permission for the current study, and so are not publicly available. However, data are available from the authors upon reasonable request and with permission from the Centre for Psychiatry Research.

Abbreviations

attention deficit hyperactivity disorder

natural sciences/technology/mathematic programs

social sciences/humanities programs

Stockholm prevents alcohol and drug problems

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Acknowledgements

We would like to thank all the participating students for making this study possible.

The work was funded by the Alcohol Research Council of the Swedish Alcohol Retailing Monopoly (grant no. 2018–0010). The funding body had no role in study design, data collection, analysis, data interpretation or writing the manuscript. Open Access funding provided by Karolinska Institute.

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Pia Kvillemo, Johanna Gripenberg, Tobias H. Elgán & Charlotte Skoglund

Department of Social Studies, Linnaeus university, Växjö, Sweden

Linda Hiltunen

Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Liljeholmstorget 7, 117 63, Stockholm, Sweden

Youstina Demetry

Department of Neuroscience, Uppsala University, Uppsala, Sweden

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Contributions

PK contributed to conceptualization, methodology, investigation (data collection), data curation, formal analysis, writing original draft, review & editing, funding acquisition. LH contributed to conceptualization, methodology, data curation, formal analysis, validation, review & editing. YD contributed to project administration, methodology, investigation (data collection), data curation, formal analysis, validation, review & editing. AC contributed to investigation (data collection), review & editing. TH contributed to investigation (data collection), review & editing. JG contributed to conceptualization, methodology, review & editing, funding acquisition. TE contributed to conceptualization, methodology, review & editing. KE contributed to review & editing. CS contributed to conceptualization, methodology, investigation (data collection), data curation, formal analysis, review & editing, funding acquisition, supervision. All authors approved the submitted manuscript version.

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Correspondence to Pia Kvillemo .

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The study was performed in accordance with the Declaration of Helsinki and was approved by the Swedish Ethical Review Authority (dnr. 2019–02646).

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The authors declare that they have no competing interests.

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Kvillemo, P., Hiltunen, L., Demetry, Y. et al. How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention. Subst Abuse Treat Prev Policy 16 , 83 (2021). https://doi.org/10.1186/s13011-021-00420-8

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Essay on Drug Abuse in 250 and 500 Words in English for Students

• Updated on  
• Apr 2, 2024

Drug abuse refers to the excessive and frequent consumption of drugs. Drug abuse can have several harmful effects on our mental and physical health. Ronald Reagan, the 40th President of the USA, passed the Anti-Drug Abuse Act of 1986 and initiated the War on Drugs . He said, ‘Let us not forget who we are. Drug abuse is a repudiation of everything America is.’

Consuming drugs not only harms the individual himself but also affects society as a whole. Studies have shown that people who consume drugs become addicted to it. This addiction turns into substance abuse, resulting in self-damage, behaviour changes, mood swings, unnecessary weight loss, and several other health problems. Let’s understand what drug abuse is and how to fight it.

This Blog Includes:

Essay on drug abuse in 250 words, why do people consume drugs, why is drug abuse bad, laws in india against drug consumption, steps to prevent drug addiction, 10 lines essay on drug abuse.

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‘When people consume drugs regularly and become addicted to it, it is known as drug abuse. In medical terminology, drugs means medicines. However, the consumption of drugs is for non-medical purposes. It involves the consumption of substances in illegal and harmful ways, such as swallowing, inhaling, or injecting. When drugs are consumed, they are mixed into our bloodstream, affecting our neural system and brain functioning.

The Indian government has taken significant steps to help reduce the consumption of drugs. In 1985, the Narcotics Drugs and Psychotropic Substances Act came into force. This act replaced the Opium Act of 1857, the Opium Act of 1878, and the Dangerous Drugs Act of 1930. 

Drug abuse can lead to addiction, where a person becomes physically or psychologically dependent on the substance and experiences withdrawal symptoms when attempting to stop using it. 

Drug abuse can have serious consequences for the individual and society as a whole. On an individual level, drugs can damage physical health, including organ damage, infectious diseases, and overdose fatalities. Not only this, a person already suffering from mental health disorders will face more harmful aftereffects. Addiction disrupts our cognitive functioning and impairs our decision-making abilities.

To fight drug abuse, we need collective action from all sections of society. Medical professionals say that early intervention and screening programmes can identify individuals at risk of substance misuse and provide them with the necessary support services. Educating people, especially those who are at-risk, about drug abuse and its harmful effects can significantly help reduce their consumption.

Drug abuse is serious and it must be addressed. Drug abuse is killing youth and society. Therefore, it is an urgent topic to address, and only through sustainable and collective efforts can we address this problem.

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Essay on Drug Abuse in 500 Words

Drug abuse is known as frequent consumption. In time, these people become dependent on drugs for several reasons. Curiosity drives adolescents and teenagers, who are among the most susceptible groups in our society. Cocaine, marijuana, methamphetamine, heroin, etc. are some of the popular drugs consumed. 

The very first question about drugs is: why do people consume drugs? Studies have shown that more than 50% of drug addicts consider drugs as a coping mechanism to alleviate emotional or psychological distress. In the beginning, drugs temporarily relieve feelings of anxiety, depression, or trauma, providing a temporary escape from difficult emotions or life circumstances. 

Some consume drugs out of curiosity, some under peer pressure, and some want to escape the painful experiences. Some people enjoy the effects drugs produce, such as euphoria, relaxation, and altered perceptions. Recreational drug use may occur in social settings or as a form of self-medication for stress relief or relaxation.

The National Institute on Drug Abuse states that drugs can worsen our eyesight and body movement, our physical growth, etc. Marijuana, one of the most popular drugs, can slow down our reaction time, affecting our time and distance judgement and decreasing coordination. Cocaine and Methamphetamine can make the consumer aggressive and careless.

Our brain is the first victim of drugs. Drugs can disorder our body in several ways, from damaging organs to messing with our brains. Drugs easily get mixed into our bloodstream, and affect our neural system. Prolonged and excessive consumption of drugs significantly harms our brain functioning.

The next target of drug abuse is our physical health and relationships. Drugs can damage our vital organs, such as the liver, heart, lungs, and brain. For example, heavy alcohol use can lead to cirrhosis of the liver, while cocaine use can increase the risk of heart attack and stroke.

Here is an interesting thing; the USA has the highest number of drug addicts and also has strict laws against drug consumption. According to a report by the Narcotics Control Bureau, around 9 million people in India consume different types of drugs. The Indian government has implemented certain laws against drug consumption and production.

