Knowledge, attitude, practice, and pattern of substance use among adolescents and young adults from Aligarh, India





Substance-Related Disorders, Addiction, Youth, Narcotics, School Health

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Original Article



Background: Substance use disorders are significant public health problem among adolescents and young adults. Aim & Objective: We did this study to observe knowledge, attitude, and practice of substance use among school and college going adolescents and young adults. Material & Methods: A cross-sectional study was conducted at 10 schools and colleges from Aligarh. A total of 1431 students were approached with study tools comprising of pre-structured proforma on knowledge, attitude, and practice. Results: We observed that most of the students (89%) had some knowledge about substance use. The risk-taking attitude was common even against drugs like cocaine and charas (30.6% and 29.1% respectively). A high prevalence of ever user and current user was observed (33.3% and 12.9% respectively). The mean age of starting the drug in students and their friends was 15.5 ±2.7 and 16.2 ±2.8 years respectively. Among the ever users, tobacco smoking (56.6) and alcohol (47.6%) were most common. Stress (57.9%) was most common reason to use drugs. Males and college students (40.6% and 41.2% respectively) were using it more. Conclusion: This study found half-baked knowledge, propensity towards a risk-taking attitude, and a substantial prevalence of substance use practices. Proper action and further researches are required to explore variables associated for reducing the prevalence.

How to Cite

Faizi N, Alvi Y, Saraswat A, Yasir M. Knowledge, attitude, practice, and pattern of substance use among adolescents and young adults from Aligarh, India. Indian J Community Health [Internet]. 2021 Dec. 31 [cited 2022 Aug. 19];33(4):615-20. Available from:


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American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.

Faizi N. Report of Drug Abuse Prevention Programme, Aligarh Muslim University, 2018-2019. PHRASE. Aligarh, India; 2019.

Roberts G. Youth and Drugs. In: Lloyd C, editor. World youth report 2003. New York: United Nations publication; 2004. [Accessed on 25/12/2021]. Available from:

Evans A, Bosworth K. Building Effective Drug Education Programs. Bloomington: Phi Delta Kappa International; 1998.

UNODC. World Drug Report 2018. Vienna, Austria: United Nations Office on Drugs and Crime; 2018. [Accessed on 25/12/2021]. Available from:

NIDA. Drugs and the Brain. In: Drugs, Brains, and Behavior: The Science of Addiction.[Internet]. Department of Health and Human Services; 2020. [Accessed on 25/12/2021]. Available from:

Faizi N, Azmi SA, Ahmad A, Shah MS. Assessment of psychological problems in schoolgoing adolescents of Aligarh. Industrial psychiatry journal. 2016;25(2):184.

El Kazdouh H, El-Ammari A, Bouftini S, El Fakir S, El Achhab Y. Adolescents, parents and teachers’ perceptions of risk and protective factors of substance use in Moroccan adolescents: a qualitative study. Substance abuse treatment, prevention, and policy. 2018;13(1):1–2.

Ministry of Social Justice and Empowerment. Implementation Framework Of National Action Plan For Drug Demand Reduction 2018-2023. New Delhi; [Accessed on 25/12/2021]. Available from: for NAPDDR.pdf

Ahmad A, Khalique N, Khan Z. Analysis of substance abuse in male adolescents. Iran J Pediatr. 2007;19(4):399–403.

UN. GAP Toolkit- Global Assessment Programme on Drug Abuse. United Nations International Drug Control Programme. Vienna, Austria: United Nation publication; 2003.

World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) Version for 2010. [Internet]. 2010. [Accessed on 25/12/2021]. Available from:

Narain R, Sardana S, Gupta S. Prevalence and risk factors associated with substance use in children: A questionnaire-based survey in two cities of Uttar Pradesh, India. Indian J Psychiatry. 2020;62:517–23.

Pattojoshi A, Tikka SK. School?based substance use disorder prevention in India: A brief appraisal. Indian J Psychiatry. 2020;62:427–30.

Bhad R, Jain R, Dhawan A, M M. Why do young people sniff? An exploratory study of adolescent inhalant abuse from north India.pdf. J Subst Use. 2016;21(5):527-529.

Benegal V, Bhushan K, Seshadri S, Karott M. Drug abuse among street children in Bangalore?: A project in Collaboration between NIMHANS, Bangalore and the Bangalore Forum for street and working children. NIMHANS; 1998. [Accessed on 25/12/2021]. Available from:

Sarangi L, Acharya HP, Panigrahi OP. Substance abuse among adolescents in urban slums of Sambalpur. Indian Journal of Community Medicine. 2008;33(4):265–7.

Ranjan DP, Namita CR, Chaturvedi RM. A study of prevalence of drug abuse in aged 15 years and above in the urban slum community of Mumbai. Indian J Prev Soc Med. 2010;41:117–26.

Bardhan T, Saikia AM, Baruah R. Factors influencing substance use among adolescent slum dwellers of Guwahati City, Assam. J Mahatma Gandhi Inst Med Sci. 2018;23:25–9.

Saxena V, Saxena Y, Kishore G, Kumar P. A study on substance abuse among school going male adolescents of Doiwala Block, District Dehradun. Indian J Public Health. 2010;54(4):197.

Loffredo CA, Boulos DN, Saleh DA, Jillson IA, Garas M, Loza N, et al. Substance use by Egyptian youth: current patterns and potential avenues for prevention. Substance use & misuse. 2015;50(5):6.

Gupta S, Sarpal SS, Kumar D, Kaur T, Arora S. Prevalence, pattern and familial effects of substance use among the male college students – a North Indian study. Journal of clinical and diagnostic research. 2013;7(8):1632.

National Family Health Survey. Fact sheets for key indicators based on final data India. International Institute for Population Sciences, Mumbai. Mumbai; 2016. [Accessed on 25/12/2021]. Available from:

Tikoo VK, Dhawan A, Pattanayak RD, Chopra A. Assessment of pattern, profile and correlates of substance use among children in India. National Commission for Protection of Child Rights (NCPCR). New Delhi; 2013.

Ambekar A, Agrawal A, Rao R, Mishra AK, Khandelwal SK, Chadda R. Magnitude of Substance Use in India- National Survey on Extent and Pattern of Substance Use in India. New Delhi: Ministry of Social Justice and Empowerment, Government of India; 2019.

Dhawan A, Pattanayak RD, Chopra A, Tikoo VK, Kumar R. Pattern and profile of children using substances in India: Insights and recommendations. National medical journal of India. 2007;30(4):22.

Kokiwar PR, Jogdand GS. Prevalence of substance use among male adolescents in an urban slum area of Karimnagar district, Andhra Pradesh. Indian J Public Health. 2011;55:42–5.