Substance use among medical students: time to reignite the debate?

BACKGROUND: Substance use among medical students could impact on the conduct, safety and efficiency of future doctors. Despite serious medicolegal, ethical and political ramifications, there is little research on the subject, especially from the Indian subcontinent. We aimed to explore the patterns of substance use among a sample of medical students from the Indian subcontinent. METHODS: An opportunistic, cross-sectional survey of medical students from 76 medical schools attending an inter-medical school festival. A brief self-reported questionnaire was used to identify current and lifetime use of tobacco, alcohol, cannabis, heroin and non-prescription drugs. Multivariable logistic regression analysis was used to identify factors associated with illicit substance use. RESULTS: Responses from 2135 medical students were analysed. Current alcohol and tobacco (chewable or smoked) use was reported by 7.1% and 6.1% of the respondents, respectively. Lifetime use of illicit substances was reported by 143 (6.7%) respondents. Use of illicit substances was strongly associated with use of tobacco, alcohol and non-prescription drugs. CONCLUSION: This study provides a snapshot of the problem of substance use among medical students from the Indian subcontinent. The reported prevalence of alcohol and illicit substance use in our sample was lower, while tobacco use was similar, when compared with data from western studies. Further research is needed from the Indian subcontinent to study nationwide patterns of substance use among medical students, and to identify important determinants and reinforce protective factors. Strategies need to be developed for supporting students with a substance use problem.

Pattern of tobacco use among school children in National Capital Territory (NCT).

OBJECTIVE: To study the prevalence, consumption patterns and correlates of tobacco use among adolescent SZI children in Government schools in the National Capital territory of Delhi. METHODS: Thirty schools in National Capital Territory (NCT) of Delhi, India, were selected by two stage cluster random design and population proportionate to size sampling (PPS) methodology. A sample of 3,422 children in the age group of 10-18 years studying in the 30 middle and senior secondary Government schools in NCT of Delhi were studied. Each student was administered a pre-tested, semi-structured questionnaire. RESULTS: Overall 9.8% of the study children had at least once experimented with any form of tobacco in their lifetime. The proportion of children who were current users of tobacco products was 5.4% (boys: 4.6%, Girls: 0.8%). Current users differed from abstainers in location of their schools, category of school, class, gender, hobbies, not having friends, having tobacco users in family and school etc. CONCLUSION: Consumption of tobacco amongst adolescents is an emerging health problem in Delhi. A number of variables seem to differentiate between the current users and abstainers. Tobacco use in family and school environment is a mutable factor that should be focused in tobacco reduction campaigns. Encouraging friendship has a protective influence. There is a need for similar studies in other metropolitan cities of the country.

Tobacco consumption and awareness of their health hazards amongst lower income group school children in National Capital Territory of Delhi.

Consumption of tobacco is a complex and multidimensional problem faced by the country. It is the main culprit behind oral cancer. The present study was undertaken to assess the prevalence of consumption of tobacco amongst adolescent school children of low-income group in National Capital Territory (NCT) of Delhi and to study the perception of the children regarding the health hazards of tobacco. A cross-sectional study was conducted amongst 3,422 children in the age group of 10-18 years studying in government schools in NCT of Delhi. About 9.8% of the study children had at least once experimented with any form of tobacco in their lifetime. The proportion of children who were "current users" of tobacco products was 5.4% (boys: 4.6%, Girls: 0.8%). Nearly eighty percent of the study subjects knew that, tobacco consumption is injurious to health. The parents of 59% of the children discussed the harmful effects of tobacco consumption with their children.