The Narcotic Drugs and Psychotropic Substances Act, 1985 (NDPS), prohibits the production, sale, purchase, and consumption of narcotics and other illegal substances, except for scientific and medical purposes.

Also, Article 47 of the Indian Constitution states that ‘ The State shall endeavour to bring about prohibition of the consumption, except for medicinal purposes, of intoxicating drinks and drugs which are injurious to health.’

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Several steps can be taken to prevent drug addiction. But before we start our ‘War on Drugs’ , it is crucial to understand the trigger point. Our social environment, mental health issues and sometimes genetic factors can play a role in drug abuse.

• Education and awareness are the primary weapons in the fight against drugs. 
• Keeping distance from people and places addicted to drugs.
• Encourage a healthy and active lifestyle and indulge in physical workouts.
• Watch motivating videos and listen to sound music.
• Self-motivate yourself to stop consuming drugs.
• Talk to a medical professional or a psychiatrist, who will guide you to the right path.

Drug abuse is a serious problem. The excessive and frequent consumption of drugs not only harms the individual but also affects society as a whole. Only a collective approach from lawmakers, healthcare professionals, educators, community leaders, and individuals themselves can combat drug abuse effectively. 

Quick Read: Speech About Life

Here is a 10-line essay on drug abuse.

• Drug abuse can significantly affect our physical growth
• Drug abuse can affect our mental functioning.
• Drug abuse may provide instant pleasure, but inside, it weakens our willpower and physical strength.
• Educating people, especially those who are at-risk, about drug abuse and its harmful effects can significantly help reduce their consumption.
•  Drugs easily get mixed into our bloodstream, and affect our neural system. 
• Prolonged and excessive consumption of drugs significantly harms our brain functioning.
• In 1985, the Narcotics Drugs and Psychotropic Substances Act came into force.
• The USA has the highest number of drug addicts and also has strict laws against drug consumption.
• Drug addicts consider drugs as a coping mechanism to alleviate emotional or psychological distress.
•  Adolescents and teenagers are the most vulnerable section of our society and are driven by curiosity.

Ans: Drug abuse refers to the excessive and frequent consumption of drugs. Drug abuse can have several harmful effects on our mental and physical health.

Ans: ‘When people consume drugs regularly and become addicted to it, it is known as drug abuse. In medical terminology, drugs means medicines. However, the consumption of drugs is for non-medical purposes. It involves the consumption of substances in illegal and harmful ways, such as swallowing, inhaling, or injecting. When drugs are consumed, they are mixed into our bloodstream, affecting our neural system and brain functioning.

Ans: Drug abuse is known as frequent consumption. In time, these people become dependent on drugs for several reasons. Adolescents and teenagers are the most vulnerable section of our society who are driven by curiosity. Cocaine, marijuana, methamphetamine, heroin, etc. are some of the popular drugs consumed.  The Narcotic Drugs and Psychotropic Substances Act, 1985 (NDPS), prohibits the production, sale, purchase, and consumption of narcotics and other illegal substances, except for scientific and medical purposes.

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With an experience of over a year, I've developed a passion for writing blogs on wide range of topics. I am mostly inspired from topics related to social and environmental fields, where you come up with a positive outcome.

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Home — Essay Samples — Nursing & Health — Drug Addiction — The Relation Between Drug Addiction and Crimes Among the Youth

The Relation Between Drug Addiction and Crimes Among The Youth

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• v.63(1); 2021

Substance abuse among high school learners in a rural education district in the Free State province, South Africa

Kebogile e. mokwena.

1 Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South Africa

Nomkanka J. Setshego

Associated data.

Data may be available when requested from the corresponding author, K.E.M., according to data-sharing principles of Sefako Makgatho Health Sciences University.

In South Africa, many studies conducted on substance abuse among in-school youth focus on urban areas. However, anecdotal evidence suggests that rural areas are experiencing an increase in substance abuse, though there is dearth of studies in these areas.

This study used a quantitative design to collect data from 629 high school learners who were in Grades 10 and 11 in public schools in rural Free State Province, to determine the prevalence of, and factors associated with substance use.

The sample consisted of 46% males and 54% females. Their ages ranged from 14 to 20 years, with a mean of 16.9 years. The prevalence of substance abuse was 47% ( n = 295) with alcohol consumption, cigarette and dagga smoking being the most common substances used. Socio-demographically, age and gender were significantly associated with substance abuse. While behavioural variables of physical fights, serious problems with parents and friends, poor academic performance, trouble with police, having sex without condom, and having sex and regretted the next day were significantly associated with substance abuse ( p = 0.05).

The prevalence of substance abuse is very high for this rural school community, which highlights the need to pay attention to rural schools regarding substance abuse challenges.

Introduction

South Africa has a high rate of substance abuse among young people, which includes both in and out of school youth. Despite reported stigma and associated reluctance to seek treatment for substance abuse, 1 an increase in young people aged 20 years seeking treatment for substance abuse, 2 is an indication of the gravity of the problem. Variations in the trends of substance use have been reported between urban and rural youth, 3 with substance use among learners in urban area being more than those in rural areas. 4 However, rural areas are increasingly experiencing problems of adolescent substance use. 5

Substance abuse among learners is associated with a range of criminal acts, 6 , 7 which includes violence and bullying. 8 , 9 It has also been associated with a range of mental disorders 10 ; while socially, it is associated with social disorganisation, deviant behaviour, and social interaction with deviant groups, 11 depending on which substances are used. Risky sexual behaviours are also likely to manifest into sexually transmitted infections.

In the school environment and academic context, substance abuse has been associated with challenges in school discipline, 12 appetitive aggression 7 and other classroom management challenges. 13 These frustrate the achievement of intended education outcomes, and result in poor academic performance, including possible dropping out of school.

The social environment is often a significant determinant of substance abuse, 14 with adolescents being often influenced by their peers. 15 Other determinants of drug use among young people include: curiosity, sense of growing up, amount or lack of parental discipline and monitoring, and family cohesion. 16 Availability and easy access of illicit drugs within the community or the household, 17 economic hardship, high unemployment, lack of adequate social support networks, pressure to meet daily family needs, family conflicts, 18 were all associated with use of illicit drugs.

In the context of schooling, substance abuse has been significantly associated with poor academic performance, 19 which often results in dropping out of school. 20 , 21 , 22 , 23 , 24 The perceptions that rural areas experience less substance abuse among learners often result in inadequate attention being paid to such areas. With the precise intention of expanding substance abuse studies to areas other than cities, the purpose of this study was to determine the prevalence of substance abuse, as well as explore the associations between substance abuse and a range of demographic variables among learners in a rural school district of Free State Province, South Africa.

