Drug abuse among street children

Yahya Muhammed Bah


In The Gambia like all nations, drug abuse is seen as a social and health problem that has many serious implications for the physical, social, psychological and intellectual development of the victims more especially, the children. Therefore, it continues to be a concern to families, community leaders, educators, social workers, health care professionals, academics, government and its development partners. Though there some studies on drug abuse, there is none on children and drug abuse focusing on the street children the most vulnerable category. Street children are hypothesized to be more at risk of any epidemic including drug abuse. This study sought to determine the risk and prevalence of drug abuse among street children focusing on those in the car parks. The research was focused on six critical areas: level of knowledge of drug abuse, perception towards it, level of knowledge of the causes of it in the community and among street children, level of knowledge of negative impacts of it, level of knowledge of the preventive methods; and level of knowledge of the support services and treatments needed by victims. A structured questionnaire was used to collect the data from thirty five participants (i.e. one driver and six casual apprentices from each of the five car parks) were interviewed. The data was presented and analysed using tables and percentage. The findings revealed among other things, that there is high level of awareness of drug abuse but the feelings towards it is mixed. Like other children, street children are abusing drugs mainly due to peer influence with the ultimate objective of getting high to relief stress, group recognition, trusted by peers, etc. Similarly, participants are highly aware of the negative impacts encompassing fighting, stealing, mental illness, etc. To finance the behaviour, victims are engaged in all types of dangerous antisocial behaviour including romantic ones exposing them to a range of diseases including STIs and HIV/AIDS. Marijuana is the most commonly abused drug. Though in the minority, some have started experimenting cocaine/coke, hashish; and heroin. While participants have good knowledge of the critical methods to fight drug abuse, the support services needed by victims, victims are mostly reluctant to seek the services not only because they are hard to find but fear societal stigmatization, exclusion and discrimination and professionals’ maltreatments.


drugs, abuse, street children, casual van apprentice; and commercial van driver


Abhay, M. et al. (2007). Substance abuse among street children in Mumbai. Retrieved from https://www.researchgate.net/publication/258224902_Substance_abuse_among_street_children_in_Mumbai

Adebiyi, A. O. et al., (2008). Relationships as determinants of substance use amongst street children in a local government area in south-western Nigeria

Alhyas, L. et al., (2015). Adolescents’ perception of substance use and factors influencing its use: a qualitative study in Abu Dhabi. Retrieved from http://journals.sagepub.com/doi/pdf/10.1177/2054270414567167

Aliiaskarov, B. et al., (2013). The social learning and social control determinants of alcohol use among youth in Kyrgyzstan. Retrieved from https://www.tandfonline.com/doi/abs/10.3109/09687637.2013.860515

Anderson, Z. (2004). An investigation into the problems associated with substance use in a developing country – The Gambia, West Africa. Retrieved from http://www.cph.org.uk/wp-content/uploads/2012/08/substance-use-in-a-developing-country--the-gambia-west-africa.pdf

Avci, D. et al., (2017). The Prevalence of Substance Use among Adolescents Participating in Apprenticeship Training, Relationship between Anger Level–Anger Expression and Addiction Severity. Retrieved from https://www.researchgate.net/publication/312203215_The_Prevalence_of_Substance_Use_among_Adolescents_Participating_in_Apprenticeship_Training_Relationship_between_Anger_Level-Anger_Expression_and_Addiction_Severity

Blas E, et al. (Eds.) (2010). World Health Organization: Equity, Social Determinants and Public Health Programmes. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/44289/9789241563970_eng.pdf;jsessionid=D08327BAD26DF72279CA2833A95A3679?sequence=1

Borras, L. et al., (2010). The Relationship Between Addiction and Religion and its Possible Implication for Care. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21039108

Boys, A. et al., (2001). Understanding reasons for drug use amongst young people: a functional perspective. Retrieved from https://academic.oup.com/her/article/16/4/457/558793

Bryan, A. et al., (2000). Drug-Related Knowledge, Attitudes and Beliefs in Ireland: Report of a Nation-Wide Survey. Dublin: The Health Research Board. Retrieved from http://www.drugs.ie/resourcesfiles/research/2000/852-1614.pdf

Buhler, A. et al., (2008). The role of life skills promotion in substance abuse prevention: a mediation analysis. Retrieved from https://academic.oup.com/her/article/23/4/621/586963

