Research Article | | Peer-Reviewed

Prevalence and Correlates of Substance Use and the Effects on the Young People in a Southwestern State of Nigeria

Received: 2 June 2024    Accepted: 19 June 2024    Published: 27 June 2024
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Abstract

In 2015, psychoactive substance use led to the deaths of 72 young people within a month across Ondo, Edo, and Rivers states in Nigeria, with Ondo being the most affected. The youth attributed these deaths to the wrath of the gods (Malokun) rather than alcohol consumption. This study aims to identify demographic factors influencing youth substance use in Ondo State. Using a cross-sectional, descriptive community study design, 500 participants aged 10 to 24 years were recruited. Data collected through a socio-demographic questionnaire and the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) were analyzed with Statistical Package for Social Science (SPSS) version 16. The findings revealed that alcohol was the most used substance, with a lifetime use prevalence of 69.6%, likely due to the availability and cultural acceptability of local alcoholic products like ogogoro and palm wine. Substance use was found to negatively impact social life. Significant correlates of substance use included gender, age, religion, and father’s relationship. Males had higher lifetime use than females (p = 0.008), and substance use prevalence was higher among late adolescents (p = 0.0034). Christian respondents reported higher lifetime use compared to Muslims (p = 0.010). These results highlight that alcohol is the predominant substance used by young people in Ondo State, with key correlates being male gender, religion, less friendly father relationships, and late adolescence, informing public health strategies to mitigate harmful effects of substance use.

Published in American Journal of Applied Psychology (Volume 13, Issue 3)
DOI 10.11648/j.ajap.20241303.11
Page(s) 43-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Substance Use, Effects of Substance Use, Young People

