DETERMINANTS OF PSYCHOACTIVE SUBSTANCE USE AMONG STUDENTS IN THE URBAN COMMUNE OF TOLIARA

Randriamalala Njarasoa Charlette; ANDRIAMANJATO HMH; RANDRIANARIVO RF; TSIALOA DEE; RAOBELLE EN; RAHARIVELO A

Randriamalala Njarasoa Charlette University of Mahajanga Madagascar
ANDRIAMANJATO HMH Antanambao University Hospital, Toliara, Madagascar
RANDRIANARIVO RF Pzaga University Hospital, Mahajanga, Madagascar
TSIALOA DEE Antanambao University Hospital, Toliara, Madagascar
RAOBELLE EN Faculty of Medicine, Mahajanga, Madagascar
RAHARIVELO A Faculty of Medicine, Antananarivo, Madagascar

Keywords: Adolescent, Epidemiology, Associated factors, Madagascar, Psychoactive substances

Abstract

Introduction: The use of psychoactive substances is steadily increasing worldwide. Among adolescents, this behavior exposes them to risks, dependence and health hazards.

The aim of this study is to determine the prevalence of psychoactive substances and the profiles of high school students who use them.

Method: This was a prospective descriptive and analytical study carried out in public high schools in the urban commune of Toliara. Students who had used psychoactive substances in the previous 12 months were considered users. The Hospital Anxiety Depression Scale (HADS) was used to assess students' psychological distress.

Results: 150 high school students were surveyed, 85.33% of whom had already used psychoactive substances, 70% of whom had consumed alcohol, 4% tobacco and 7.33% cannabis ; 88% of the students were in the 16-18 age group, and 50% were male. Males are associated with the use of psychoactive substances. Consumption by parents or friends, as well as peer influence, played a significant role in substance use. The presence of anxiety and depressive disorders was correlated with the use of psychoactive substances.

Conclusion: the use of psychoactive substances is increasingly attractive to teenagers. Reducing adolescent consumption requires psychological support and parental education.

Author Biography

Randriamalala Njarasoa Charlette, University of Mahajanga Madagascar

Formerintern in Odontostomatology, Institute of Tropical Odonto-Stomatology of Madagascar,