Chie, Q.T. et al., (2015). Drug abuse, relapse, and prevention education in Malaysia: perspective of university students through a mixed methods approach. Front. Psychiatry 6:65. doi: 10.3389/fpsyt.2015.00065. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyt.2015.00065/full

Cumber, S. M., et al., (2015). The health profile of street children in Africa: a literature review. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349275/pdf/jphia-2015-2-566.pdf

Das, J. K. et al. (2016). Interventions for Adolescent Substance Abuse: An Overview of Systematic Reviews. The Journal of Adolescent Health 59.4 Suppl (2016): S61–S75. PMC. Web. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026681/pdf/main.pdf

DARA, (n.d.). Thailand Drug and Alcohol Rehab in Thailand. Retrieved from http://alcoholrehab.com/drug-addiction/sexual-exploitation-and-substance-abuse/

Drug Law Enforcement Agency the Gambia (DLEAG) (2017). Drug Abuse Situation in The Gambia. Retrieved from http://www.dleag-gambia.org/en/article/drug-abuse-situation-gambia

Dumbili, E. W. (2015). A review of substance use among secondary school students in Nigeria: Implications for policies. Retrieved from https://www.tandfonline.com/doi/full/10.3109/09687637.2015.1041455?scroll=top&needAccess=true

DW Made for Mind (2013). Illegal drug use on the rise in Africa. Retrieved from http://www.dw.com/en/illegal-drug-use-on-the-rise-in-africa/a-16614023

Embleton, L. et al., (2013). The epidemiology of substance use among street children in resource-constrained settings: a systematic review and meta-analysis. Addiction (Abingdon, England), 108(10), 10.1111/add.12252. http://doi.org/10.1111/add.12252. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3776018/pdf/nihms494595.pdf

Filho, F. E.A. et al., (2015). Perceptions of adolescent students about drugs. Rev Bras Enferm. 2015; 68(4):457-63. DOI: http://dx.doi.org/10.1590/0034-7167.2015680320i. Retrieved from http://www.scielo.br/pdf/reben/v68n3/en_0034-7167-reben-68-03-0517.pdf

Gomez, R. et al., (2010). Factors associated with substance use among homeless young adults. Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse, 31(1), 24–34. http://doi.org/10.1080/08897070903442566. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856116/pdf/nihms-168214.pdf

Gossop, M. et al., (2001). Health care professionals referred for treatment of alcohol and drug problems, Alcohol and Alcoholism, Volume 36, Issue 2, 1 March 2001, Pages 160–164, https://doi.org/10.1093/alcalc/36.2.160. Retrieved from https://academic.oup.com/alcalc/article/36/2/160/278554

Healthy Nightlife Toolbox - Info sheet, (2016). Responding to drug and alcohol use and related problems in nightlife settings. Retrieved from http://www.hntinfo.eu/sites/hntinfo.eu/files/AF1454-Infosheet_April_2016def_Web.pdf

Heckman, C.J. et al., (2012). Substance-Related Knowledge, Attitude, and Behavior among College Students: Opportunities for Health Education. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268229/

Hemovich, V. et al., (2011). Understanding early-onset drug and alcohol outcomes among youth: the role of family structure, social factors, and interpersonal perceptions of use. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21491334

Integrated Regional Information Networks (IRIN) (2009). Street children persist despite crackdown. Retrieved from http://www.irinnews.org/report/84713/gambia-street-children-persist-despite-crackdown

Islam, F. et al., (2014). Substance Abuse amongst the Street-children in Guwahati City, Assam. Annals of Medical and Health Sciences Research, 4(Suppl 3), S233–S238. http://doi.org/10.4103/2141-9248.141965. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212383/

Kalebka, R.R. et al., (2013). A survey of attitudes towards patient substance abuse and addiction in the Emergency Centre. Retrieved from https://www.sciencedirect.com/science/article/pii/S2211419X12001188

Kelly, S. M. et al., (2010). The relationship of social support to treatment entry and engagement: The Community Assessment Inventory. Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse, 31(1), 43–52. http://doi.org/10.1080/08897070903442640. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856126/pdf/nihms168216.pdf