1. Introduction
Substance use, encompassing the harmful use of drugs and alcohol for non-medical purposes, represents a significant public health concern. The World Health Organization (WHO) defines drug abuse as the hazardous use of psychoactive substances, including alcohol and illicit drugs . While substance use often connotes the illegal use of drugs, legal substances such as alcohol, prescribed medications, stimulants, caffeine, nicotine, and volatile substances like petrol, methylated spirit, pain medications, methanol, and ethanol can also be misused. Substance use ranges from social recreational use to addiction, with pathological use characterized by compulsive behavior, impaired social functioning, and medical complications . According to the American Academy of Pain Medicine and the American Society of Addiction Medicine, substance misuse can lead to addiction, marked by craving, compulsive use, and impaired control, even amidst negative physical, mental, and social consequences. In Nigeria, substance misuse accounts for a substantial proportion of deaths among young adults, with fatal injuries prevalent among this demographic .
Physical dependence on substances results in withdrawal symptoms due to cognitive and physiological adaptations, where tolerance necessitates increasing quantities to achieve the desired effect. Psychoactive substance use disorders are a significant public health burden in Nigeria, affecting both individuals and society at large . Adolescents, who constitute a significant portion of the population in low and middle-income countries, are particularly vulnerable to substance use due to the physical, psychological, and social changes during this critical period . Experimentation with drugs and other risky behaviors is common among adolescents, often leading to severe consequences . This behavior necessitates urgent attention from scholars and stakeholders in Nigeria.
Substance abuse, especially alcohol, has been linked to increased crime rates, including theft and rape . In 2015, psychoactive substance use led to the deaths of 28 youths aged 15-24 in Ondo State, highlighting the severity of the issue . Local alcohol consumption, particularly of locally manufactured gin (ogogoro), accounts for a significant portion of total alcohol consumption worldwide, contributing to these fatalities. The Nation newspaper reported the deaths in Ode-Irele, Ondo State, associated with the consumption of toxic local gin, resulting in community backlash and the destruction of the shop selling the gin. Similar incidents occurred in Edo and Rivers states, where youths died after consuming locally refined alcohol during drinking competitions or while consuming contaminated dog meat and liquor.
In response to these tragedies, state governments-imposed bans on the sale of locally made gin and intensified public health campaigns to educate communities on the dangers of consuming toxic local alcohol. Misunderstandings about the cause of these deaths, often attributed to supernatural beliefs, highlight the need for accurate public health information. A study conducted by the Ondo State Ministry of Health, in collaboration with WHO, confirmed that the deaths were linked to the consumption of large quantities of alcohol at local drinking joints, dispelling myths of supernatural causes. These findings underscore the critical need for effective public health interventions and education to mitigate the harmful effects of substance use among Nigerian youths.
This study aims to investigate the prevalence, patterns, and socio-demographic correlates of substance use among young people in Idanre Local Government Area (LGA) of a southwestern state in Nigeria. By comprehensively examining these factors, the research seeks to provide valuable insights into the extent of substance use, identify the predominant substances being used, and understand the socio-demographic characteristics associated with substance use in this region.
Substance use among young people is a growing concern with significant implications for public health, social stability, and economic development. Understanding the prevalence and patterns of substance use, along with the socio-demographic factors that influence this behavior, is crucial for developing effective prevention and intervention strategies. This research is particularly significant as it addresses a gap in the current literature specific to Idanre LGA, providing localized data that can inform targeted policies and programs aimed at mitigating the adverse effects of substance use on young people in this region. The study will address the following questions:
1. What is the prevalence of substance use among young people in Idanre LGA?
2. What are the patterns of substance use among young people in Idanre LGA?
3. What are the socio-demographic correlates associated with substance use among young people in Idanre LGA?
2. Method
2.1. Study Design
This research employs a cross-sectional, descriptive, community-based study design aimed at understanding substance use among young people in Idanre Local Government Area, Ondo State. The design involves collecting data at a single point in time from a representative sample of young individuals aged 10 to 24 years. This approach is suitable for estimating the prevalence and correlates of substance use in the population, providing a snapshot of the current situation.
2.2. Sampling Technique
A multi-stage sampling technique was utilized to select the study participants. Initially, one ward within Idanre Local Government Area was randomly chosen. Subsequently, the ward was stratified by size into 16 enumerated areas, from which the eight largest areas were selected. In each enumerated area, households were sampled using a systematic approach. From a central location in the enumerated area, a coin toss determined the initial direction of sampling (East or West). Households in the chosen direction were sampled consecutively until the target number of 63 young individuals per area was achieved. If the target was not met, sampling continued in a perpendicular direction until completion. Within each household, one young person was selected randomly by balloting if multiple eligible participants were present. This method ensured a representative sample of 500 young people.
2.3. Data Collection
Data collection involved administering two main instruments: a socio-demographic questionnaire and the WHO Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). The socio-demographic questionnaire gathered information on variables such as age, gender, religion, family background, education level, and parents’ occupations. The ASSIST, an interview-administered screening tool, assessed the use of various substances, including tobacco, alcohol, marijuana, and other drugs. It evaluated substance use frequency, dependency, and associated problems. The questionnaires were administered in both English and Yoruba, with translations tailored to the local dialect. Four trained research assistants and the principal investigator conducted the interviews, ensuring consistency and accuracy in data collection. Interviews were carried out daily over six weeks, between 4:00 PM and 7:00 PM, to accommodate participants' schedules. Data was recorded in real-time to minimize errors and ensure completeness.
2.4. Ethical Considerations
Ethical approval for the study was obtained from the appropriate institutional review board. Additionally, permission was sought from local community leaders and household heads. Informed consent was secured from all participants aged 18 and above, while assent was obtained from minors (aged 10 to 17) alongside parental consent. Participants were thoroughly briefed on the study's objectives, procedures, potential risks, and benefits, with the information presented in simple, clear language. Confidentiality was rigorously maintained; no identifying information was recorded, and data was anonymized. Participants were assured of their right to withdraw from the study at any time without penalty. The research aimed to minimize risks and inconveniences by scheduling data collection at convenient times and avoiding invasive procedures. Participants received psycho-education on substance use risks and were provided with information on available support services if needed. The findings of the study are intended to inform public health policies and interventions aimed at reducing substance abuse among youth in the community. A token of appreciation, such as a pen, was given to participants to acknowledge their contribution.
3. Result
3.1. Lifetime Prevalence of Substance Use Among Respondents
Respondents were asked questions about their experience with alcohol, tobacco products and other drugs across their lifetime. Some of the substances were listed in the tables below. Alcohol lifetime prevalence rate was 348 (69.6%). Also, 100 (20%) of the respondents has lifetime prevalence use of sedatives or sleeping pills. The third, lifetime prevalence substance used by participant was Tobacco with 76 (15.2%). The lifetime prevalence of marijuana was found to be 46 (9.3%). Cocaine was the least used drug in this category with 10 (2%) lifetime prevalence.
Table 1. Prevalence of substance use.

