Evidence map›Paper›PMID 34739508›Full record

ArticlePloS one2021

A qualitative study to understand drivers of psychoactive substance use among Nepalese youth.

Tulsi Ram Bhandari, Bhushan Khatiwada, Bibika Rajbhandari, Amy Bestman, Sabuj Kanti Mistry, Binod Rayamajhee, Lal B Rawal, Uday Narayan Yadav

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tulsi Ram BhandariDepartment of Public Health, School of Health and Allied Sciences, Pokhara University, Pokhara, Nepal.
Bhushan KhatiwadaTorrens University, Pyrmont Campus, Sydney, Australia.
Bibika RajbhandariTorrens University, Pyrmont Campus, Sydney, Australia.
Amy BestmanThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Sabuj Kanti MistryCentre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia.
Binod RayamajheeSchool of Optometry and Vision Science, Faculty of Medicine and Health, UNSW, Sydney, Australia.
Lal B RawalSchool of Health Medical and Applied Sciences, Central Queensland University, Sydney, Australia.
Uday Narayan YadavTorrens University, Pyrmont Campus, Sydney, Australia.ORCID 0000-0002-6626-1604

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychoactive substance use among youth is an emerging public health issue in Nepal. This exploratory study aimed to better understand the drivers of psychoactive substance use among Nepalese youth in Rupandehi district of Nepal. MATERIALS AND

methodsThis study used a qualitative approach for data collection. Both in-depth interviews (IDI, seven participants) and focus group discussions (FGD, 13 participants) were conducted among study participants who self-reported as psychoactive substance users or had history of psychoactive substance use. Participants for IDI were aged between 11 and 24 years and between 18 and 35 years old for FGDs. Semi-structured interview guides were prepared separately for IDIs and FDGs. Interviews were conducted in Nepali language and were audio recorded, which were there transcribed and translated into English for coding and analyses. In addition, interviews notes were taken by two research assistants. An inductive thematic analysis was used to analyze the data.

resultsThis study identified a range of drivers of psychoactive substances use among Nepalese youths. Themes included (i) socio-cultural factors, (ii) individual factors, (iii) academic environment, (iv) physical environment and the (v) influence of media. The socio-cultural factors were categorized into sub-themes of family relationships, ethnic identity and psychoactive substance use and lack of social acceptance. Individual factors included peer pressure, stress relief and coping with financial challenges. Accessibility and availability of psychoactive substances in the surrounding environment and lack of monitoring and reinforcement of rules/ law and regulations were other drivers to psychoactive substance use among this Nepalese youth cohort.

conclusionOur study identified several important drivers of psychoactive substance use among youth in the Rupandehi district of Nepal. Future works are anticipated to further explore youth initiation and use of psychoactive substances and support the design of interventions that address these risk factors to reduce and prevent subsequent harms.

Indexed as

AdolescentAdultCentral Nervous System AgentsChildFemaleFocus GroupsHumansMaleNepalQualitative ResearchRisk FactorsSocial StatusSubstance-Related DisordersCentral Nervous System Agents

Identifiers

PMID34739508
PMCPMC8570474

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.