| Popis: |
Background: Substance uses were seen in 18-25 years old age groups who are more than 40% world population, from which Africa was the region with the highest proportion accounting 60% in 2016. on Sub-Saharan African countries on substance abuse showed that burden of substance abuse among adolescents was 41.6% with the highest in Central Africa (55.5%) followed by East Africa (48.99% and West Africa (38.3%). Currently, it is a neglected health problem in developing countries; even it mainly affects the younger and productive age groups. Methods: A three stage search strategy was conducted on PubMed/Medline, Science direct and African Online Journal and grey literature search was conducted on Google scholars up to ten pages. The Heterogeneity among the included studies was checked with forest plot, χ2 test, I2 test, and the p-values. Publication bias was checked with a funnel plot and objective diagnostic test was conducted with Egger's correlation, Begg's regression tests, and Trim and fill method. Result: The overall prevalence of psychoactive substance abuse was 30% (95% CI: 25, 36). The Subgroup analysis revealed that the lifetime prevalence of more than two substance abuse was 38% (95% CI: 30, 47) whereas the prevalence of Khat and cigarette smoking was 22% (95% CI: 17, 28) and 30% (95% CI: 24, 36) respectively. Conclusion: The review revealed that one third of the high school and higher education students used different psychoactive substance. Policy makers and other stakeholders should implement mitigating strategies to control the production, usage, advertisement on media, and distribution of psychoactive substances. Funding Statement: No funding was obtained from any organization. Declaration of Interests: The authors declare that there are no competing interests. Ethics Approval Statement: Ethical clearance and approval were obtained from the ethical review board of the College of Health Science and Medicine. |