Lifetime Prevalence

No (n (%))

Yes (n (%))

Tobacco products

423 (84.8)

76 (15.2)

Alcohol Beverages

152 (30.4)

348 (69.6)

Marijuana

451 (90.7)

46 (9.3)

Cocaine or Crack

490 (98.0)

10 (2.0)

Amphetamines or stimulants

469 (93.8)

31 (6.2)

Inhalants

456 (91.2)

44 (8.8)

Sedatives or sleeping pills

500 (80.0)

100 (20.0)

Hallucinogens

481 (96.2)

19 (3.8)

3.2. Prevalence of Substance Use by Respondents in the Past Three Months
Respondents were, also asked if they have ever or sometimes taken drugs in the past three months, for reasons other than prescription by the doctor. In the past three months 48.2% of the respondents had taken alcohol beverages. Ten percent (51) of the participants had used Tobacco in the past 3 months. Similarly, almost ten percent use sedatives within the time frame. Only 6.5% of the participants use marijuana, which represents almost half of the people that use tobacco. However, cocaine was the least used substance in the area with just 1% of the participants uses this substance. None of the respondents had seen or taken heroin or morphine. So these drugs are not reflected further in the analysis.
Table 2. Prevalence of substance use of respondents in the past three months.

3 month prevalence

No (n (%))

Yes (n (%))

Tobacco products

449 (89.8)

51 (10.2)

Alcohol Beverages

259 (51.8)

241 (48.2)

Cocaine or Crack

495 (99.0)

5 (1.0)

Marijuana

469 (93.8)

31 (6.2)

Amphetamines

476 (95.2)

8 (1.6)

Inhalants

475 (95.0)

25 (5)

Sedative Pills

441 (88.2)

58 (11.8)

Hallucinogens

488 (97.8)

11 (1.3)

3.3. Desire or Urge for Substance Use of Respondents in the Past Three Months
In the past three months, very few of the respondents had a strong desire for substance use. However, ten percent of the participants had the desire to use alcohol. While the desire to use Tobacco, Marijuana and sedatives were less than 4%.
Table 3. Desire or urge for substance use of respondents in the past three months.

3 Months Prevalence

No (n (%))

Yes (N (%))

Tobacco products

482 (96.4)

16 (3.6)

Alcohol Beverages

450 (90.0)

50 (10)

Cocaine or Crack

497 (99.4)

3 (0.6)

Marijuana

488 (97.6)

12 (2.4)

Amphetamines

486 (98.6)

7 (1.4)

Inhalants

491 (98.4)

8 (1.6)

Sedatives pills

480 (96.4)

18 (3.6)

Hallucinogens

494 (99.0)

5 (1.0)

3.4. Substance Use and Its Associated Problems
During the past three months, very few of the respondents had used substances that had led them to health, social, legal or financial problems. Nevertheless, alcohol still topped the list (3.6%) of the problems associated with the use of various substances among the participants. This was used to test the effects of substance use on the young people.
Table 4. Effects of substance use on the young people.

In the past 3 months, has substance use led you to health, social, legal or financial problems?

No (n (%))

Yes (n (%))

Tobacco products

495 (99.0)

5 (1.0)

Alcohol Beverages

482 (96.4)

18 (3.6)

Cocaine or Crack

498 (99.8)

1 (0.2)

Marijuana

493 (98.6)

7 (1.4)

Amphetamines or stimulants

496 (99.6)

2 (0.4)

Inhalants

491 (98.2)

9 (1.8)

Sedatives or sleeping pills

489 (97.8)

11 (2.2)

Hallucinogens

496 (99.2)

4 (0.8)

3.5. Ever Failed to Do What Was Normally Expected Due to Substance Misuse in the Past Three Months
During the past three months, very few of the respondents had often failed to do what was normally expected of them due to use of drug substance. Alcohol had ever affected activities of daily living about 2.6% of the participants.
Table 5. Respondents Ever failed to do what is normal.