Kingston, S. et al., (2017). A Qualitative Study of the Context of Child and Adolescent Substance Use Initiation and Patterns of Use in the First Year for Early and Later Initiators. PLoS ONE 12(1): e0170794. https://doi.org/10.1371/journal.pone.0170794. Retrieved from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0170794

Laudet, A. B. et al., (2006). The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems. Alcoholism Treatment Quarterly, 24(1-2), 33–73. http://doi.org/10.1300/J020v24n01_04. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1526775/pdf/nihms9997.pdf

Liranso G. et al. (2017). Drug Addiction and Mental Illness Treatment in Sub Saharan Africa. Retrieved from https://www.jscimedcentral.com/SubstanceAbuse/substanceabuse-5-1064.pdf

Low, W. et al., (1995). Knowledge, Attitudes and Perceptions Related to Drug Abuse in Peninsula Malaysia: A Survey Report. Retrieved from http://journals.sagepub.com/doi/10.1177/101053959500800212

Lucchetti, G. et al. (2014). Spirituality, Religiosity and Substance use: Evidence and Proposed Mechanisms. Retrieved from https://pdfs.semanticscholar.org/55a8/13c46ba3f40ef7f0d8f5eac185f690349718.pdf

Majelantle, R. G. et al. (2014). Knowledge, Opinions and attitudes towards HIV and AIDS among Youth in Botswana. Retrieved from https://www.esciencecentral.org/journals/knowledge-opinions-and-attitudes-towards-hiv-and-aids-among-youth-in-botswana-2375-4389.1000108.php?aid=22690

Mamat, C. F. et al., (2015). The use of psychotropic substances among students: The prevalence, factor association, and abuse. Journal of Pharmacy & Bioallied Sciences, 7(3), 181–187. Retrieved from http://doi.org/10.4103/0975-7406.160011. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517319/

Matowo, A. S. (2013). Cause, Effect And Remedial Measures Of Drug Abuse Among The Children In Tanzania: A Case Study Of Hananasifu Ward In Kinondoni District In Dar Es Salaam. Retrieved from http://repository.out.ac.tz/862/1/DESSERTATION-Hananasifu-final.pdf

McArdle, P. (2003). Substance abuse by children and young people. Retrieved from http://adc.bmj.com/content/archdischild/89/8/701.full.pdf

Ministry of Health/Ghana Health Service World Health Organization Ghana, (2003). A National Survey on Prevalence and Social Consequences of Substance (Drug) Use Among Second Cycle And Out Of School Youth in Ghana. Retrieved http://www.who.int/countries/gha/publications/substance_abuse_report.pdf

Molahlehi, L. A. (2014). The Views Of Street Children On How Streetism Can Be Prevented. Retrieved from https://dspace.nwu.ac.za/bitstream/handle/10394/13164/Mohlahlehi_LA.pdf?sequence=1

Mondal, N. K. (2013). Commercial Glue Sniffing and Child Health: Indian Street Children are at a Risk. J Biosafety Health Educ 1:e108. doi: 10.4172/2332-0893.1000e108. Retrieved from https://www.omicsonline.org/open-access/commercial-glue-sniffing-and-child-health-indian-street-children-are-at-a-risk-2332-0893.1000e108.php?aid=15551

Morojele, N. et al., (n.d.).Alcohol and Drug Use. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=

Myburgh, C. et al., (2015). The lived experiences of children living on the streets of Hillbrow. Curationis, [S.l.], v. 38, n. 1, p. 8 pages, may 2015. ISSN 2223-6279. Retrieved from https://curationis.org.za/index.php/curationis/article/view/1274/1634

Myers, B. et al., (2008). Alcohol and drug abuse: removing structural barriers to treatment for historically disadvantaged communities in Cape Town. Retrieved from https://onlinelibrary.wiley.com/journal/14682397

Naamara, W. et al., (2014) Factors Associated With Alcohol Dependence Among Adult Male Clients in Butabika Hospital, Uganda, Journal of Social Work Practice in the Addictions, 14:3, 322-326, DOI: 10.1080/1533256X.2014.936251 Retrieved from https://www.tandfonline.com/doi/pdf/10.1080/1533256X.2014.936251?needAccess=true

National Institute on Drugs, (2003). Preventing Drug Use among Children and Adolescents. Retrieved from https://www.drugabuse.gov/sites/default/files/preventingdruguse_2.pdf

