Drug Use among a Moroccan Sample of College Students
Main Article Content
Abstract
Introduction: the pressures that college students face and the sensitivity of their age put them at a significant risk of developing drug use-related problems.
Objective: this study aims to evaluate some of the associated factors with drug use behavior among a sample of Moroccan college students.
Method: the study included 1147 students (703 females and 444 males) with a mean age of 20 (SD = 2.6) who completed a sociodemographic questionnaire and the Arabic version of the Drug Use Disorders Identification Test (DUDIT).
Results: the results demonstrated that it identifies gender, alcohol consumption, smoking, gambling, and medication for depression, anxiety, and sleep problems as potential risk factors of drug use behavior.
Discussion and conclusions: more research is required on college students' drug use, and intervention strategies must be developed.
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References
Adouani, B., Moutaouakkil, Y., Elcadi, M. A., Eljaoudi, R., Yaakoubi, A. E., & Bousliman, Y. (2022). A Study of Addictive Behavior among University Students. Journal of Pharmaceutical Research International, 34(64), 31-39. https://doi.org/10.9734/JPRI/2022/v34i647291
Andrade, A. G. D., Duarte, P. D. C. A. V., Barroso, L. P., Nishimura, R., Alberghini, D. G., & Oliveira, L. G. D. (2012). Use of alcohol and other drugs among Brazilian college students: effects of gender and age. Revista Brasileira de Psiquiatria,34(3), 294-305. https://doi.org/10.1016/j.rbp.2012.02.002
Arria, A. M., Caldeira, K. M., Allen, H. K., Bugbee, B. A., Vincent, K. B., & O’Grady, K. E. (2017). Prevalence and incidence of drug use among college students: An 8-year longitudinal analysis. The American Journal of Drug and Alcohol Abuse, 43(6), 711-718. http://doi.org/10.1080/00952990.2017.1310219
Arria, A. M., Garnier-Dykstra, L. M., Caldeira, K. M., Vincent, K. B., Winick, E. R., & O’Grady, K. E. (2013). Drug Use Patterns and Continuous Enrollment in College: Results From a Longitudinal Study. Journal of Studies on Alcohol and Drugs, 74(1), 71-83. https://doi.org/10.15288/jsad.2013.74.71
Becker, J. B., McClellan, M. L., & Reed, B. G. (2016). Sex differences, gender and addiction. Journal of Neuroscience Research, 95(1-2), 136-147. https://doi.org/10.1002/jnr.23963
Berman, H. A., Bergman, H., Palmstierna, T., & Schlyter, F. (2004). Evaluation of the Drug Use Disorders Identification Test (DUDIT) in Criminal Justice and Detoxification Settings and in a Swedish Population Sample. European Addiction Research, 11(1), 22-31. https://doi.org/10.1159/000081413
Bischof, A., Meyer, C., Bischof, G., Kastirke, N., John, U., & Rumpf, H. J. (2013). Comorbid Axis I-disorders among subjects with pathological, problem, or at-risk gambling recruited from the general population in Germany: Results of the PAGE study. Psychiatry Research, 210(3), 1065-1070. https://doi.org/10.1016/j.psychres.2013.07.026
Borges, G., Benjet, C., Orozco, R., & Medina-Mora, M. E. (2018). A longitudinal study of reciprocal risk between mental and substance use disorders among Mexican youth. Journal of Psychiatric Research, 105, 45-53. https://doi.org/10.1016/j.jpsychires.2018.08.014
Caamaño-Isorna, F., Mota, N., Crego, A., Corral, M., Rodríguez Holguín, S., & Cadaveira, F. (2011). Consumption of medicines, alcohol, tobacco and cannabis among university students: a 2-year follow-up. International Journal of Public Health, 56, 247-252. https://doi.org/10.1007/s00038-010-0204-x
Carliner, H., Mauro, P. M., Brown, Q. L., Shmulewitz, D., Rahim-Juwel, R., Sarvet, A. L., Wall, M., Martins, S., Carliner, G., & Hasin, D. S. (2017). The widening gender gap in marijuana use prevalence in the U.S. during a period of economic change, 2002–2014. Drug and Alcohol Dependence, 170, 51-58. https://doi.org/10.1016/j.drugalcdep.2016.10.042
