| dc.description.abstract | Background: Substance abuse, a global public health concern highlighted by WHO and UNODC, affects millions worldwide, including 5% with alcohol misuse disorders and 8 million tobacco-related deaths annually. Uganda, a low to mid-income country, faces a pressing issue, with 43.2% prevalence among young people; driven by poverty, peer influence, mental health, and limited awareness. Weak regulations and limited services exacerbate the problem. This study aims to fill the research gap by investigating substance abuse in Uganda, providing insights for evidence-based interventions and policies, aligning with the global health agenda (SDG 3, Target 5.1). Methods: This study investigates subsistence use disorder in Makerere University's School of Statistics and Planning undergraduates using a cross-sectional design with structured questionnaires. Data analysis includes univariate, bivariate, and multiple logistic regression. Ethical guidelines are followed, and limitations involve self-report bias and generalizability. The questionnaire is administered through various methods, designed using the Kobo Collect tool. Results: The majority of respondents (87%) are aged 20-25, with 65% being female, 82% single, and 89% Christian. Year of study is distributed, and income levels are balanced. Peer pressure affects 74%, and 71% have easy access to substances, while 77% have a strong support network, and 55% are employed. Importantly, 74% experienced stress or trauma, and 51% were diagnosed with a mental health disorder. Factors influencing substance abuse show that individuals above 25 have significantly higher odds (OR = 5.23) of substance abuse, as do those experiencing peer pressure (OR = 1.3) or diagnosed with a mental health disorder (OR = 14.57). Variables like gender, income, substance access, and employment status do not exhibit significant associations with substance abuse among undergraduate students. Conclusions: The study's findings suggest that age, peer pressure, and the presence of a mental health disorder are crucial factors influencing substance abuse among undergraduate students. These factors should be taken into consideration when developing intervention strategies and prevention programs for this demographic. Interestingly, gender, income level, access to substances, and employment status do not appear to be significant determinants of substance abuse in this context. | en_US |