Methodology

Study design.

A cross-sectional quantitative survey, using a self-developed questionnaire, was conducted among learners attending local high schools in the rural school district of Free State Province, South Africa.

Study setting

The study was conducted at high schools at Setsoto local municipality, Thabo Mofutsanyane District of the Eastern Free State, which is largely rural. The municipality is comprised of four rural towns namely Clocolan/Hlohlolwane, Marquard/Moemaneng, Senekal/Matwabeng, and Ficksburg/Meqheleng. According to the Census 2011, the municipality has a population of 1 10 335, and of those aged 20 years and above approximately 8.7% have no formal schooling, 22.6% have completed matric, and 6.9% have some form of tertiary education. Agriculture is the main economic activity in the municipality, and the unemployment rate of those aged between 15 and 34 is high at 46%.

Study population and sample

The study population was high school learners in public schools of Setsoto municipality. There are eight public schools in the sub-district, and using the hat method, four schools from each rural town were randomly selected. An additional school was used for the pilot study. The estimated population of Grades 10 and 11 in the eight schools is 2100.

Sample and sampling technique

The sample consisted of learners who were in Grades 10 and 11 at the time of data collection. From estimated population size of 2100 from eight schools, the Raosoft sample calculator was used to determine a minimum sample for the study. Using a 5% margin of error, a confidence level of 95% and a distribution of 50%, a minimum sample size of 323 was calculated. Because a survey was used, in which all learners willing to participate in the study were invited, 800 learners in 42 classrooms participated, but 629 were analysed, with the rest having missing information of more than 10%.

Recruitment

Recruitment was done at the identified school, with the researcher addressing the Grades 10 and 11 learners by telling them about the study and requesting them to participate. Those who agreed to participate were given letters for their parents to provide informed consent.

Data collection tool

An English self-administered questionnaire, which was modified from a risk behaviour survey, was used to collect data. The tool was pilot tested among 20 learners at another school before data collection. The tool collected learner-related demographic data like age, gender, grade, and whether they have ever repeated a class, as well as the socio-economic data of the family, such as employment status of parents, highest education attained by the parents and who the participants live with. Substance use related data collected included the substances of current use, age at which they first experimented with substances, use of substances in their social environment and ease of access of substances. Behaviour related data included whether they were involved in physical fights, were in trouble with police, were engaged in risky sexual behaviour, (such as having sex without using a condom or having sex and regretted it the next day), and problems with parents and friends.

Data collection

On the day of data collection, learners whose parents had provided the informed consent were assembled in the school hall or classroom and an explanation about the study was repeated. The learners were given an opportunity to ask questions or seek clarification. Informed consent was administered to learners who were over the age of 18, while learners under the age of 18, whose parents had provided consent, were requested to provide assent by signing the appropriate forms. The data collection tool was then distributed to all the learners. Adequate time was given to complete the questionnaires, and the learners left the venue after all had completed the process.

Data analysis

The data were captured into Microsoft Excel and transported to STATA version 13 for analysis. Descriptive statistics were used to analyse socio-demographic data prevalence of substance use, and these were reflected in the form of frequencies and percentages. Chi-square test was used to explore associations between a range of demographical variables and substance abuse among the sample. Statistical significance was set at ≤ 0.05.

Validity, reliable and bias

At sub-district district level, selection bias was minimised by random selection of schools. The use of the survey at school minimised selection bias as all learners in the selected grades who were prepared to participate were included in the study. The questionnaire was pilot tested to identify any challenges before the actual data collection commenced.

Ethical considerations

Ethical approval for the study was obtained from the Sefako Makgatho Health Sciences University Research and Ethics Committee (number: SMUREC/H/95/2016). Permissions to conduct the study were obtained from the offices of the Provincial Department of Education, the Thabo Mofutsanyane District of Education, the Setsoto sub-district and the management of each participating school. Informed consent was obtained from parents for participants who were younger than 18 years of age, and these minors provided assent to participate in the study. Informed consent was obtained from participants who were 18 years and above.

Characteristics of the sample

Eight hundred (800) learners participated in the survey, and of these, 629 were analysed, with the others being excluded because of missing data of 10% or more. Of the 629 students whose data were analysed, more than half (55%) were in the age group 16–17 years followed by those aged 18 years and above (33%). Their ages ranged from 14 to 20 years, with a mean of 16.9.

Prevalence and type of substance use among learners

The prevalence of substance use among the study participants was 47%, and of those using substances, the highest proportion consume alcohol (87%) followed by cigarette (45%) and (24%) dagga smoking ( Table 1 ).

Prevalence and types of substance use among learners ( n = 295).

Note: The total exceeds 100% because some participants reported more than one substance.

Factors associated with substance use

The association between substance use and selected demographic characteristics are shown in Table 2 . Substance use significantly increased with age ( p < 0.05), while the prevalence was significantly higher among males than females (53% vs. 42%, p < 0.05). A significant higher proportion of the participants were introduced to substance use by friends ( p < 0.05). There was no statistical association between substance use and grades, employment status of the parent, and whether they stay with their parents or not.

Association between demographics and substance use.

Table 3 illustrates behaviours that were significantly associated with substance use.

Associations between behaviours and substance use.

The purpose of the study is to determine the prevalence of substance abuse, as well as explore the association between substance abuse and a range of demographic variables. The prevalence of substance abuse among this sample is high at 47%, which is close to the 47.9% reported in a similar sample in Ethiopia, 25 but higher than the 6% reported in another study conducted in a rural setting in South Africa. 4 The finding that many learners started using substances at a young age of 15 years confirms findings of a previous study conducted in South Africa. 16 Although cigarettes and alcohol are legal, they are still illegal for minors such as most of the sample. Of greater concern is the use of illicit drugs such as dagga, nyaope, ecstasy and cocaine, which indicates criminality as these are prohibited substances. Dagga is easily cultivated and commonly used in South Africa, and nyaope is a cocktail drug that has destroyed many lives among Black communities in South Africa because of its high addictive characteristics. 26 , 27 , 28 , 29 , 30

Adolescents who use drugs have been reported to have significantly lower levels of psychological well-being and life satisfaction, 31 , 32 which implies mental and social risks for the sample. Although peer pressure may influence young people to use drugs, they still feel guilty and stigmatised by family and community, which increases the chances of social ill-health, 33 which increases the shame associated with the behaviour of using substance. 34 The challenge of substance abuse should therefore be understood comprehensively as a problem of adolescent social ill-health.

