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 Table of Contents  
COMMENTARY
Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 30-31

Commentary on: Factors influencing substance use among adolescent slum dwellers of Guwahati City, Assam


Departments of Psychiatry, D. Y. Patil University, Kolhapur, Maharashtra, India

Date of Web Publication3-Apr-2018

Correspondence Address:
Prof. Prakash B Behere
Vice-Chancellor, D. Y. Patil University, Kasaba Bawada, Kolhapur - 416 006, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmgims.jmgims_76_16

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  Abstract 


Adolescent being at risk for substance use has become a cause of concern. Hence, there arises a need to highlight the predictors and to address the range of problems caused by substance use. Here is a brief commentary on adolescent substance use.

Keywords: Adolescent, substance use, predictors


How to cite this article:
Behere PB, Chougule KN. Commentary on: Factors influencing substance use among adolescent slum dwellers of Guwahati City, Assam. J Mahatma Gandhi Inst Med Sci 2018;23:30-1

How to cite this URL:
Behere PB, Chougule KN. Commentary on: Factors influencing substance use among adolescent slum dwellers of Guwahati City, Assam. J Mahatma Gandhi Inst Med Sci [serial online] 2018 [cited 2021 Jun 21];23:30-1. Available from: https://www.jmgims.co.in/text.asp?2018/23/1/30/229160



Considerable research has been done to understand adolescent use of the substance. Substance use often starts among a small percentage of youth during early adolescence, and this continues to increase throughout adolescence to adulthood. There are many new studies in this area which need attention.

It is an interesting study where factor influencing substance use among adolscents slum dwellers were assessed and discussed,[1] but there are a lot of scopes for further extent, whether factor influencing non injectable and injectable substance abuse had the difference. Similarly, any physical, mental, social, and sexual abuse in childhood had an impact on adolescent substance use. Many other factors such as comorbid psychiatric disorders and deviant behaviors were not included in the assessment in the primary study. These factors might have some weightage in adolescent substance abuse.

Results from a recent national survey indicated that among eighth-grade students, 36.6% had tried alcohol, 17.4% had been intoxicated in their lifetime, and 15.7% had used marijuana; however, by 12th grade, 56.6% of students had been intoxicated and 42.0% had used marijuana.[2] This shows 3 times rise in alcohol consumption and almost 4 folds increase in marijuana.

This rise in substance use has both immediate and long-term implications for adolescent health, well-being, and competence in adult roles.[3],[4] Specifically, substance use before the age of 17 years is a strong predictor of later use and dependence,[5] and also the actual number of years of substance use.[6]

In turn, substance dependence is linked to a variety of maladaptive outcomes, including a greater likelihood of psychiatric disorder and involvement in violent crime.[7] Moreover, adolescent substance use is a key component of more general problem behavior, which includes antisocial or delinquent behavior, academic failure, and risky sexual activity.[8] These findings underscore the importance of identifying specific risk and protective factors in the progression of use from early adolescence to early adulthood.

Various studies have associated psychiatric comorbidity among substance users. The epidemiological studies completed in the past two decades [9] have documented high prevalence rates of serious mental disorders co-occurring with substance use disorders. It is very important to find out whether substance use among adolescent was having primary use or comorbid use.

Factors influencing substance abuse may have different variables such as substance use, habitual excessive use, abuse, chronic use, or dependence.

There is relation with injectable drugs and its relation with sexually transmissible diseases, as underlying personality problems or deviant behavior. Moreover, adolescent substance use is a key component of more general problem behavior, which includes antisocial or delinquent behavior, academic failure, and risky sexual activity.[8],[10] These findings underscore the importance of identifying specific risk and protective factors in the progression of use from early adolescence to early adulthood.

Another important factors which influences the substance use adolescent are the quality of the parent-youth relationship which are linked to decreased risk for a variety of problem behaviors in adolescence, including substance use.[11] Peer relationships are another critical aspect of the social context that can precipitate adolescent substance use.[12]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Bardhan T, Saikia AM, Baruah R. Factors influencing substance use among adolescent slum dwellers of Guwahati city, Assam. J Mahatma Gandhi Inst Med Sci 2018;23:25-29.  Back to cited text no. 1
  [Full text]  
2.
Johnston LD, O'Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse; 2010.  Back to cited text no. 2
    
3.
Chassin L, Pitts SC, DeLucia C. The relation of adolescent substance use to young adult autonomy, positive activity involvement, and perceived competence. Dev Psychopathol 1999;11:915-32.  Back to cited text no. 3
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4.
Kandel DB, Davies M, Karus D, Yamaguchi K. The consequences in young adulthood of adolescent drug involvement. An overview. Arch Gen Psychiatry 1986;43:746-54.  Back to cited text no. 4
    
5.
Brook DW, Brook JS, Zhang C, Cohen P, Whiteman M. Drug use and the risk of major depressive disorder, alcohol dependence, and substance use disorders. Arch Gen Psychiatry 2002;59:1039-44.  Back to cited text no. 5
    
6.
Anthony JC, Petronis KR. Early-onset drug use and risk of later drug problems. Drug Alcohol Depend 1995;40:9-15.  Back to cited text no. 6
    
7.
Lennings CJ, Copeland J, Howard J. Substance use patterns of young offenders and violent crime. Aggress Behav 2003;29:414-22.  Back to cited text no. 7
    
8.
Dishion TJ, Patterson GR. The development and ecology of antisocial behavior in children and adolescents. In: Cicchetti D, Cohen DJ, editors. Developmental Psychopathology, Volume 3: Risk, Disorder, and Adaptation. New York: Wiley; 2006. p. 503-41.  Back to cited text no. 8
    
9.
Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, et al. Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) study. JAMA 1990;264:2511-8.  Back to cited text no. 9
    
10.
Tapert SF, Aarons GA, Sedlar GR, Brown SA. Adolescent substance use and sexual risk-taking behavior. J Adolesc Health 2001;28:181-9.  Back to cited text no. 10
    
11.
Ackard DM, Neumark-Sztainer D, Story M, Perry C. Parent-child connectedness and behavioral and emotional health among adolescents. Am J Prev Med 2006;30:59-66.  Back to cited text no. 11
    
12.
Barrera M, Biglan A, Ary D, Li F. Replication of a problem behavior model American Indian, Hispanic, and Caucasian youth. J Early Adolesc 2001;21:133-57.  Back to cited text no. 12
    




 

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