Scholarlink

Background <p>Substance use is a pressing and rapidly escalating concern among university students, particularly in low-resource settings like Bangladesh where comprehensive data is scarce. This study was conducted with a sense of urgency to investigate the prevalence and determinants of substance use, as well as its associated health burdens, among university students in Bangladesh.</p> Methods <p>This was a rigorous cross-sectional study conducted from 26 May to 31 July 2025. A total of 509 students (mean age = 22.4 years) from four randomly selected public universities were recruited using a multistage random sampling technique. A comprehensive semi-structured questionnaire was used to collect data on socio-demographics, lifestyle factors, health indicators, and substance use. Binary logistic regression models were employed to identify determinants and assess associations with health outcomes, ensuring a thorough and reliable methodology.</p> Results <p>The current, past-year, and lifetime prevalence of substance use were 16.1% (95% CI: 12.9%–19.3%, 19.6% (95% CI: 16.2%–23.1%), and 25.1% (95% CI: 21.3%–28.9%), respectively, with higher rates among males compared to female students (20.0% vs. 6.7%). Seven determinants were identified in the logistic regression: (i) age ((aOR = 3.157; 95% CI: 1.136–8.774; <i>p</i> &lt; 0.05), (ii) family history of substance use (aOR = 5.834; 95% CI: 2.802–12.146; <i>p</i> &lt; 0.01), (iii) having substance-using friends (aOR = 2.199; 95% CI: 1.005–4.811; <i>p</i> &lt; 0.05), (iv) family income (aOR = 2.840 95% CI: 1.050–7.683; <i>p</i> &lt; 0.05), (v) physical inactivity (aOR = 0.184; 95% CI: 0.059–0.576; <i>p</i> &lt; 0.01) &amp; (aOR = 0.256; 95% CI: 0.099–0.661; <i>p</i> &lt; 0.01), (vi) eating habits (aOR = 3.703; 95% CI: 1.866–7.348;<i>p</i> &lt; 0.01), and (vii) sleep disturbances (aOR = 15.935; 95% CI: 6.410-39.614; <i>p</i> &lt; 0.01). Substance use was significantly associated with increased odds of poor self-rated health (aOR = 5.71; 95% CI: 1.29–25.29), hypertension (aOR = 2.95; 95% CI: 1.11–7.84), depression (aOR = 2.33; 95% CI: 1.06–5.14), and stress (aOR = 3.00; 95% CI: 1.29–6.94).</p> Conclusion <p>These findings have the potential to significantly shape public health policies and student-focused programs aimed at reducing substance use and its related health burdens. They underscore the need for targeted prevention, psychosocial support, and campus-based initiatives, thereby highlighting the practical relevance and importance of the research.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Assessing the prevalence, determinants, and health impact of substance use among university students in Bangladesh

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月8日

查看全文
  • Masom Mia,
  • Most. Rawnak Islam,
  • Mosharef Hossain,
  • Md. Saifur Rahman,
  • Tafajjal Islam,
  • Md. Muzahid Islam,
  • Zamira Atamuratova,
  • Valisher Sapayev Odilbek Uglu,
  • Kholbek Shermatov

摘要

Background

Substance use is a pressing and rapidly escalating concern among university students, particularly in low-resource settings like Bangladesh where comprehensive data is scarce. This study was conducted with a sense of urgency to investigate the prevalence and determinants of substance use, as well as its associated health burdens, among university students in Bangladesh.

Methods

This was a rigorous cross-sectional study conducted from 26 May to 31 July 2025. A total of 509 students (mean age = 22.4 years) from four randomly selected public universities were recruited using a multistage random sampling technique. A comprehensive semi-structured questionnaire was used to collect data on socio-demographics, lifestyle factors, health indicators, and substance use. Binary logistic regression models were employed to identify determinants and assess associations with health outcomes, ensuring a thorough and reliable methodology.

Results

The current, past-year, and lifetime prevalence of substance use were 16.1% (95% CI: 12.9%–19.3%, 19.6% (95% CI: 16.2%–23.1%), and 25.1% (95% CI: 21.3%–28.9%), respectively, with higher rates among males compared to female students (20.0% vs. 6.7%). Seven determinants were identified in the logistic regression: (i) age ((aOR = 3.157; 95% CI: 1.136–8.774; p < 0.05), (ii) family history of substance use (aOR = 5.834; 95% CI: 2.802–12.146; p < 0.01), (iii) having substance-using friends (aOR = 2.199; 95% CI: 1.005–4.811; p < 0.05), (iv) family income (aOR = 2.840 95% CI: 1.050–7.683; p < 0.05), (v) physical inactivity (aOR = 0.184; 95% CI: 0.059–0.576; p < 0.01) & (aOR = 0.256; 95% CI: 0.099–0.661; p < 0.01), (vi) eating habits (aOR = 3.703; 95% CI: 1.866–7.348;p < 0.01), and (vii) sleep disturbances (aOR = 15.935; 95% CI: 6.410-39.614; p < 0.01). Substance use was significantly associated with increased odds of poor self-rated health (aOR = 5.71; 95% CI: 1.29–25.29), hypertension (aOR = 2.95; 95% CI: 1.11–7.84), depression (aOR = 2.33; 95% CI: 1.06–5.14), and stress (aOR = 3.00; 95% CI: 1.29–6.94).

Conclusion

These findings have the potential to significantly shape public health policies and student-focused programs aimed at reducing substance use and its related health burdens. They underscore the need for targeted prevention, psychosocial support, and campus-based initiatives, thereby highlighting the practical relevance and importance of the research.