Males had a significant higher prevalence of substance use than females ( p = 0.007), which is similar to previous studies which reported that males were up to 10 times more likely to use substances than females. 35 , 36 The finding that older learners are more likely to use substances than younger ones is similar to a study conducted among learners in the Western Cape, which reported the odds ratio of 1.6 among older learners. 36 Also similar is the finding that substance use by other members of the household and friends, increases the risk of use among learners two-fold. 36 These findings highlight the need for comprehensive interventions to influence the comprehensive well-being of young people, especially among young learners. Such interventions also need a community component, 37 , 38 which is likely to improve the effectiveness of substance use prevention amongst learners, and thus improve the overall well-being of these young people.

Substance use has been shown to be associated with poor academic performance, 39 , 40 , 41 a serious barrier to reaching the goals of the education system. The finding of a significant association between substance use and risky sexual behaviour 42 confirms the negative impact of substance abuse on overall youth health.

The significant association of substance abuse with a range of anti-social behaviours of physical fights, serious problems with parents and friends, poor academic performance, trouble with police, having sex without condom and having sex and regretted the next day, all with p -values of 0.001, are similar to the findings reported in previous studies, which reported statistically significant associations ranging from p -values of 0.001–0.05. 36 , 43 These findings put substance abuse at the centre of various problems experienced at South African schools and communities. These associations also identify the need to target substance abuse as a barrier to overall social development because the outcomes, be they academic, physical health, social and/or mental have long-term implications for the affected learners.

Alcohol, cannabis and cigarettes were found to be the most commonly used substances, which is similar to another study conducted in Durban, South Africa. 44 The ease of access for these substances increases the levels of challenges as this cannot be addressed without the involvement of other sectors, including the law enforcement and behavioural scientists. The complexity of the situation also indicates the urgency of stakeholders to work together to develop interventions that are focused on both prevention and management. Currently, there are no such interventions accessible by the general learner in any South African public-school setting.

Despite the challenges of substance abuse in schools, it does not seem that the Department of Education has any specific intervention to address the problem, other than relying on the Life Orientation (LO) learning area, which aims to address a wide range of learner developmental areas. which include personal, psychological, neuro-cognitive, motor, physical, moral, spiritual, cultural and socio-economic areas. 45 However, the delivery of LO has been reported to have serious challenges because of constraints at the individual, interpersonal, school, and community levels. 46 Another shortcoming of LO as a resource for substance abuse is that it is general, and does not address personal experiences, 47 and therefore is limited in assisting learners with substance abuse challenges. Of serious concern is that the Department of Basic Education’s policy on management of substance abuse in schools is neither known nor implemented, 48 which implies that there is not much at school level that addresses the serious problem of substance abuse among learners.

Limitations of the study

As with other survey studies, 21% of the questionnaires could not be analysed because of missing data. However, the high response rate of 78% and a relatively large sample size of 629 counteracted the non-usable questionnaires. A limitation which applies to other survey studies is the response bias, in which the sample may under- or over-estimate the population parameter. However, this potential bias was minimised by sampling from various schools and more than one class in a school. Societal lack of approval of substance abuse by learners may have contributed to bias in their responses, but this was minimised by the privacy afforded to the participants, which meant that others would not have known about their responses.

The result of the study contributes to highlight the need for interventions to address the challenge of substance abuse in schools, which will improve the academic outcomes with long-term social and career impacts. As substance abuse is more of a societal rather than just a school’s challenge, the required interventions need not be limited to schools, but extend to other young people in communities, including rural areas.

Recommendations

It is recommended that the substance abuse problem be outsourced to public health and/or behavioural health specialist and not be left to the Department of Education, as this is not their focus areas. This will enable consistent application, monitoring and evaluation of such interventions, and enhance the implementation of necessary modifications.

Acknowledgements

Competing interests.

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Authors’ contributions

J.N.S. conducted the study and initiated the draft manuscript. K.E.M. supervised the study and refined the manuscript. Both authors finalised the manuscript.

Funding information

The study and its publication were jointly supported by the DST/NRF/Nedbank Research Chair (Substance Abuse and Population Mental Health) grant (SARCI170807259060), and the South African Medical Research Council (SAMRC) Mid-Career Scientists Programme grant (M052).

Data availability

The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of any affiliated agencies of the authors.

How to cite this article: Mokwena KE, Setshego NJ. Substance abuse among high school learners in a rural education district in the Free State province, South Africa. S Afr Fam Pract. 2021;63(1), a5302. https://doi.org/10.4102/safp.v63i1.5302

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This year’s report, published last week, is the first to divide respondents by age but is only the latest to show that young people are struggling inordinately with mental distress.

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The 2023 State of Mental Health report from non-profit Mental Health America cited CDC figures showing that 67 percent of high school students had found school work more difficult during the pandemic, while 55 percent had experienced emotional abuse in the home during lockdowns. It added that 11 percent had experienced physical abuse and 24 percent said they did not have enough food to eat.

In addition, according to the US Census Bureau’s Household Pulse Survey, which surveyed adults from 2020 and 2022, there were higher levels of anxiety and depression among younger adults after surges of COVID-19 cases.

Pew Research, which undertook surveys across the general population from the start of the pandemic 2020 until September 2022, found that 58 percent of Americans aged 18 to 29 years old had experienced high levels of psychological distress – the highest of any age group.

More recently, the February 2024 Student Mental Health Landscape report by the publishing and research group Wiley, found that 80 percent of 2,500 college students surveyed in the US and Canada say they have experienced some degree of mental distress as a result of the pandemic – with anxiety, mental “burnout” and depression the most common conditions cited.

Which mental health disorders are young people suffering from?

In a recent interview, Admiral Dr Rachel Levine, the assistant secretary for health at the Department of Health and Human Services (HHS), said: “So we are looking at depression and anxiety, suicidality. We’re looking at eating disorders, we’re looking at the risk of substance use and the full range of mental health challenges that youth face.”

Common mental disorders among young adults can include depression, anxiety disorders, eating disorders such as bulimia nervosa and anorexia nervosa, body dysmorphia, attention deficit hyperactivity disorder (ADHD) and substance abuse.

Depression is the most common condition cited by young adults. According to a February 2023 Gallup survey undertaken across all 50 US states, young adults aged 18 to 29 are more likely to be diagnosed with depression than those older than 44.

Why are so many young people suffering from mental distress in the US?

There are many factors, however, some of the most commonly cited by young people suffering from mental distress are as follows:

Financial worries

The cost of university fees and the general cost of living are weighing heavily on the minds of young adults. In a 2022 Harvard study [ PDF ] of more than 1,800 people aged 18 to 25, more than half of respondents reported that financial worries (56 percent) were negatively impacting their mental health.

