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Abstract
Background: Drug abuse and use are substantial public health concerns, particularly among adolescents, who are frequently put at risk due to their curiosity, resulting in negative behavioral, physical, social, and economic repercussions. However, there is a lack of comprehensive research on the prevalence and associated determinants of drug abuse and use (tobacco, alcohol, and marijuana) among school-age adolescents in a statewide sample from northern Nigeria. This study looked into the factors that contribute to drug abuse and use, as well as their impact on school-aged adolescents at Army Day Secondary School in Birnin-Kebbi, Nigeria. Methods: Data for the study were acquired from a self-administered questionnaire administered to senior students in both the boys’ and girls’ arms of the institution. A Youth Risk Behavior Surveillance System (YRBSS), a conventional survey designed to assess cigarette smoking, alcohol consumption, and marijuana usage was used in generating data on drug abuse among the respondents. Results: Three variables were significantly associated with drug abuse/use class level (AOR = 2.272, 95% CI: 1.249, 4.133, p = 0.007; AOR = 2.252, 95% CI: 1.229, 4.127, p = 0.009), gender (AOR = 1.840, 95% CI: 1.164, 2.907, p = 0.009), and family types (AOR = 0.581, 95% CI: 0.361, 0.933, p = 0.025) for current cigarette smoking, alcohol, and marijuana. The majority of respondents (47–60%) were aware of drug abuse or use, with females having a 52.4% positive attitude as opposed to males (47%). Other variables, such as age, religion, parent education, and who the respondents reside with, have been found to have no significant relationship with adolescent drug use or usage. Conclusion: There is a need for comprehensive public health strategies that go beyond school-based psycho-behavioral interventions to address the considerable risk factors for substance use among our secondary school students.
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