Substance use under a restrictive and prohibitive policy regime in secondary schools in Uganda: The convergence of motives, contexts and student characteristics

Q4 Medicine
K. Amone-P’Olak, Adrian Ivan Kakinda, Henry Kibedi, B. Omech
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引用次数: 0

Abstract

Drug use among young people is increasing in Africa. To prevent drug use, it is essential to understand the motivations, environments, and characteristics of users. Although there are established risk factors for drug use, little is known about the reasons why adolescents and young people take drugs. This study investigated the reasons given by a sample of secondary school pupils for using drugs and other substances, specifically, how adolescents circumvent the restrictive and prohibitive policy regime and rationalize and account for drug use. This study used a cross-sectional mixed-methods design. For quantitative data, descriptive and regression analyses were run, and for qualitative data, thematic analysis was used. About 13 per cent (n=41) met criteria for moderate to severe drug use. Coping (Mean = 4.13, SD 0.89), social (Mean = 3.71, SD 0.97), and enhancement (Mean = 3.09, SD 0.92) motives were highly endorsed as motives for drug use. The extent to which motives predicted drug use ranged from β = 0.55 (95% CI: 0.39, 0.72) for coping to β = 0.18 (95% CI: 0.08, 0.28) for expansion motives. Students employed ingenious and frequently risky ways to circumvent the rigorous and prohibitive regulatory regimes governing drug use in schools. Academic stress, limited recreational activities, poor stress management, peer influence, poor adult supervision and dysfunctional family backgrounds, all interrelate in complex ways with motives, contexts, and student characteristics to create a conducive environment for the rationalisation, medicalisation, and veneration of drug use. Further research on contexts, motives and characteristics of adolescents that shape drug use is needed.
乌干达中学在限制性和禁止性政策制度下的物质使用:动机、背景和学生特征的趋同
在非洲,年轻人的毒品使用正在增加。为了防止吸毒,了解吸毒者的动机、环境和特征至关重要。尽管已经确定了吸毒的风险因素,但人们对青少年吸毒的原因知之甚少。这项研究调查了中学生样本中使用毒品和其他物质的原因,特别是青少年如何规避限制性和禁止性政策制度,并合理化和解释毒品使用。本研究采用横断面混合方法设计。对于定量数据,进行描述性和回归分析,对于定性数据,使用主题分析。约13%(n=41)符合中度至重度药物使用标准。应对(平均值=4.13,SD 0.89)、社交(平均值=3.71,SD 0.97)和增强(平均值3.09,SD 0.92)动机被高度认可为吸毒动机。动机预测药物使用的程度从应对动机的β=0.55(95%CI:0.39,0.72)到扩张动机的β=0.018(95%CI:0.08,0.28)不等。学生们采用巧妙且经常有风险的方式来规避学校严格禁止的药物使用监管制度。学业压力、有限的娱乐活动、不良的压力管理、同伴影响、不良的成人监督和功能失调的家庭背景,都以复杂的方式与动机、背景和学生特征相互关联,为合理化、医学化和尊重吸毒创造了有利的环境。需要进一步研究青少年吸毒的背景、动机和特征。
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来源期刊
African Journal of Drug and Alcohol Studies
African Journal of Drug and Alcohol Studies Medicine-Psychiatry and Mental Health
CiteScore
0.50
自引率
0.00%
发文量
6
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