Similarly, in the Wiley study, close to half of students cited tuition fees (50 percent) and the cost of living (49 percent) as their biggest challenges.

The economic burden of undertaking university study has steadily grown over the past few decades. According to the National Center for Education Statistics (NCES), between the academic year of 1979-1980 and the academic year of 2021-2022, the cost of going to college increased by 136 percent, even after inflation is accounted for. This means that in real terms, the cost of going to college is more than twice as expensive now than it was 40 years ago. The biggest cost rise has been in tuition fees, which have increased by 170 percent over the past 40 years.

Feelings of isolation and loneliness were also cited by respondents to the Wiley study. In the Harvard study, 44 percent of young adults reported a sense of “not mattering to others” while 34 percent reported “loneliness”.

According to a 2023 Gallup poll, overall loneliness has decreased since early 2021, but young adults and those in lower-income homes are more likely to feel lonely than other age groups.

Some experts attribute this to the rise in social media use which has caused “virtual isolation” – or social isolation due to the use of mobile devices.

In May 2023, US Surgeon General Vivek H Murthy issued a report about the effects of social media on mental health, which stated: “Loneliness is far more than just a bad feeling – it harms both individual and societal health. It is associated with a greater risk of cardiovascular disease, dementia, stroke, depression, anxiety, and premature death.”

“Loneliness is the subjective feeling that you’re lacking the social connections you need. It can feel like being stranded, abandoned, or cut off from the people with whom you belong – even if you’re surrounded by other people. What’s missing when you’re lonely is the feeling of closeness, trust, and the affection of genuine friends, loved ones, and community,” Dr Murthy wrote in his 2020 book, Together: Why Social Connection Holds the Key to Better Health, Higher Performance, and Greater Happiness.

Social issues

In the 2022 Harvard study, 42 percent of respondents reported that gun violence in schools had a negative influence on their mental health, while 34 percent said they were worried about climate change and 30 percent expressed concerns about corruption among political leaders.

According to a 2018 survey conducted by the Harris Poll for the American Psychological Association, 75 percent of those aged between 15 and 21 reported that mass shootings were a considerable source of stress.

How can we solve this crisis?

There remain significant challenges to addressing mental distress among young adults, especially in the US.

Jan-Emmanuel De Neve, director of the Wellbeing Research Center and editor of the World Happiness Report, said: “To think that in some parts of the world children are already experiencing the equivalent of a midlife crisis, demands immediate policy action.”

Experts say helping young people build better relationships, giving them a sense of purpose and fostering a healthy environment that helps them achieve their future goals is the way forward.

What does seem clear, say campaigners, is that the emotional plight of so many young people demands far more concerted and serious attention from governments, colleges and universities, workplaces and many other institutions.

Roles of the media and government in curbing substance abuse among Nigerian youths

I N September 2023, a 24-year old lady had a birthday party in a South-West state where one of the guests offered to sell sachets of ‘Milo’ for N1,500 each. The guest, a young lady, had mixed marijuana with Milo and put same in Milo sachets, which had been so expertly sealed that no one would have suspected what the content of the sachets was. The guests at the party rushed the ‘Milo sachet’ and went on a binge, drinking and smoking themselves to get ‘high’. After getting high, fight eventually broke out among them and security operatives had to be brought in to maintain the peace. It was at that point that unsuspecting members of the public got to know that the party guests had gone on a marijuana trip. According to the World Health Organization (WHO), substance abuse, or misuse, is the harmful use of psychoactive substances, including alcohol and illicit drugs. A psychoactive substance is a drug that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviour. Examples of psychoactive substances include alcohol, caffeine, nicotine, marijuana and some pain relievers. Other substances abused by Nigerian youths include, ice, molly, cannabis, tobacco, cigarettes, cocaine, sedatives, kolanuts, analgesics, glue, heroine, energy drinks, miraa, tramadol, tranquillizers, cough drops,antimalarial and antibiotics.

Substance abuse is detrimental to health and wellbeing of those involved in it. A Nigerian singer, Joshua Iniyezo aka Solidstar, recently disclosed how substance abused nearly ruined him. According to him, he was introduced to a banned substance called Ice in 2021. He said the substance made him see himself as ‘’a king’’ who didn’t have to pay for any item. One day he walked from Awoyaya in Lagos Mainland to the Oriental Hotel a distance of about 32 kilometres. Another singer, Inetimi Alfred, popularly known as Timaya, said he was introduced to Molly, a synthetic drug with psychedelic effects. The drug initially brought him happiness but eventually led to detrimental effects on his health, including weight loss and financial struggles. His words: “When I took it, I did not understand myself. I was so happy that I dashed all the money in my pocket. So I wanted to just keep feeling like that. That was how I lost a lot of weight. I was not eating, I was just happy. When I said I was taking Molly, I was taking like three pills every day and it felt like medication. I got kicked out of jobs and contracts… people I was doing business with did not want to work with me again.”

So, substance abuse makes the youth to get ‘high’ but it does more than that. It can make them paranoid, it can precipitate heart attack or failure, stroke, seizures, sleep disorders, drowsiness, nausea, respiratory depression, fatigue, disorientation, impairment in memory, learning, concentration, and problem-solving, hallucinations, decline in academic performance, etc. As seen in the case of Timaya, it can result in job loss and can pose a threat to relationships. There is also the tendency to engage in criminal activities when ‘high’. Substance abuse among Nigerian youth is nearing the status of a pandemic. According to the National Drug Law Enforcement Agency (NDLEA’s) statistics, about 40 per cent of Nigerian youths between 18 and 35 years are deeply involved in the abuse of drugs. What does the future hold for the country if 4 out of every 10 young people are engaged in substance abuse?

Media and substance abuse

The media is central to our lives. The media shapes our perception of the world. The media is actually the gateway to the mind. The media accesses the mind through the eyes and the ears. So, media contents are food for the mind. The mind is where decisions are made and where opinions are formed. Since the media has access to the mind, the media subtly controls the mind and plays a major role in the decision-making process. So, when the media projects something as good many people in the society take a cue from the media and believe that it is good. In the same vein, when the media projects an act as evil, the society largely avoids it. The media never leaves anything it comes in contact with the same way; it always affects them one way or the other. The media affects individuals in six various ways. The media can affect cognition, which is the mental process. By affecting an individual’s cognition, the media affects his perception to the extent that he begins to see a particular phenomenon in a new light. The media also affects beliefs. The Western media has consistently showcased the Western culture as being superior to the African culture and this, to a degree, has been absorbed by some Africans who try all they can to travel abroad for ‘greener pastures’ only to get there and find out that the grass is always greener on the other side.

