Analyzing the geographic influence of financial inclusion on illicit drug use in Nigeria

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-04-30 DOI:10.1016/j.sste.2024.100655
Richard Adeleke , Ayodeji Emmanuel Iyanda
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Abstract

Nigeria grapples with a formidable public health concern, as approximately 14 million individuals partake in illicit drug use (IDU). This predicament significantly impacts psychiatric disorders, suicides, disability, and mortality rates. Despite previous investigations into predictors and remedies, the role of financial inclusion (FI) remains inadequately explored. Leveraging existing literature on FI and population health, this study asserts that bolstering FI could be instrumental in mitigating IDU prevalence in Nigeria. We employ spatial analysis to scrutinize the influence of FI and other social factors on IDU, revealing a 14.4 % national prevalence with spatial variations ranging from 7 % in Jigawa state to 33 % in Lagos state. Significant IDU hotspots were identified in the southwest states, while cold spots were observed in the Federal Capital Territory and Nassarawa. Multivariate spatial analysis indicates that FI, income, unemployment, and the proportion of the young population are pivotal predictors of IDU nationwide, explaining approximately 67 % of the spatial variance. Given these findings, the study advocates heightened levels of FI and underscores the need for intensified government initiatives to prevent and address illicit drug use.

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分析尼日利亚金融包容性对非法药物使用的地域影响
尼日利亚面临着巨大的公共卫生问题,因为约有 1400 万人参与非法使用毒品(IDU)。这一困境严重影响了精神疾病、自杀、残疾和死亡率。尽管以前对预测因素和补救措施进行过调查,但对金融包容性(FI)的作用仍未进行充分的探讨。本研究利用有关金融包容性和人口健康的现有文献,认为加强金融包容性有助于降低尼日利亚注射吸毒者的发病率。我们采用空间分析方法仔细研究了 FI 和其他社会因素对注射吸毒者的影响,结果显示全国注射吸毒者的流行率为 14.4%,空间差异从吉加瓦州的 7% 到拉各斯州的 33% 不等。西南部各州是注射吸毒者的重要热点地区,而联邦首都区和纳萨拉瓦州则是注射吸毒者的冷门地区。多变量空间分析表明,FI、收入、失业率和年轻人口比例是预测全国 IDU 的关键因素,约占空间差异的 67%。鉴于这些研究结果,本研究主张提高 FI 水平,并强调政府有必要加强预防和解决非法药物使用问题的举措。
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来源期刊
Spatial and Spatio-Temporal Epidemiology
Spatial and Spatio-Temporal Epidemiology PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
8.80%
发文量
63
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