Epidemiology of Substance Abuse Among the Youths in Makueni County, Kenya

Vincent Kavita, Jacob Masika, Priscilla Kabue
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Abstract

Introduction: Majority of youths all over the world ignorantly rely on one or more types of drugs for their everyday activities, including Mandrax, Cocaine, Tobacco, Heroine, Khat, Morphine, Alcohol, Amphetamines, Ephedrine, and Glue among others. This study’s purpose was to evaluate the epidemiology of substance abuse among the youths in Makueni County, Kenya. The broad objectives that guided the study was; to determine the epidemiology of substance abuse among the youths in Makueni County, Kenya. Methodology: -A Cross-sectional mixed-method study design was undertaken, with the target population consisting of all youths from Makueni County's eight main marketplaces. Purposive sampling was employed to obtain the 8 Major urban centres while simple random selection approach was employed to obtain respondents in each market. Qualitative data was collected using 8 key informants to supplement the quantitative data collected from the youths. A self-administered questionnaire was employed. Quantitative data was analysed using Descriptive as well as inferential statistics while qualitative narrative data was grouped into themes and was presented inform of texts with verbatim quotes used to amplify the voice of the informants. Results: The study sampled 384 respondents from Makueni County. Prevalence of Drug/Substance abuse stood at 62.3 % with alcohol (58.3%) being the most commonly abused drug/Substance. Hard Drugs were the least abused with 96.9% reporting they had never abused. Pearson correlation between gender, age and education level on prevalence of drug abuse in Makueni showed a weak positive relationship(r=0.032), weak negative relationship (r=-0.064) and a significant negative relationship (r=-0.212) respectively. High unemployment rates 62.3%, easy availability of drugs 34.3%, Peer pressure 72.3%, cheap cost of drugs 28.3% and poverty level 15.1% are main contributory factors to drug abuse. A chi-square run on the factors contributing to drug abuse also indicated a significant positive relationship between the local music, TV programs, friends, and social media with prevalence of drug abuse in Makueni County. The chi-square results also revealed a weak positive relationship between parents and prevalence of drug abuse in Makueni County. Faith-based organizations, local leaders, religious leaders, and non-governmental organizations had a strong negative relationship with prevalence of drug abuse in Makueni County. Conclusion & Recommendations: There is high prevalence of Drug/Substance abuse among the youths in Makueni County and both the County Government, national Government and the community in general must put stringent measures to curb the easy availability, sale and buying of abusive Drugs and other substances in the county.
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肯尼亚马库埃尼县青少年药物滥用流行病学
导言:全世界大多数青少年在日常生活中无知地依赖一种或多种毒品,包括曼德拉、可卡因、烟草、海洛因、咖特、吗啡、酒精、苯丙胺、麻黄素和胶水等。本研究的目的是评估肯尼亚马库埃尼县青少年药物滥用的流行病学情况。本研究的总体目标是:确定肯尼亚马库埃尼县青少年药物滥用的流行病学。研究方法:采用横断面混合方法研究设计,目标人群包括马库埃尼县八个主要集市的所有青少年。在 8 个主要城市中心采用了有目的的抽样方法,而在每个市场则采用了简单随机的抽样方法。通过 8 位关键信息提供者收集了定性数据,以补充从青年那里收集的定量数据。采用的是自填式问卷。定量数据采用描述性和推论性统计方法进行分析,而定性叙事数据则按主题分组,并以文本形式呈现,同时使用逐字引文来放大信息提供者的声音。研究结果研究在马库埃尼县抽取了 384 名受访者。药物/物质滥用率为 62.3%,酒精(58.3%)是最常滥用的药物/物质。硬性毒品的滥用率最低,96.9%的人表示从未滥用过。在马库埃尼,性别、年龄和教育程度与药物滥用流行率之间的皮尔逊相关性分别显示出微弱的正相关(r=0.032)、微弱的负相关(r=-0.064)和显著的负相关(r=-0.212)。高失业率(62.3%)、毒品易得性(34.3%)、同伴压力(72.3%)、毒品价格低廉(28.3%)和贫困程度(15.1%)是导致药物滥用的主要因素。对导致药物滥用的因素进行的卡方检验也表明,当地音乐、电视节目、朋友和社交媒体与马库埃尼县的药物滥用流行率之间存在显著的正相关关系。卡方检验结果还显示,父母与马库埃尼县的药物滥用流行率之间存在微弱的正相关关系。信仰组织、地方领袖、宗教领袖和非政府组织与马库埃尼县的药物滥用流行率存在较强的负相关关系。结论与建议:马库埃尼县的青少年滥用毒品/药物的现象非常普遍,县政府、国家政府和社会各界都必须采取严格措施,遏制滥用毒品和其他药物在该县的流通、销售和购买。
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