The media also affects attitude. If a child is exposed to violence, he begins to see violence as an option and will be tempted to try same every now and then. Another media effect is affect. This has to do with feelings, emotions and moods. Seeing a scene on television or reading about an event can affect the mood of an individual throughout the day. Media also has psychological effect on its audience. This means the media can affectthe orientation of people. The media also affects the behaviour of its users. Behaviour is the culmination of all the effects of media exposure that have been listed. By the time cognition, belief and attitude are affected, behaviour will change. Ladies and gentlemen, in light of the above, I will like to submit that advertently or not, the media has been encouraging substance abuse. This is a global phenomenon and not a Nigerian thing. When a television ad presents a successful musician with a bottle of an alcoholic drink at the background, though the focus of the advertiser from all intents and purposes will be to draw the attention of the society to its alcoholic drink, but the loud message is that “To be as successful as the musician in the ad, take alcohol”. Or, “Successful people take this alcohol; don’t you want to be like them?”

When a musical video glamourises boozing and smoking, what is the message to the society? A song like ‘FotiFoyin’ (brush your teeth with alcohol) encourages the youth to consume alcohol, while a musical video like ‘Asake Loaded’ celebrates smoking. The producers of these musical contents are role models in the society. Some of them are even brand ambassadors. If, as we said, the media is the gateway to the mind, what is the message of these media contents to the society? The media has to be alive to its social responsibility if Nigeria will win the war against substance abuse by the youth. The social responsibility theory of the media mandates the media to put the societal wellbeing at the centre of its activities.

This theory says that the media has a responsibility to the society and should always work in the interest of the society. While a media outfit may be a business organization that must make returns to its shareholders, the operators of the business must realize that they will only continue in business if the society survives. If the society is destroyed, the business outfits operating in it will also go down. The easiest way to destroy a society is to destroy its youths.

If the media understands this responsibility and upholds it, it will be clear that the future of the youth who are being exposed to substance abuse is of more importance than the immediate pecuniary gain they will make by pushing out deleterious contents that will push the youth into seeking substances that would make them high.

The media is a major factor in the wellbeing of the society because it plays a major role in what is permissible or prohibited. This is done through what it promotes or refrains from promoting.

As part of its social responsibility, the media should embark on sensitization of the public on the dangers inherent in substance abuse. This should be continuous and sustained as the media’s contribution to the wellbeing of the society.

Government and Substance Abuse

The government is the most important factor in curbing substance abuse because government is a change agent. Whatever the government permits gains prominence and whatever it prohibits is frowned at.

The government fights substance abuse through four major means.

The National Drug Law Enforcement Agency (NDLEA) is the agency of government primarily saddled with the enforcement of substance abuse laws. The agency, which is under the Federal Ministry of Justice, is charged with eliminating the growing, processing, manufacturing, selling, exporting, and trafficking of hard drugs. The agency was established by Decree Number 48 of 1989.[1] The NDLEA is present in international airports, seaports, and border crossings.

The NDLEA is supported by the Nigeria Police Force in enforcing the laws.

Section 11 (a) of NDLEA Act makes it an offence for a person, who having no lawful authority to do so, to engage in the importation, production, manufacturing, processing, growing and planting of cocaine, heroin, LSD or any other drugs of similar nature. The offence is punishable on conviction with life imprisonment. Section 11(b) and (c) also spell out punishments for those who contravene NDLEA laws. The import is that NDLEA is the primary agency with prosecutorial powers on substance abuse. The Nigeria Police Force can also prosecute.

Of the four legs to combating substance abuse, it is only orientation and reorientation that involve the three tiers of government. The remaining three, regulation, enforcement and prosecution are within the ambits of the federal government. How can NDLEA be on top of the situation of those smoking igbo at Igbo Ora or those sniffing Kushy at Kishi?

The point here is that substance abuse among Nigerian youths is on the rise because the strategy is wrong. Every criminality is local. Therefore, criminality is best fought or combated at the local level. Nigeria cannot successfully overcome the challenge of substance abuse among the youth unless the states and local government authorities are fully involved in it. That brings us again to the issue of the elephant in the room: restructuring. We need to restructure the policing system as well as the substance abuse regulation and enforcement systems to defeat substance abuse among the nation’s youth.

The media and the government have critical roles to play in reducing substance abuse among the youth. The media needs to take its social responsibilities seriously and ensures that it projects values that would make the society better and stronger.

The government needs to take its sensitization and orientation responsibilities very seriously. Then, the system of government that makes the fight against substance abuse more of a matter of the federal government needs to be tinkered with so that all tiers of government can own the battle and deliver our youths from the jaws of substance abuse.

I thank you for your attention.

Read Also: 10 foods to avoid if you want to live long

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Alcohol Awareness Month: Raising Awareness about the Dangers of Alcohol Use Among Teens

March 27, 2024

April is Alcohol Awareness Month, an opportunity to update your knowledge about the adverse effects of alcohol misuse on health and society. It is also a good time to talk to teens about drinking and to equip them with the knowledge to handle situations involving alcohol. Even teens who would not normally be tempted to drink alcohol may be drawn in by certain social situations, so don’t assume they have all the facts they need to resist peer pressure. Parents and trusted adults can play a meaningful role in shaping youth’s attitudes toward drinking.

Alcohol-related problems continue to take a heavy toll on individuals, families, and communities. Researchers estimate that each year there are more than 178,000 alcohol-related deaths, making alcohol a leading preventable cause of death in the United States. Alcohol is a significant factor in the deaths of people younger than age 21 in the United States. This includes deaths from motor vehicle crashes, homicides, alcohol overdoses, falls, burns, drownings, and suicides. Research indicates that alcohol misuse during the teenage years can interfere with normal adolescent brain development. Alcohol use during adolescence also significantly increases the risk of developing alcohol use disorder later in life, and the earlier a teen starts, the higher the risk. In addition, more than 200 disease and injury-related conditions are associated with alcohol misuse.

Here are some resources from NIAAA to inform teens and their parents—as well as people such as educators, coaches, and faith group leaders who work with teens—about the detrimental health effects of underage alcohol use:

• Facts About Teen Drinking : Designed for teens, this website contains in-depth information about how alcohol affects health, how to identify signs of an alcohol problem, and how to get help.
• NIAAA for Middle School : This website contains interactive activities to help parents, caregivers, and teachers introduce and reinforce key messages about peer pressure, resistance skills, and other important topics related to underage drinking.
• Alcohol and Your Brain: A Virtual Reality Experience : This educational experience shares age-appropriate messages through engaging visuals, informative billboards, and narration.
• Kahoot! quiz about underage drinking : This quiz can be taken at home or in the classroom to help teens gain a better understanding of underage drinking. Topics covered in the quiz are negative health consequences associated with drinking, signs of an alcohol problem, and how to find support.

