Socio-Ecological Factors of Adolescent Substance Use in Nigeria: A Systematic Review of Literature

Adolescent substance use is influenced by a multitude of socio-ecological factors ranging from intrapersonal to policy-related. We systematically searched electronic databases using variations and Boolean connections of substance use terms to identify literature on Nigerian adolescent substance use...

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Bibliographic Details
Published inJournal of health care for the poor and underserved Vol. 31; no. 4; pp. 1765 - 1784
Main Authors Jacobs, Wura, Amuta-Jimenez, Ann O, Olusanya, Olufunto A, Bristow, Alane Fajayan, Adeloye, Davies, Barry, Adam E
Format Journal Article
LanguageEnglish
Published United States Johns Hopkins University Press 2020
Subjects
Addictive behaviors
Adolescents
Age
Alcohol use
Behavior
Boolean algebra
Caffeine
Child development
Drug use
Ecological effects
Ecological models
Ecological studies
Ecology
Health behavior
Health care
Interpersonal factors
Literature reviews
Peers
Population
Public health
Reviews
Sexual behavior
Substance abuse
Substance use
Systematic review
Teenagers
Tobacco
Young adults
Nigeria
Africa
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Summary:Adolescent substance use is influenced by a multitude of socio-ecological factors ranging from intrapersonal to policy-related. We systematically searched electronic databases using variations and Boolean connections of substance use terms to identify literature on Nigerian adolescent substance use (alcohol, drugs, and tobacco). Using the social ecological model to organize findings from the review, we present the intrapersonal, interpersonal, institutional, community, and/or policy factors of substance use identified in the studies. Of the 13 studies reviewed, most examined only intrapersonal and interpersonal factors affecting Nigerian adolescent substance use, while none clearly examined the impact of other ecological levels (community and policy) on adolescent substance use. All the studies reviewed were cross-sectional, and none employed a sound theoretical framework to guide their inquiry. This review underscores the need for future theory-driven, longitudinal research that captures the dynamic nature of Nigerian adolescent substance use behaviors and other associated health-related behaviors, such as sexual behaviors and intentional/unintentional injuries.
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ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2020.0131