During the past three months, how often have you failed to do what was normally expected of you because of your use of

Never (n (%))

Once or Twice (N (%))

Tobacco products

496 (99.8)

1 (0.2)

Alcohol Beverages

486 (97.4)

13 (2.6)

Cocaine or Crack

498 (99.8)

1 (0.2)

Marijuana

496 (99.2)

4 (0.8)

Amphetamines or stimulants

496 (99.6)

2 (0.4)

Inhalants

495 (99.0)

5 (1.0)

Sedatives or sleeping pills

492 (98.8)

6 (1.2)

Hallucinogens

498 (99.6)

2 (0.4)

3.6. Friends or Relative ever Expressed Concern About Respondents’ Substance Misuse
Table 6 shows the concern expressed by the respondents’ friends or relative about the substance use. About five percent (4.6%) was on alcohol beverages and almost two percent (1.6%) on marijuana.
Table 6. The concerns of relatives about respondents’ use of substance.

Has a friend or relative or anyone else ever expressed concerned about your use of

Never (N (%))

Yes, but not in the past 3 months (n (%))

Yes, in the past 3 months (n (%))

Tobacco products

487 (97.4)

3 (0.2)

10 (2.0)

Alcohol Beverages

474 (95.0)

2 (0.4)

23 (4.6)

Cocaine or Crack

499 (99.8)

1 (0.2)

0 (0.0)

Marijuana

499 (98.0)

2 (0.4)

8 (1.6)

Amphetamines or stimulants

498 (99.6)

1 (0.2)

1 (0.2)

Inhalants

500 (100)

0 (0.0)

0 (0.0)

Sedatives or sleeping pills

497 (94.4)

1 (0.2)

2 (0.4)

Hallucinogens

499 (99.8)

0 (0.0)

1 (0.2)

3.7. Respondents ever Tried and Failed to Control Substance Use
About 4.2% of the participants had ever tried in the past three months to control the use of alcohol beverages while almost half (2.4%) of them had ever tried to stop or cut down Tobacco products (Table 7).
Table 7. Respondents ever tried and failed to control substance use.

Have you ever tried and failed to control, cut down or stop using

Never n (%)

Yes, but not in the past 3 months n (%)

Yes, in the past 3 months n (%)

Tobacco products

487 (97.4)

1 (0.2)

12 (2.4)

Alcohol Beverages

475 (95.0)

4 (0.8)

21 (4.2)

Cocaine or Crack

499 (99.8)

0 (0.0)

1 (0.2)

Marijuana

490 (98.0)

1 (0.2)

9 (1.8)

Amphetamines or stimulants

498 (99.6)

0 (0.0)

2 (0.4)

Inhalants

499 (99.8)

0 (0.0)

1 (0.2)

Sedatives or sleeping pills

497 (94.4)

1 (0.2)

2 (0.4)

Hallucinogens

498 (99.6)

1 (0.2)

1 (0.2)

3.8. Pattern of ASSIST Risk Scores of Individual Substances Use Among Respondents N=500
Table 8 about 9.7% of the respondents had moderate use of tobacco however it is important to note that 0.4% of the respondents had high use of tobacco. Also 10.8% and 1.6% of the respondents had moderate and severe use of alcohol respectively. 5.2% and 0.8% of the respondents had moderate and high use of marijuana respectively while 47.6% and 0.6% of the respondents had moderate and high use respectively. This was the level of practice of substance misuse, among young people in Idanre, Ondo State. For tobacco, alcohol, marijuana, sedative or sleeping pills and pain medication, the abuse and misuse were very high. Approximately, one in every ten young adult moderately misuses tobacco substance (9.7%) and alcohol (10.8%).
Table 8. Pattern of ASSIST risk scores of individual substances use among respondents N=500.

No use or Low risk (N (%))

Moderate Risk (N (%))

High risk (N (%))

Tobacco

450 (89.9)

48 (9.7)

2 (0.4)

Alcohol

438 (87.6)

54 (10.8)

8 (1.6)

Marijuana

470 (94.0)

26 (5.2)

4 (0.8)

Cocaine or Crack

494 (98.8)

6 (1.2)

0

Amphetamines or Stimulants

476 (95.2)

24 (4.8)

0

Inhalants

473 (94.6)

27 (5.4)

0

Sedatives or Sleeping Pills

442 (88.4)

56 (11.2)

2 (0.4)

Hallucinogens

500 (100.0)

0

0

3.9. Correlates of Demographic Variables and Substance Use
Table 9 presents the association between socio-demographic characteristics and substance misuse among young people in the study area, examining factors such as gender, age, education, and family type. It was found that a higher proportion of males have used substances, particularly tobacco, compared to females (23.9% vs. 14.4%). This gender difference in substance use was statistically significant (χ2= 6.97, df = 1, p-value = 0.008). However, the relationship between education level and substance use among young adults was not statistically significant (χ2= 7.830, df = 3, p-value = 0.050). Conversely, there was a significant association between the age of respondents and substance use (χ2= 7.80, df = 4, p-value = 0.034), with older young people demonstrating a higher likelihood of substance use.
Table 9. Substance misuse by gender, age group, education & family type.