More NIAAA resources about drinking during adolescence are available on our underage drinking landing page , including resources for talking to kids about alcohol. Parents and other adults can make a difference in helping teens make the right decisions when it comes to alcohol and preventing underage drinking. Having conversations with them about alcohol is a strong start. Another strong start is to understand your key function as a role model when it comes to alcohol. Adolescents are less likely to drink heavily when the adults in their life demonstrate responsible behavior regarding their own alcohol use and when they live in homes where parents/guardians have specific rules against drinking at a young age.

In addition, for adults, the Rethinking Drinking website features interactive calculators as well as tips and strategies to cut down or quit drinking. The Alcohol Treatment Navigator walks individuals through the process of finding treatment options and recovery resources. Whether you are seeking more information about what alcohol use disorder is, are thinking about cutting back on alcohol, are a parent looking for information about how to talk to your child about alcohol, or a health care professional looking for how to help patients with alcohol-related problems, NIAAA can help.

Best wishes, George F. Koob, Ph.D. NIAAA Director

Need Help for an Alcohol Problem?

If you’re having an emergency, call 911. If you are having suicidal thoughts, call 911, go to the nearest emergency room or call the toll-free, 24-hour  National Suicide Prevention Lifeline  at 1-800-273-TALK (8255) to help you through this difficult time.

The  NIAAA Alcohol Treatment Navigator  can help you recognize and find high quality treatment for alcohol use disorder. If you drink excessively, seek medical help to plan a safe recovery as sudden abstinence can be life threatening. NIAAA’s  Rethinking Drinking  can help you assess your drinking habits and provides information to help you cut back or stop drinking.

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Reasons Behind Youth’s Engagement to Drug Abuse in the 21st Century Essay

Question at issue.

• Unemployment and Drug Abuse among Youths in the 21st Century

Peer Pressure and Drug Abuse among Youths

Family lifestyle and drug abuse among youths, works cited.

What are the reasons behind youths’ engagement in drug abuse in the 21st century?

Although youths in the 21 st century engage in drug abuse due to several factors, it suffices to declare factors such as the rising unemployment status, peer pressure, and their hiked tendency to copy their parents’ behaviors as the principal drivers of drug abuse. However, one would wish to know why.

Unemployment and Drug Abuse among Youths in the 21 st Century

Eighner’s words of people being satisfied with what they have and or letting go of what their financial ability cannot afford do not seem to apply in the life of youths in the 21 st century.

Youth joblessness has become a key issue in the 21 st century. It has continued to have serious effects on development potential of young people. The increased rate of unemployment among young people encourages them to use drugs to change the way they feel or they way they perceive their incapacitated situation rather than accepting the situation and or using the right means of overcoming it.

They have to carry on with offensive acts and prostitution to sustain themselves. Drug abuse has physical, mental, and social effects. Physical injury also results from accidents that youths encounter while they are drunk. Joblessness and poverty also make the youths resort to self-treatment following the evident absence of funds for appropriate therapeutic treatment.

Morrel et al. confirm the existence of a “link between unemployment and increased drug, tobacco, and alcohol use” (237). Unemployment leads to stress, which makes youths use drugs hoping to feel better. However, on the contrary, they end up being drug addicts. Unemployment makes youths become vulnerable to drug abuse because they have a lot of free and idle time on their hands, which gives them the chances to involve themselves in socially deviant behaviors with drug abuse being one of those behaviors.

Lack of employment is among the factors that influence their feeding habits and hence their health. In fact, Eighner has come in handy to address the issue of healthy eating habits that even the jobless youth should use (6). However, he also points out financial issues that arise because of lack of jobs that determine what people or rather youth will choose to consume (drugs) based on their little or no cash at all (7).

Many youths who have no employment end up abusing drugs because they need to survive and or keep on pressing in this life. When youths are growing from being children to adults, they have a lot of hopes and aspirations, which fade off as time goes by as they involve in drug abuse as a way of forgetting their unemployment status.

Moreover, congruent with Eighner’s words, a decent job can help add to habitable earnings, civilized shelter, and high-quality social sustenance, which can help promote health and wellbeing of the youths, help them recover from mental health problems, and avoid substance abuse-related harms (6).

However, youths still abuse drugs despite some having good employment. In fact, Wells and Stacy say, “Finding meaningful employment will not solve all problems, but it’s a very important part of the bigger picture for many people” (164). Congruent with Curry’s Why We Work, it is possible for youths to experience stress to the extent of demanding ‘time offs’ (23) in their jobs. As a result, majority will use this opportunity to use stimulants as a way of relieving themselves from stress. Stimulants will make a youth forget his or her situation.

On the other hand, depressants like prescription of sleeping pills can give the youth a good and extended night’s sleep, which is especially common to unemployed young people for they want to remain sleepy so that they do not think much of their situation. They prefer taking depressants to escape their problems. As they repeatedly take the pills, they end up being drug addicts. Research done by Florida found out, “states with higher unemployment rates do tend to have higher rates of drug use” (Wells and Stacy 163).

Peer pressure is among the strongest predictors of drug use during adolescence. Peers initiate youths into drugs, provide drugs, model drug- using behaviors, and shape attitude about drugs. Currently, youths are adopting a common lifestyle.

Most adolescents are drained by this lifestyle not because they lack something essential in their lives like a job or because they have a genuine reason as to why they have adopted to that very lifestyle but because they want to fit into their peer group for acceptance. Peer pressure leads to the abuse of drugs by teenagers. Teens engage in drugs in order to rhyme with their peers. The extensive and continuous use of these drugs lands them to drug addiction.

A drastic rise in drug abuse among teens in the 21 st century has been noted following their parting with their parents to join their peers at school. On the contrary, Cisneros’ The Storyteller is an article that features the life of a young tutor who has been far from her parents for a while. Although Cisneros has peers in her workplace, she is an epitome of young people who choose to go against the norms to do what is right no matter the pressure (Cisneros 153) of experimenting things along with her peers.

According to Morrel et al., “teenagers seem to have more problems with peer pressure because they are just beginning to learn about whom they are and what their belief systems are” (240).