Niazi, M.R. et al., (2009). Is Poverty to Blame for Narcotic Abuse: Case Study of Pakistan? Retrieved from http://www.ijens.org/99610-1212%20IJBAS-IJENS.pdf

Patrick, M. E. et al., (2011). Adolescents’ Reported Reasons for Alcohol and Marijuana Use as Predictors of Substance Use and Problems in Adulthood. Journal of Studies on Alcohol and Drugs, 72(1), 106–116. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001673/pdf/jsad106.pdf

Peltzer, K. et al., (2010). Illicit Drug Use and Treatment in South Africa: A Review, Substance Use & Misuse, 45:13, 2221-2243, DOI: 10.3109/10826084.2010.481594. Retrieved from https://www.tandfonline.com/doi/abs/10.3109/10826084.2010.481594

Poni-Gore, et al. (2015). Phenomena of Street Children Life in Juba, the Capital of South Sudan, a Problem Attributed to Long Civil War in Sudan. Retrieved from https://www.omicsonline.org/open-access/phenomena-of-street-children-life-in-juba-the-capital-of-south-sudan-a-problem-attributed-to-long-civil-war-in-sudan-2161-0711-1000356.pdf

Rambaree,K. et al., (2017). Sports participation and drug use among young people in Mauritius, International Journal of Adolescence and Youth, DOI: 10.1080/02673843.2017.1325756. To link to this article: https://doi.org/10.1080/02673843.2017.1325756. Retrieved from https://www.tandfonline.com/doi/full/10.1080/02673843.2017.1325756

Rapp, R. et al., (2006). Treatment barriers identified by substance abusers assessed at a centralized intake unit. Journal of Substance Abuse Treatment, 30(3), 227–235. http://doi.org/10.1016/j.jsat.2006.01.002. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1986793/pdf/nihms-29642.pdf

Salaam, A.O. et al., (2011). Street Life Involvement and Substance Use Among “Yandaba” In Kano, Nigeria. Retrieved from https://www.ajol.info/index.php/ajdas/article/view/76893/67370

Sampasa-Kanyinga, H. et al. (2018). Cannabis use among middle and high school students in Ontario: a school-based cross-sectional study. Retrieved from http://cmajopen.ca/content/6/1/E50.full.pdf+html

Sanchez, V. D. M. et al., (2008). Religious intervention and recovery from drug addiction. Retrieved from http://www.scielo.br/pdf/rsp/v42n2/en_6163.pdf

Sarangi, L. et al., (2008). Substance Abuse Among Adolescents in Urban Slums of Sambalpur. Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 33(4), 265–267. http://doi.org/10.4103/0970-0218.43236. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2763700/

Schensu, J.J. et al. (2005). Vulnerability, Social Networks, Sites, and Selling as Predictors of Drug use among Urban African American and Puerto Rican Emerging Adults. Retrieved from http://journals.sagepub.com/doi/10.1177/002204260503500208

Scott, C. K. et al., (2011). Surviving Drug Addiction: The Effect of Treatment and Abstinence on Mortality. American Journal of Public Health, 101(4), 737–744. http://doi.org/10.2105/AJPH.2010.197038. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3052346/pdf/737.pdf

Sereta, B. N. et al., (2016). An Assessment of Effectiveness of Drug Rehabilitation Programs in Kisii County-Kenya. J Health Edu Res Dev 4:165. doi:10.4172/2380-5439.1000165. Retrieved from https://www.omicsonline.org/open-access/an-assessment-of-effectiveness-of-drug-rehabilitation-programs-in-kisiicounty-kenya-2380-5439-1000165.php?aid=69988

Setlalentoa, M. et al., (2015). Intervention Strategies Used To Address Alcohol Abuse In The North West Province, South Africa. Retrieved from https://www.researchgate.net/publication/277931804_Intervention_strategies_used_to_address_Alcohol_abuse_in_the_North_West_Province_South_Africa

Sharma, N. et al., (2013). Preventing-substance abuse among street children in India: a literature review. Retrieved from http://www.hsj.gr/medicine/preventing-8208substance-abuse-among-street-children-in-india-a-literature-review.pdf

Shinitzky, H.M.E. et al., (1998). Substance Abuse in Children Prediction, Protection, and Prevention. Arch Pediatr Adolescent Med. 1998; 152(10):952–960. doi:10.1001/archpedi.152.10.952. Retrieved from https://jamanetwork.com/journals/jamapediatrics/fullarticle/189961