Lifetime use of any substance

χ2

Df

P-value

No (n (%))

Yes (n (%))

Gender

Male

134 (76.1)

42 (23.9)

6.84

1

0.009

Female

267 (85.6)

45 (14.4)

Age Group (Years)

10-14

99 (90.0)

11 (10.0)

7.80

4

0.034

15-19

154 (78.2)

43 (21.8)

20-24

148 (81.8)

33 (18.2)

Education

No formal education

8 (72.7)

3 (27.3)

7.830

3

0.050

Primary

113 (81.9)

25 (18.1)

Secondary

190 (79.2)

50 (20.8)

Tertiary

80 (92.0)

7 (8.0)

Family Type

Monogamous

220 (83.7)

43 (16.3)

0.642

1

0.423

Polygamous

142 (80.7)

34 (19.3)

Chi-square is significant at 0.05
3.10. Religion, Employment Status and Position Among Mother’s Children and Substance Misuse
Table 10 illustrates the relationships between the religion of respondents, their employment status, marital status, as well as their relationship with their father and substance abuse. It was found that religion was significantly associated with substance abuse (χ2= 6.628, df = 1, p-value = 0.010). However, the relationship between employment status and substance misuse was not statistically significant (χ2= 3.491, df = 1, p = 0.062). Similarly, marital status showed no significant association with substance use (17.5% unmarried vs. 19.5% married; χ2= 0.170, df = 1, p-value = 0.680). However, respondents' relationship with their father was significantly associated with substance use, particularly among those with less friendly relationships (χ2= 10.108, df = 1, p-value = 0.001).
Table 10. Religion, employment status and position among mother’s children and substance misuse.

Lifetime substance use

χ2

df

P-value

No (N (%))

Yes (N (%))

Religion

Christianity

348 (84.1)

66 (15.9)

6.628

1

0.010

Islam

53 (71.6)

21 (28.4)

Employment Status

Employed

152 (78.4)

42 (21.6)

3.491

1

0.062

Unemployed

223 (85.1)

39 (14.9)

Marital Status

Unmarried

339 (82.5)

72 (17.5)

0.170

1

0.680

Married

62 (80.5)

15 (19.5)

Relationship with father

Friendly

388 (83.1)

79 (16.9)

10.108

1

0.001

Not Friendly

9 (52.9)

8 (47.1)