Chelieh, M. L., Kadhum, M., Lewis, T., Molodynski, A., Abouqal, R., Belayachi, J., & Bhugra, D. (2019). Mental health and wellbeing among Moroccan medical students: a descriptive study. International Review of Psychiatry, 31(7-8), 608-612. https://doi.org/10.1080/09540261.2019.1675276
Choi, J. (2020). Impact of Stress Levels on Eating Behaviors among College Students. Nutrients,12(5), 1241. https://doi.org/10.3390/nu12051241
Conway, K. P., Swendsen, J., Husky, M. M., He, J. P., & Merikangas, K. R. (2016). Association of Lifetime Mental Disorders and Subsequent Alcohol and Illicit Drug Use: Results From the National Comorbidity Survey–Adolescent Supplement. Journal of the American Academy of Child & Adolescent Psychiatry, 55(4), 280-288. https://doi.org/10.1016/j.jaac.2016.01.006
Daly, C., Griffin, E., Corcoran, P., Webb, R. T., Ashcroft, D. M., Perry, I. J., & Arensman, E. (2020). A national case fatality study of drugs taken in intentional overdose. International Journal of Drug Policy,76, 102609. https://doi.org/10.1016/j.drugpo.2019.102609
Degenhardt, L., Charlson, F., Ferrari, A., Santomauro, D., Erskine, H., Mantilla-Herrara, A., Whiteford, H., Leung, J., Naghavi, M., Griswold, M., Rehm, J., Hall, W., Sartorius, B., Scott, J., Vollset, S., Knudsen, A., Haro, J., Patton, G., Kopec, J., Carvalho Malta, D., Topor-Madry, R., McGrath, J., Haagsma, J., Allebeck, P., Phillips, M., Salomon, J., Hay, S., Foreman, K., Lim, S., Mokdad, A., Smith, M., Gakidou, E., Murray, C., & Vos, T. (2018). The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Psychiatry, 5(12), 987-1012. https://doi.org/10.1016/S2215-0366(18)30337-7
Delgado-Lobete, L., Montes-Montes, R., Vila-Paz, A., Cruz-Valiño, J. M., Gándara-Gafo, B., Talavera-Valverde, M. Á., & Santos-del-Riego, S. (2020). Individual and Environmental Factors Associated with Tobacco Smoking, Alcohol Abuse and Illegal Drug Consumption in University Students: A Mediating Analysis. International Journal of Environmental Research and Public Health, 17(9), 3019. https://doi.org/10.3390/ijerph17093019
El Omari, F., & Toufiq, J. (2015). The Mediterranean School Survey Project on Alcohol and Other Drugs in Morocco. Addicta: The Turkish Journal on Addictions, 2(1), 30-39. https://doi.org/10.15805/addicta.2015.2.1.033
El Omari, F., Salomonsen-Sautel, S., Hoffenberg, A., Anderson, T., Hopfer, C., & Toufiq, J. (2015). Prevalence of substance use among Moroccan adolescents and association with academic achievement. World Journal of Psychiatry, 5(4), 425-431. https://doi.org/10.5498/wjp.v5.i4.425
Farrell, S., Manning, W. G., & Finch, M. D. (2003). Alcohol dependence and the price of alcoholic beverages. Journal of Health Economics, 22(1), 117-147. https://doi.org/10.1016/S0167-6296(02)00099-1
Fearn, N. E., Vaughn, M. G., Nelson, E. J., Salas-Wright, C. P., DeLisi, M., & Qian, Z. (2016). Trends and correlates of substance use disorders among probationers and parolees in the United States 2002–2014. Drug and Alcohol Dependence, 167, 128-139. https://doi.org/10.1016/j.drugalcdep.2016.08.003
Herouach, S., & el Bahraoui, H. (2020). Modernity and Morocco: Gender Smoking as a Modernity Sub-youth Culture Aspect, Fez as a Case Study. Open Political Science, 3(1), 128-156. https://doi.org/10.1515/openps-2020-0011
Hildebrand, M., & Noteborn, M. G. C. (2015). Exploration of the (Interrater) Reliability and Latent Factor Structure of the Alcohol Use Disorders Identification Test (AUDIT) and the Drug Use Disorders Identification Test (DUDIT) in a Sample of Dutch Probationers. Substance Use & Misuse, 50(10), 1294-1306. https://doi.org/10.3109/10826084.2014.998238
Humensky, J. L. (2010). Are adolescents with high socioeconomic status more likely to engage in alcohol and illicit drug use in early adulthood? Substance Abuse Treatment, Prevention, and Policy, 5(1). https://doi.org/10.1186/1747-597X-5-19
