ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2021
Substance abuse among high school learners in a rural education district in the Free State province, South Africa.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- Exploring Peer Group and Cultural Influences on Substance Abuse Amongst School Learners in a Rural Community of Limpopo Province: A Qualitative Study.International journal of environmental research and public health · 2026Article
- Understanding adolescent substance abuse in a Northern Cape township: Educators' experiences and perceptions.Health SA = SA Gesondheid · 2026Article
- Perspectives on substance abuse among nursing students and educators in Eastern Cape, South Africa.Health SA = SA Gesondheid · 2026Article
- Supporting the wounded: Parents of adolescents recovering from substance use disorder.Health SA = SA Gesondheid · 2025Article
- Availability and access to long-term inpatient rehab centers in north Tshwane, Gauteng.Health SA = SA Gesondheid · 2025Article
- Substance Use among School-Going Adolescents and Young Adults in Rural Mpumalanga Province, South Africa.Behavioral sciences (Basel, Switzerland) · 2024Article
- The Impact of Drugs and Substance Abuse on Viral Pathogenesis-A South African Perspective.Viruses · 2024Review
- Substance use among students of two high schools in Yaoundé, Cameroon.The Pan African medical journal · 2024Article
- Review
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn South Africa, many studies conducted on substance abuse among in-school youth focus on urban areas. However, anecdotal evidence suggests that rural areas are experiencing an increase in substance abuse, though there is dearth of studies in these areas.
methodsThis study used a quantitative design to collect data from 629 high school learners who were in Grades 10 and 11 in public schools in rural Free State Province, to determine the prevalence of, and factors associated with substance use.
resultsThe sample consisted of 46% males and 54% females. Their ages ranged from 14 to 20 years, with a mean of 16.9 years. The prevalence of substance abuse was 47% (n = 295) with alcohol consumption, cigarette and dagga smoking being the most common substances used. Socio-demographically, age and gender were significantly associated with substance abuse. While behavioural variables of physical fights, serious problems with parents and friends, poor academic performance, trouble with police, having sex without condom, and having sex and regretted the next day were significantly associated with substance abuse (p = 0.05).
conclusionThe prevalence of substance abuse is very high for this rural school community, which highlights the need to pay attention to rural schools regarding substance abuse challenges.
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Registered trials
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