Chi-square is significant at 0.05; Chi-square is significant at 0.01
4. Discussion
4.1. Prevalence of Substance Use by the Respondents
Lifetime prevalence was defined as having ever tasted or used any substance. The study revealed a 69.6% lifetime prevalence rate for alcoholic beverages, making it the most commonly used substance. Sedatives were the second most used at 20%, followed by tobacco products at 15.2%, and marijuana at 9.3%. Other substances included amphetamines (6.2%), inhalants (8.8%), hallucinogens (3.8%), and cocaine (2%). These findings align with Kandel et al. , who identified these substances as gateways to other drugs, and Makanjuola et al. , who also found alcohol, tobacco, and marijuana to be the most used drugs among Nigerians. The study found that 69.6% of participants reported lifetime alcohol use, with 48.3% reporting use in the past three months. This aligns with Manyike et al. , who found lifetime alcohol use rates between 0.8% and 63.5%. Okoza et al. , cited by Kanyoni et al. , identified a 66% prevalence rate. However, other studies report lower lifetime prevalence rates: Makanjuola et al. found a 46% rate among university students in Ilorin, and Kanyoni et al. reported 57.9% in Rwanda, with current use at 34%. Lasebikan et al. found a 57.9% lifetime prevalence and 23.7% current use in a semi-rural community in Ibadan. High local alcohol use might be due to the availability and cultural acceptability of local alcoholic products like gin (ogogoro) and palm wine, as well as parental influence and social gatherings where alcohol is prevalent . The lifetime prevalence rate of tobacco use was 15.2%, consistent with other studies reporting rates between 5% and 20% . Variations depend on location and study instruments.
4.2. Pattern of Use of Substances Among the Respondents in the Past Three Months
The study found that 48.2% of participants reported alcohol use in the past three months. This rate is higher than the 13.4% reported by Fatoye et al. among secondary school students in Ilesa, Osun State, which might be due to different settings and instruments. The current use of tobacco was 11.8%, aligning with Fatoye and Morakinyo , who found an 8.9% rate in a semi-urban setting in Nigeria. Kayoni et al. in Rwanda reported a monthly prevalence rate of 8.3%, validating these findings. However, Gureje et al. reported a slightly higher rate, possibly due to different methodologies.
4.3. Correlates of Substance Use
The study found that substances such as alcohol, marijuana, and tobacco, often referred to as "gateway drugs" , were used more by males than females. This aligns with several studies , though Fatoye et al. found no significant gender differences, possibly due to different methodologies. Substance use was higher among late adolescents (15-19 years), possibly due to experimentation associated with this stage of life. Makanjuola et al. supported this finding, noting that adolescents use stimulants to enhance academic performance. A friendly relationship with one's father was associated with significantly lower lifetime substance use, possibly due to better parenting. Makanjuola et al. supported this finding in a study in Ilorin, Kwara State. Christian respondents had slightly higher lifetime substance use compared to Muslims, possibly due to Islamic restrictions on substance use. This finding is supported by Gureje et al. and Makanjuola et al. , who noted that religiosity, rather than specific religions, influences substance use.
4.4. Effects of Substance Use
Substance use among the study population, particularly of alcohol, marijuana, and tobacco, had various effects on health, daily life, and social relationships. The study noted associated health problems and social issues, with 3.6% reporting such effects. Richet reported a higher rate (20%) of mental health disorders among substance users, possibly due to different settings. The Centers for Disease Control and Prevention (CDC) notes that substance use among young people can lead to risky behaviors and long-term health problems, such as renal disease, heart issues, and sleep disorders.
5. Conclusion
In conclusion, this study sheds light on the prevalent substance use patterns among young people in Ondo state, revealing alcohol as the most commonly used substance, while cocaine is the least used. This trend may be influenced by the cultural acceptance of alcohol, particularly locally produced options like gin (ogogoro) and palm wine (emu ope). The research identifies several correlates of substance use, including male gender, religious affiliation, less friendly relationships with fathers, and late adolescent age. These findings offer valuable insights for policymakers at both state and federal levels, providing a basis for formulating targeted interventions to address the associated health and social issues prevalent among youth in rural Nigerian settings.
Abbreviations

