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. 2021 Aug 23;63(1):e1-e6.
doi: 10.4102/safp.v63i1.5302.

Substance abuse among high school learners in a rural education district in the Free State province, South Africa

Kebogile E Mokwena  1 , Nomkanka J Setshego
Affiliations

Substance abuse among high school learners in a rural education district in the Free State province, South Africa

Kebogile E Mokwena et al. S Afr Fam Pract (2004). .

Abstract

Background: In South Africa, many studies conducted on substance abuse among in-school youth focus on urban areas. However, anecdotal evidence suggests that rural areas are experiencing an increase in substance abuse, though there is dearth of studies in these areas.

Methods: This study used a quantitative design to collect data from 629 high school learners who were in Grades 10 and 11 in public schools in rural Free State Province, to determine the prevalence of, and factors associated with substance use.

Results: The sample consisted of 46% males and 54% females. Their ages ranged from 14 to 20 years, with a mean of 16.9 years. The prevalence of substance abuse was 47% (n = 295) with alcohol consumption, cigarette and dagga smoking being the most common substances used. Socio-demographically, age and gender were significantly associated with substance abuse. While behavioural variables of physical fights, serious problems with parents and friends, poor academic performance, trouble with police, having sex without condom, and having sex and regretted the next day were significantly associated with substance abuse (p = 0.05).

Conclusion: The prevalence of substance abuse is very high for this rural school community, which highlights the need to pay attention to rural schools regarding substance abuse challenges.

Keywords: Free State province; South Africa; high school; rural area; substance abuse.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

References

    1. Myers B, Fakier N, Louw J. Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities. Afr J Psychiatry. 2009;12(3):218–222. 10.4314/ajpsy.v12i3.48497 - DOI - PubMed
    1. Manu E, Maluleke XT, Douglas M. Knowledge of high school learners regarding substance use within high school premises in the Buffalo Flats of East London, Eastern Cape province, South Africa. J Child Adolesc Subst Abuse. 2017;26(1):1–10. 10.1080/1067828X.2016.1175984 - DOI
    1. Warren JC, Smalley KB, Barefoot KN. Recent alcohol, tobacco, and substance use variations between rural and urban middle and high school students. J Child Adolesc Subst Abuse. 2017;26(1):60–65. 10.1080/1067828X.2016.1210550 - DOI - PMC - PubMed
    1. Tshitangano TG, Tosin OH. Substance use amongst secondary school students in a rural setting in South Africa: Prevalence and possible contributing factors. Afr J Prim Health Care Fam Med. 2016;8(2):a934. 10.4102/phcfm.v8i2.934 - DOI - PMC - PubMed
    1. Peer N, Bradshaw D, Laubscher R, Steyn N, Steyn K. Urban–rural and gender differences in tobacco and alcohol use, diet and physical activity among young black South Africans between 1998 and 2003. Glob Health Action. 2013;6(1):19216. 10.3402/gha.v6i0.19216 - DOI - PMC - PubMed

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