References

1. De Longueville X, Geus C, Schepens P. Psychotic disorders and cannabis use: a retrospective study. L’Encéphale. 2003 ; 29 : 41 – 3.
2. Beck F, Dervaux A, Du Roscoat E, Gallopel-Morvan K, Grall-Bronnex M, Kern L, et al. Addictive behaviors in adolescents: uses, prevention and support. Main findings and recommendations. Paris : Inserm ; 2014 : 60.
3. Wadsworth EJK, Moss SC, Simpson SA, Smith AP. Factors associated with recreational drug use. Journal of Psychopharmacology. 2004 ;18(2) :238-48.
4. Henessy EA, Tanner Smith EE, Finch AJ, Sathe N, Kugley S. Recovery schools for improving behaioral and academicoutcomes among students in recovery for substance use disorders. A systematic review. Campbell syst Rev.2018 ;14(1) :1-86.
5. Imaine Sahed.Smoking and cannabis use in adolescence: the quest for identity and vulnerability in the consumption process.Drugs, health and society, 2016, 14 (2), pp. 1-23.
6. Bonnet, A., Bejaoui, M., Bréjard, V., et al.Physiological dependence and emotional functioning in young adults: affectivity, emotional intensity and alexithymia in psychoactive substance use. In : Annales Médico-psychologiques, revue psychiatrique. Elsevier Masson, 2011 ; 169(2) : 92-97.
7. Andriamanjato HMH, Randriamalala NCR, Raharison FO, Rakotoniaina AI, Raobelle EN, Riel AM, Rajaonarison BH, Raharivelo A. State Of Consumption Of Psychoactive Substances In The Urban Commune Of Toliara. IJPSAT. 2022 ; 33(2) :240-248.
8. Ratobimanankasina HH, Razakandrainy HA, Rajaonarison BH, Raharivelo A. Drug addiction among high school students in Toamasina I Madagascar in 2020. World journal of advenced research and reviews. 2023 ;17(01) :450-454.
9. Perino J, Tournier M, Mathieu C, Letinier L, Peyré G, Pereira E, Fourrier-Réglat A, Pollet C, Fatseas M, Tzourio C, Daveluy A. Psychoactive substance use among students : A cross-sectional analysis. Fundam Clin Pharmacol. 2022 ;36(5) :908-914.
10. Kpozehouen A, Ahanhanzo YG, Paraizo MN et al. factors associated with the use of psychoactive substances among adolescents in Benin. Public Health. 2015 ; 6 :871-880.
11. RazanamihajaN, Befinoana, Marie-Laure B. alcohol consumption by school-Going Adolescents in Madagascar : Prevalence and Associated Risk Factors. J AlcoholismDrug Depend.2013 ;2 :145.
12. Zengbé-Acray P, Ahoussou ÉMK, Ekou FK, Kouassi DP, Sablé PS, Oussou KR, et al. Alcohol consumption in urban areas among secondary school students in Côte d'Ivoire. Public Health. 2014;26(1):107–114.
13. Beck F, & Richard JB. Adolescent alcohol consumption. Archives of Pediatrics2014 ;21(5) :168-169.
14. Randriamihangy NA, Allaoui AB, Raveloson F, Raharimanana RN. Prevalence of smoking and profile of student smokers in Mahajanga I high schools in 2014 (Madagascar). European Scientific Journal. 2016 ; 12(23) : ISSN : 1857-7881.
15. Rakotomahefa NML, Rafalimanana ZHL, Andriantahiana TN, Raolijaona SR. Smoking among young people in schools in Antananarivo. Rev Malg Ped. 2020 ;3(2) :38-44 ;
16. Elotmanie FZ., Elbiaze M., Amara B., Serraj M., Benjelloun MC. Behaviors, attitudes, and knowledge of schoolchildren regarding smoking in the city of Fés.Respiratory Diseases Journal. 2015 ; 32 :137.
17. Randrianarivo RF, Ratobimanankasina HH, Rakotoarinelina B, Razafindrasara D, Rajaonarison BH, Raharivelo APrevalence and Social Determinants of Cannabis Use In the City of Mahajanga I.. International Journal of Progressive Sciences and Technologies (IJPSAT). 2023; 37(1):164-169.
18. Zarrouq Btissame. Epidemiological and Toxicological Profile of the Use of Psychoactive Substances and Suicidal Behaviors in Moroccan Adolescents,[Thesis] Maroc, 2015.
19. Gray KM, et Squeglia LM. Research review : what have welearned about adolescent substance use ? Jounal of Child Psychologiy and Psychiatry. 2018 ; 59(6) :618-627.
20. Zarrouq B, Bendaou B, El Asri A, Achour S, Rammouz I, Aalouane R, Lyoussi B, Khelafa S, Bout A, Berhili N, Hlal H, Najdi A, Nejjari C, and El Rhazi K. Psychoactive substances use and associated factors among middle and high school students in the North Center of Morocco: a cross-sectional questionnaire survey. BMC Public Health, 2016 ; 16 : 1-9.
21. Camara, PA, Yao, KM., Adou, KFJB., et al.Epidemiological approach to the consumption of alcoholic beverages in Ivory Coast. Rev. Ivoir. Sci. Technol, 2008 ;12 : 157-171.
22. M Lejoyeux. Psychopathological factors involved in addictionsIn Addiction. 2nd ed. Elsevier Masson.
23. Jamison B, Muula AS, Siziya S, Graham S, Rudatsikira E. Cigarette smoking among school-going adolescents in Lithuania: Results from the 2005 Global Youth Tobacco Survey. BMC Res Notes. 2010;3:130.
24. Gagnon V. Parental practices, deviant friendships, and problematic substance use in adolescence: moderating effects of depressive symptoms and gender. [Thesis] Canada, 2013.
25. Simplice NC, Petronille Z, Eric M, Frank K, Damus P, Parfait S et al. Alcohol consumption in urban areas among secondary school students in Côte d'Ivoire. Public Health. 2014 ;26 :107-114.
26. Camara A, Balde D, Sidibé S et al. Smoking and associated factors among middle school students in Dixinn, Guinea. Public health. 2015 ; 27(4) :585-591.
27. Van Tassel, Mike. Impact of anxiety, depression and hostility as components of psychological distress on the typology of alcohol and cannabis use in adolescents according to age and sex. [Thesis]University of Quebec in Chicoutimi? 2017.