ASSIST

Alcohol, Smoking, and Substance Involvement Screening Test

LGA

Local Government Area

SPSS

Statistical Package for Social Science

WHO

World Health Organization

Conflicts of Interest
The authors declare no conflicts of Interest.
References
[1] World Health Organization. Neuroscience of psychoactive substance use and dependence. 2004. Available from:
[2] Marzuk PM, Tardiff K, Leon AC, Hirsch CS, Stajic M, Portera L, et al. Fatal injuries after cocaine use as a leading cause of death among young adults in New York City. N Engl J Med. 1995; 332: 1753-7.
[3] Samuel A, Onyenaka EO. Epidemiology of non-fatal injuries among adolescents in urban Niger Delta community of Nigeria. Int J Crit Illn Inj Sci. 2012 Sep-Dec; 2(3): 180-5. Available from:
[4] Gureje O, Degenhardt L, Olley B, Uwakwe R, Udofia O, Wakil A, et al. A descriptive epidemiology of substance use and substance use disorders in Nigeria during the early 21st century. Drug Alcohol Depend. 2007; 91(1): 1-9.
[5] Akinsulore A, Fatoye F, Awaa O, Mapayi B, Ibigbami O. Psychoactive substance use among psychiatric outpatients in a Nigerian teaching hospital. Niger J Psychiatry. 2012; 10(2): 2-74.
[6] Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007; 20(4): 359-64.
[7] Omigbodun O, Babalola O. Psychosocial dynamics of psychoactive substance misuse among Nigerian adolescents. Ann Afr Med. 2004; 3(3): 111-5.
[8] Atilola O, Ayinde O, Adeitan O. Beyond prevalence and pattern: problematic extent of alcohol and substance use among adolescents in Ibadan South-west Nigeria. Afr Health Sci. 2013; 13(3): 777-84.
[9] National Mirror. Ondo mysterious deaths linked to ethanol poison. 2015 Apr. Available from:
[10] Fatoye F. Psychosocial correlates of substance use amongst secondary school students in south western Nigeria. East Afr Med J. 2003; 80(3): 154-8.
[11] Kandel DB, Yamaguchi K, Chen K. Stages of progression in drug involvement from adolescence to adulthood: further evidence for the gateway theory. J Stud Alcohol. 1992; 53(5): 447-57.
[12] Makanjuola VA, Oladeji BD, Gureje O. The gateway hypothesis of substance abuse: an examination of its applicability in the Nigerian general population. Subst Use Misuse. 2010; 45(10): 1558-71.
[13] Manyike PC, Chinawa JM, Chinawa AT, et al. Correlates for psycho-active substance use among boarding secondary school adolescents in Enugu, South East, Nigeria. BMC Pediatr. 2016; 16: 78. Available from:
[14] Okoza J, Aluede O, Fajoju S, Okhiku I. Drug abuse among students of Ambrose Alli University, Ekpoma, Nigeria. Eur J Soc Sci. 2009; 10(1): 88-93.
[15] Kanyoni M, Gishoma D, Ndahindwa V. Prevalence of psychoactive substance use among youth in Rwanda. BMC Res Notes. 2015; 8: 190.
[16] Lasebikan VO, Ola BA. Prevalence and correlates of alcohol use among a sample of Nigerian semi-rural community dwellers. J Addict. 2016.
[17] Karriker-Jaffe KJ. Areas of disadvantage: a systematic review of effects of area-level socioeconomic status on substance use outcomes. Drug Alcohol Rev. 2011; 30(1): 84-95.
[18] Oshodi O, Aina O, Onajole A. Substance use among secondary school students in an urban setting in Nigeria: prevalence and associated factors. Afr J Psychiatry. 2010; 13(1): 52-7.
[19] Fatoye F, Morakinyo O. Substance use among secondary school students in rural and urban communities in south western Nigeria. East Afr Med J. 2002; 79(6): 299-305.
[20] Makanjuola A, Abiodun O, Sajo S. Alcohol and psychoactive substance use among medical students of the University of Ilorin, Nigeria. Eur Sci J. 2014; 10: 69-83.
[21] Makanjuola A, Aina O, Onigbogi L. Alcohol and other psychoactive substance use among tanker drivers in Lagos, Nigeria. Eur Sci J. 2014; 10: 1857-7881.
[22] Makanjuola AB, Daramola TO, Obembe AO. Psychoactive substance use among medical students in a Nigerian university. World Psychiatry. 2007; 6: 48-50.
[23] Richert T, Anderberg M, Dahlberg M. Mental health problems among young people in substance abuse treatment in Sweden. Subst Abuse Treat Prev Policy. 2020; 15(1): 43.
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  • APA Style

    Daniel, E. O., Olawale, O. O., Avwerhota, M., Tomori, M. O., Popoola, I. O., et al. (2024). Prevalence and Correlates of Substance Use and the Effects on the Young People in a Southwestern State of Nigeria. American Journal of Applied Psychology, 13(3), 43-52. https://doi.org/10.11648/j.ajap.20241303.11

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    ACS Style

    Daniel, E. O.; Olawale, O. O.; Avwerhota, M.; Tomori, M. O.; Popoola, I. O., et al. Prevalence and Correlates of Substance Use and the Effects on the Young People in a Southwestern State of Nigeria. Am. J. Appl. Psychol. 2024, 13(3), 43-52. doi: 10.11648/j.ajap.20241303.11

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    AMA Style

    Daniel EO, Olawale OO, Avwerhota M, Tomori MO, Popoola IO, et al. Prevalence and Correlates of Substance Use and the Effects on the Young People in a Southwestern State of Nigeria. Am J Appl Psychol. 2024;13(3):43-52. doi: 10.11648/j.ajap.20241303.11