Peer pressure stands out as among the principal causes that can drive the present-day knowledgeable youths towards drugs dependence. When educated youths are through with their studies, they start hunting jobs. Sometimes, the jobless time can extend due to rapid changes in the job market thus leading them to start experiencing headaches, depressions, and confusion.

At this stage, the peers who seem to be helping them to overcome the situation lead the educated youths into the act of abusing drugs. By the time they realize they are abusing drugs, they already have reached the addiction stage. Peer pressure qualifies as one of the central roots of drug abuse among youths because many teenagers try drugs because they were given by their friends. Unfortunately, what people believe their peers want them to do is often the cause of what they actually do.

The way family functions can have a strong impact on a teenager. Teenagers coming from families where there is minute parental management and attention have high chances of misusing drugs in relation to teens from homes with more parental participation. Teens who spent the better part of the day without their parents have high chances of participating in hazardous behaviors. Tough folk relations can help prevent drug abuse.

Coming from a home that stresses on using of harmful substances has a tendency to make a young person perceive it as up to standard. Detrimental family pressure may be an aspect in a teen’s early drug testing. In fact, “Exposure to family members who reach for a substance to cure every pain of ailment can cause a teen to do the same” (239). Young people acquire many of their principles from parents and other mature influences.

They often mimic what they see. In addition, adolescents who have the perception that they are not close to or treasured by their parents are at a larger hazard because they have low self-esteem, which leads to depression and hence drug addiction. A teen may also engage in a drug abuse act when he or she comes from a family with poor familial factors like poor communication strategies between youths and their parents.

In conclusion, youths lie within a delicate age set, which is prone to many dangers especially drug abuse. The paper has discussed drug abuse as the main challenge facing youths in the 21 st century. It has clearly described how youths engage in drug abusing activities. Three reasons behind this engagement have been addressed.

Unemployment is one of the issues discussed in this paper whereby many unemployed persons engage in abusing drugs as a way of getting consolation. Peer pressure also plays a big role in the act of drug abuse among the youths. Lastly, family lifestyle has a major influence on teens and their likelihood of abusing drugs.

Curry, Andrew. Why We Work. London: Routledge, 2010. Print.

Cisneros, Sandra. “The Storyteller.” The Oprah Magazine 10.3(2009): 153. Print.

Eighner, Lars. “On Dumpster Diving.” The Threepenny Review 1.47(1991): 6-8. Print.

Morrel, Stanley, Jack Taylor, and Kerr Bill. “Jobless. Unemployment and Young People’s Health.” Medical Journal of Australia 168.5(1998): 236-40. Print.

Wells, Brian, and Barrie Stacy. “A Further Comparison of Cannabis (marijuana) Users and Non users.” British Journal of Addiction to Alcohol and Other Drugs 71.2(1976): 161-165. Print.

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Bibliography

IvyPanda . "Reasons Behind Youth’s Engagement to Drug Abuse in the 21st Century." March 1, 2024. https://ivypanda.com/essays/reasons-behind-youths-engagement-to-drug-abuse-in-the-21st-century/.

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Sierra Leone declares national emergency as drug addicts dig graves for human bones

This nation is “facing an existential threat” due to a highly addictive drug said to be made from human bones.

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Sierra Leone has declared a national emergency on drug abuse – as a synthetic drug understood to be made from human bones wreaks havoc among young people in the West African nation.

Kush is a mixture of chemical substances with similar effects to cannabis and one of the many ingredients used to make it is said to be ground-up human bone. However, it is not known exactly why.

The main cemeteries in the country’s capital, Freetown, have requested security to protect themselves from young men digging up skeletons amid a spike in kush use, according to the BBC .

The city’s deputy mayor Kweku Lisk told the broadcaster that his office had requested security from the police in order to tackle the gravediggers.

While there is no official death toll, a doctor told the BBC that “in recent months” hundreds of young men had died in Freetown from organ failure caused by kush.

Sierra Leone’s President Julius Maada Bio said Thursday in a national address that drug abuse in the country was a “national emergency”.

Kush has been prevalent in the country for several years.

“It is my solemn duty as president … to declare a national emergency on drug abuse,” Mr Bio said.

“Our country is currently facing an existential threat due to the devastating impact of drugs and drug addiction, in particular the devastating synthetic drug kush,” he added.

In a plan to combat kush use, a task force including government agencies and non-governmental organisations would be responsible for prevention, treatment, social services support, law enforcement and community engagement.

Mr Bio also said his government was working to take down drug trafficking networks.

Police seized two containers in the capital of Freetown that were filled with kush, police commissioner Joseph Lahai said Thursday.

He said seven suspects were taken into custody.

In July last year, a 25-year-old user told AFP he would “meditate high meditation,” sleep, wake up and eat for about an hour. And then, a short time later, do it all over again.

“We smoke it the whole day,” he said.

“I spend a lot of money on it every day — around (A$0.37),” a small fortune in a country with average per capita income of under A$752 a year.

It means young people hooked on the drug can often turn to sex work or criminal activity to pay for their next hit.

At the time, 60 per cent of admissions at Sierra Leone’s sole psychiatric hospital were kush-related, acting medical superintendent and resident psychiatrist Just Mattia said.

Michael Cole, a professor of forensic science at Anglia Ruskin University in England, explained in a piece for The Conversation in January that kush was a mixture of cannabis, fentanyl, tramadol and formaldehyde.

He said the effects can depend on the user and the drug content.

“Cannabis causes a wide variety of effects, which include euphoria, relaxation and an altered state of consciousness,” Prof Cole wrote.

“Fentanyl, an extremely potent opioid, produces euphoria and confusion and causes sleepiness among a wide range of other side-effects.

“Similarly, tramadol, which is also an opioid but less potent than fentanyl (100mg tramadol has the same effect as 10mg morphine) results in users becoming sleepy and ‘spaced out’ – disconnected from things happening around them.”

As for the reason behind the use of human bones, he said suggestions that the sulphur content of the bones causes a high or there could be drug content found in the bones of a deceased fentanyl or tramadol user, were both unlikely to be true.

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“Sulphur levels in bones are not high. Smoking sulphur would result in highly toxic sulphur dioxide being produced and inhaled,” he said.

“Any drug content in bones is orders of magnitude less than that required to cause a physiological effect.”

– with AFP

Shocking footage has captured the moment a 5-ton bull elephant charged at a safari vehicle, flipping it over and killing a tourist.

Eight passengers, including two Aussies, who were abandoned by their cruise ship have reached the vessel. But the company has a stern message.

An Australian couple are among eight people who have accused a major cruise line of abandoning them on an African island because they were late.