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Risk Factors for Narcotic Use in Street Children

A Cross-Sectional Analysis From a Low-Middle-Income Country

Bibliographic Data

ID13775209
AuthorsAnum Waheed (0009-0000-5911-0819, Health Services Academy, Islamabad, Pakistan, corresponding author), Mariyam Sarfraz (0000-0002-0817-4879, Health Services Academy, Islamabad, Pakistan), Amna Mahfooz (0009-0008-0582-2472, Centre for Global Public Health, Islamabad, Pakistan), Tahira Reza (0000-0001-7935-0350, Centre for Global Public Health, Islamabad, Pakistan), Faran Emmanuel (0000-0002-7901-0257, University of Manitoba, Winnipeg, MB, Canada)
Year2025
Volume62
Pages469580251324047-469580251324047
Publication date2025-03-12
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580251324047
PMID40071610
OpenAlexW4408369189
LanguageEN
Citations received1
References cited21

Worldwide, indulgence in high-risk behaviors such as substance abuse is on the rise in street children. Though substance abuse among street children has been investigated and reported in Pakistan, few studies have explored the relationship between narcotic use and its associated factors. This study was conducted to determine factors associated with narcotic use among street children in Islamabad Capital Territory. An analytical cross-sectional survey of a probability-based sample of 443 (males) street children aged 12 to 18 years, was conducted in Islamabad in March 2022. Using self-reported measures, the relationship between narcotic use and associated factors was determined using multivariate regression analysis. Out of 443 street children, with a mean age of 16.3 ± 1.6 years, 244 (55%) were between 17 and 18 years old. 119 (26.9%) worked as garbage collectors and 76 (17.2%) worked as car washers. The most common substance used was cigarettes in 285 (64.3%), naswaar in 172 (38.8%), hashish in 144 (32.5%), and alcohol in 63 (14.2%) street children. There were 164 (37%) street children who admitted having used narcotics (hashish, heroin, and bhang). On multivariate analysis, age > 16 years (OR: 2.3), sleeping on the streets (OR: 2.4), higher monthly income > Rs.18,000 (OR: 1.6), use of drugs by friends (OR: 5), and involvement in the selling of drugs (OR: 10.3) were independently associated with narcotic use. Substance abuse is a concerning trend among street children in Islamabad. When certain high-risk factors are present, these children are prone to narcotic use

Cannabis · Capital city · Cross-sectional study · Drug · Environmental health · Geography · Hashish · Heroin · Logistic regression · Multivariate analysis · Narcotic · Psychiatry · Sociology · Substance abuse · Cannabis and Cannabinoid Research · Demography · Homelessness and Social Issues · Internal Medicine · Medicine · Migration, Health and Trauma

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    Open Access•Jai K Das, Rehana A Salam et al.•Journal of Adolescent Health•2016

  • Personality and Coping

    Charles S Carver, Jennifer Connor-Smith et al.•Annual Review of Psychology•2010

  • Risk and protective factors of drug abuse among adolescents

    Open Access•Azmawati Mohammed Nawi, Rozmi İsmail et al.•BMC Public Health•2021

  • The association between alcohol, marijuana, illegal drug use and current use of E-cigarette among youth and young adults in Canada

    Open Access•Vrati M Mehra, Asvini Keethakumar et al.•BMC Public Health•2019

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    Open Access•William W Latimer, William Latimer et al.•Revista Panamericana de Salud…•2004

  • Drug Use, Street Survival, and Risk Behaviors Among Street Children in Lahore, Pakistan

    Susan S Sherman•Journal of Urban Health•2005

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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