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  • @article{10.11648/j.ajap.20241303.11,
      author = {Ebenezer Obi Daniel and Oluseyi Oludamilola Olawale and Michael Avwerhota and Michael Olabode Tomori and Israel Olukayode Popoola and Ahmed Mamuda Bello and Olukayode Oladeji Alewi and Aisha Oluwakemi Salami and Adebanke Adetutu Ogun and Taiwo Aderemi Popoola and Celestine Emeka Ekwuluo},
      title = {Prevalence and Correlates of Substance Use and the Effects on the Young People in a Southwestern State of Nigeria
    },
      journal = {American Journal of Applied Psychology},
      volume = {13},
      number = {3},
      pages = {43-52},
      doi = {10.11648/j.ajap.20241303.11},
      url = {https://doi.org/10.11648/j.ajap.20241303.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajap.20241303.11},
      abstract = {In 2015, psychoactive substance use led to the deaths of 72 young people within a month across Ondo, Edo, and Rivers states in Nigeria, with Ondo being the most affected. The youth attributed these deaths to the wrath of the gods (Malokun) rather than alcohol consumption. This study aims to identify demographic factors influencing youth substance use in Ondo State. Using a cross-sectional, descriptive community study design, 500 participants aged 10 to 24 years were recruited. Data collected through a socio-demographic questionnaire and the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) were analyzed with Statistical Package for Social Science (SPSS) version 16. The findings revealed that alcohol was the most used substance, with a lifetime use prevalence of 69.6%, likely due to the availability and cultural acceptability of local alcoholic products like ogogoro and palm wine. Substance use was found to negatively impact social life. Significant correlates of substance use included gender, age, religion, and father’s relationship. Males had higher lifetime use than females (p = 0.008), and substance use prevalence was higher among late adolescents (p = 0.0034). Christian respondents reported higher lifetime use compared to Muslims (p = 0.010). These results highlight that alcohol is the predominant substance used by young people in Ondo State, with key correlates being male gender, religion, less friendly father relationships, and late adolescence, informing public health strategies to mitigate harmful effects of substance use.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Correlates of Substance Use and the Effects on the Young People in a Southwestern State of Nigeria
    
    AU  - Ebenezer Obi Daniel
    AU  - Oluseyi Oludamilola Olawale
    AU  - Michael Avwerhota
    AU  - Michael Olabode Tomori
    AU  - Israel Olukayode Popoola
    AU  - Ahmed Mamuda Bello
    AU  - Olukayode Oladeji Alewi
    AU  - Aisha Oluwakemi Salami
    AU  - Adebanke Adetutu Ogun
    AU  - Taiwo Aderemi Popoola
    AU  - Celestine Emeka Ekwuluo
    Y1  - 2024/06/27
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ajap.20241303.11
    DO  - 10.11648/j.ajap.20241303.11
    T2  - American Journal of Applied Psychology
    JF  - American Journal of Applied Psychology
    JO  - American Journal of Applied Psychology
    SP  - 43
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2328-5672
    UR  - https://doi.org/10.11648/j.ajap.20241303.11
    AB  - In 2015, psychoactive substance use led to the deaths of 72 young people within a month across Ondo, Edo, and Rivers states in Nigeria, with Ondo being the most affected. The youth attributed these deaths to the wrath of the gods (Malokun) rather than alcohol consumption. This study aims to identify demographic factors influencing youth substance use in Ondo State. Using a cross-sectional, descriptive community study design, 500 participants aged 10 to 24 years were recruited. Data collected through a socio-demographic questionnaire and the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) were analyzed with Statistical Package for Social Science (SPSS) version 16. The findings revealed that alcohol was the most used substance, with a lifetime use prevalence of 69.6%, likely due to the availability and cultural acceptability of local alcoholic products like ogogoro and palm wine. Substance use was found to negatively impact social life. Significant correlates of substance use included gender, age, religion, and father’s relationship. Males had higher lifetime use than females (p = 0.008), and substance use prevalence was higher among late adolescents (p = 0.0034). Christian respondents reported higher lifetime use compared to Muslims (p = 0.010). These results highlight that alcohol is the predominant substance used by young people in Ondo State, with key correlates being male gender, religion, less friendly father relationships, and late adolescence, informing public health strategies to mitigate harmful effects of substance use.
    
    VL  - 13
    IS  - 3
    ER  - 

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    1. 1. Introduction
    2. 2. Method
    3. 3. Result
    4. 4. Discussion
    5. 5. Conclusion
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