Hunt, J., & Eisenberg, D. (2010). Mental Health Problems and Help-Seeking Behavior among College Students. Journal of Adolescent Health, 46(1), 3-10. https://doi.org/10.1016/j.jadohealth.2009.08.008
Jaouahir, I., Azzaoui, F. Z., Ahami, A., & Faid, M. (2015). Academic Outcomes and Drug Addiction Among Young Moroccan Students. European Psychiatry, 30(S1), 28-31. https://doi.org/10.1016/S0924-9338(15)31980-5
Jules, M. A., Noh, S., Hamilton, H., Brands, B., Gastaldo, D., Miotto, M. D. G., Cumsille, F., & Khenti, A. (2015). Spirituality, gender, and drug use among students from one University in Barbados. Texto & Contexto-Enfermagem, 24(spe), 117-124. https://doi.org/10.1590/0104-07072015001140014
Kandel, D., & Kandel, E. (2014). The Gateway Hypothesis of substance abuse: developmental, biological and societal perspectives. Acta Paediatrica, 104(2), 130-137. https://doi.org/10.1111/apa.12851
LaBrie, J. W., Hummer, J. F., & Pedersen, E. R. (2007). Reasons for Drinking in the College Student Context: The Differential Role and Risk of the Social Motivator. Journal of Studies on Alcohol and Drugs, 68(3), 393-398. https://doi.org/10.15288/jsad.2007.68.393
Landheim, A. S., Bakken, K., & Vaglum, P. (2006). Impact of comorbid psychiatric disorders on the outcome of substance abusers: a six year prospective follow-up in two Norwegian counties. BMC Psychiatry, 6(1), 1-11. http://dx.doi.org/10.1186/1471-244X-6-44
Lee, J. O., Hill, K. G., Hartigan, L. A., Boden, J. M., Guttmannova, K., Kosterman, R., Bailey, J. A., & Catalano, R. F. (2015). Unemployment and substance use problems among young adults: Does childhood low socioeconomic status exacerbate the effect? Social Science & Medicine, 143, 36-44. https://doi.org/10.1016/j.socscimed.2015.08.016
Lobmaier, P. P. K., Berman, A. H., Gossop, M., & Ravndal, E. (2013). Substance use and problem awareness among drug-involved prisoners in Norway. Journal of Substance Use, 18(3), 211-220. https://doi.org/10.3109/14659891.2012.661022
Martin, L., Viljoen, M., Kidd, M., & Seedat, S. (2014). Are childhood trauma exposures predictive of anxiety sensitivity in school attending youth? Journal of Affective Disorders, 168, 5-12. https://doi.org/10.1016/j.jad.2014.06.035
Matuszka, B., Bácskai, E., Berman, A. H., Czobor, P., Sinadinovic, K., & Gerevich, J. (2014). Psychometric Characteristics of the Drug Use Disorders Identification Test (DUDIT) and the Drug Use Disorders Identification Test-Extended (DUDIT-E) Among Young Drug Users in Hungary. International Journal of Behavioral Medicine, 21(3), 547-555. https://doi.org/10.1007/s12529-013-9336-8
McHugh, R. K., Votaw, V. R., Sugarman, D. E., & Greenfield, S. F. (2018). Sex and gender differences in substance use disorders. Clinical Psychology Review, 66, 12-23. https://doi.org/10.1016/j.cpr.2017.10.012
Melchior, M., Chollet, A., Elidemir, G., Galéra, C., & Younès, N. (2015). Unemployment and Substance Use in Young Adults: Does Educational Attainment Modify the Association? European Addiction Research, 21(3), 115-123. https://doi.org/10.1159/000365887
Nesvåg, R., Lange, E. H., Færden, A., Barrett, E. A., Emilsson, B., Ringen, P. A., Andreassen O. A., Melle, I., & Agartz, I. (2010). The use of screening instruments for detecting alcohol and other drug use disorders in first-episode psychosis. Psychiatry Research,177(1-2), 228-234. https://doi.org/10.1016/j.psychres.2010.01.007
Newton-Howes, G., & Boden, J. M. (2016). Relation between age of first drinking and mental health and alcohol and drug disorders in adulthood: evidence from a 35-year cohort study. Addiction, 111(4), 637-644. https://doi.org/10.1111/add.13230