Singh, B. et al., (2017). Substance Abuse among Children: A Rising Problem in India. Retrieved from http://www.ijip.in/Archive/v5i1/

Sodano, R. et al., (2010). The Substance Abuse Treatment Workforce of South Africa. International Journal of Mental Health and Addiction, 8(4), 608–615. http://doi.org/10.1007/s11469-009-9245-x Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2965395/pdf/11469_2009_Article_9245.pdf

Somani, S. et al., (2016). Substance Abuse among Youth: A Harsh Reality. Emerg Med (Los Angel) 6:330. doi:10.4172/2165-7548.1000330. Retrieved from https://www.omicsonline.org/open-access/substance-abuse-among-youth-a-harsh-reality-2165-7548-1000330.php?aid=75386

Sorsdah, K. et al., (2012). Negative attributions towards people with substance use disorders in South Africa: Variation across substances and by gender. Retrieved from https://link.springer.com/content/pdf/10.1186%2F1471-244X-12-101.pdf

Stevens, E. et al., (2015). Investigating Social Support and Network Relationships in Substance Use Disorder Recovery, Substance Abuse, 36:4, 396-399, DOI: 10.1080/08897077.2014.965870. Retrieved from https://www.tandfonline.com/doi/abs/10.1080/08897077.2014.965870

Stone, R. (2015). Pregnant women and substance use: fear, stigma, and barriers to care. Retrieved from https://healthandjusticejournal.springeropen.com/track/pdf/10.1186/s40352-015-0015-5?site=healthandjusticejournal.springeropen.com

The Real Truth (n.d.). Drug Abuse—A Global Epidemic Part 2: Scope of the Problem. Retrieved from https://rcg.org/realtruth/articles/120712-004.html

Tracy, k. et al., (2016). Benefits of peer support groups in the treatment of addiction. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047716/pdf/sar-7-143.pdf

Tulu, S. K. et al., (2015). Assessment of Causes, Prevalence and Consequences of Alcohol and Drug Abuse among Mekelle University, CSSL 2nd Year Students. Retrieved http://pubs.sciepub.com/ajap/3/3/1/

United Nations Office on Drugs and Crime (UNODC) (n.d.). World Drug Report 2017. Retrieved from https://www.unodc.org/unodc/en/press/releases/2017/June/world-drug-report-2017_-29-5-million-people-globally-suffer-from-drug-use-disorders--opioids-the-most-harmful.html

UN News (2016). Record 29 million people drug-dependent worldwide; heroin use up sharply – UN report. Retrieved from https://news.un.org/en/story/2016/06/532862-record-29-million-people-drug-dependent-worldwide-heroin-use-sharply-un-report

Vento, A.E. et al., (2014). Substance Use in the Club Scene of Rome: A Pilot Study, BioMed Research International, vol. 2014, Article ID 617546, 5 pages, 2014. doi:10.1155/2014/617546. Retrieved from https://www.hindawi.com/journals/bmri/2014/617546/

Whitesell, M. et al. (2013). Familial, Social, and Individual Factors Contributing to Risk for Adolescent Substance Use. Retrieved from https://www.hindawi.com/journals/jad/2013/579310/

Windsor, L.C. et al., (2012). From the Individual to the Community: Perspectives about Substance Abuse Services. Journal of Social Work Practice in the Addictions, 12(4), 412–433. http://doi.org/10.1080/1533256X.2012.728115. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519434/

Woan, J. et al., (2013). The Health Status of Street Children and Youth in Low- and Middle-Income Countries: A Systematic Review of the Literature. Retrieved from http://www.jahonline.org/article/S1054-139X(13)00188-2/pdf

Yunusa, U. et al., (2017). Determinants of Substance Abuse among Commercial Bus Drivers in Kano Metropolis, Kano State, Nigeria. American Journal of Nursing Science. Vol. 6, No. 2, 2017, pp. 125-130. doi: 10.11648/j.ajns.20170602.16 Received: December 20, 2016; Accepted: December 29, 2016; Published: February 24, 2017. Retrieved from https://mafiadoc.com/determinants-of-substance-abuse-among-_5a835c201723dd24a8f485a6.html

DOI: 10.23916/0020190416610


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