Observatoire National des Drogues et Addictions [ONDA]. (2014). Annual Report. Morocco. Recuperado de https://www.euda.europa.eu/drugs-library/annual-report-2014-national-observatory-drugs-and-addiction-morocco_en
Pedrelli, P., Nyer, M., Yeung, A., Zulauf, C., & Wilens, T. (2015). College Students: Mental Health Problems and Treatment Considerations. Academic Psychiatry, 39(5), 503-511. https://doi.org/10.1007/s40596-014-0205-9
Peters, E. N., Nordeck, C., Zanetti, G., O’Grady, K. E., Serpelloni, G., Rimondo, C., Blanco, C., Welsh, C., & Schwartz, R. P. (2015). Relationship of gambling with tobacco, alcohol, and illicit drug use among adolescents in the USA: Review of the literature 2000–2014. The American Journal on Addictions, 24(3), 206-216. https://doi.org/10.1111/ajad.12214
Potenza, M. N. (2013). Neurobiology of gambling behaviors. Current Opinion in Neurobiology, 23(4), 660-667. https://doi.org/10.1016/j.conb.2013.03.004
Roehrs, T. A., & Roth, T. (2015). Sleep Disturbance in Substance Use Disorders. Psychiatric Clinics of North America, 38(4), 793-803. https://doi.org/10.1016/j.psc.2015.07.008
Sfendla, A., Zouini, B., Lemrani, D., Berman, A. H., Senhaji, M., & Kerekes, N. (2017). Psychometric Properties of the Arabic Version of the Drug Use Disorders Identification Test (DUDIT) in Clinical, Prison Inmate, and Student Samples. International Journal of Behavioral Medicine, 24(2), 280-287. https://doi.org/10.1007/s12529-016-9623-2
Skidmore, C. R., Kaufman, E. A., & Crowell, S. E. (2016). Substance Use Among College Students. Child and Adolescent Psychiatric Clinics of North America, 25(4), 735-753. https://doi.org/10.1016/j.chc.2016.06.004
Strong, C., Juon, H. S., & Ensminger, M. E. (2016). Effect of Adolescent Cigarette Smoking on Adulthood Substance Use and Abuse: The Mediating Role of Educational Attainment. Substance Use & Misuse, 51(2), 141-154. https://doi.org/10.3109/10826084.2015.1073323
Tang, J., Liao, Y., He, H., Deng, Q., Zhang, G., Qi, C., Cui, H., Jiao, B., Yang, M., Feng, Z., Chen, X., Hao, W., & Liu, T. (2015). Sleeping problems in Chinese illicit drug dependent subjects. BMC Psychiatry, 15(1). https://doi.org/10.1186/s12888-015-0409-x
Uhl, G. R., Koob, G. F., & Cable, J. (2019). The neurobiology of addiction. Annals of the New York Academy of Sciences, 1451(1), 5-28. https://doi.org/10.1111/nyas.13989
United Nations Office on Drugs and Crime [UNODC]. (2015). World Drug Report. United Nations. Recuperado de https://www.unodc.org/documents/wdr2015/World_Drug_Report_2015.pdf
United States Department of Health and Human Services. (2021). Substance Use and Co-Occurring Mental Disorders. National Institute of Mental Health [NIMH]. Recuperado de https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health
Voluse, A. C., Gioia, C. J., Sobell, L. C., Dum, M., Sobell, M. B., & Simco, E. R. (2012). Psychometric properties of the Drug Use Disorders Identification Test (DUDIT) with substance abusers in outpatient and residential treatment. Addictive Behaviors, 37(1), 36-41. https://doi.org/10.1016/j.addbeh.2011.07.030
Walters, K. S., Bulmer, S. M., Troiano, P. F., Obiaka, U., & Bonhomme, R. (2018). Substance Use, Anxiety, and Depressive Symptoms Among College Students. Journal of Child & Adolescent Substance Abuse, 27(2), 103-111. https://doi.org/10.1080/1067828X.2017.1420507
Wang, Y., Wang, X., Wang, X., Guo, X., Yuan, L., Gao, Y., & Pan, B. (2023). Stressors in university life and anxiety symptoms among international students: a sequential mediation model. BMC Psychiatry, 23(1), 556. https://doi.org/10.1186/s12888-023-05046-7
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191-2194. https://doi.org/10.1001/jama.2013.281053
Yang, W., Singla, R., Maheshwari, O., Fontaine, C. J., & Gil-Mohapel, J. (2022). Alcohol Use Disorder: Neurobiology and Therapeutics. Biomedicines, 10(5), 1192. https://doi.org/10.3390/biomedicines10051192