Samuel J Pullen1, Liana Petruzzi2, Brittany Cl Lange3, Lindsey Parnarouskis4, Silvia Dominguez5, Benjamin Harris6, Nicole Quiterio7, Michelle P Durham8, Gondah Lekpeh6, Burgess Manobah6, Siede P Slopadoe9, Veronique C Diandy9, Arthur J Payne9, David C Henderson10, Christina Pc Borba5. 1. St. Luke's Health System Department of Psychiatry and Behavioral Health, Boise ID, USA. 2. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; University of Texas at Austin School of Social Work, Austin, TX, USA. 3. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Yale School of Public Health, New Haven, CT, USA. 4. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. 5. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston MA, USA. 6. AM Dogliotti College of Medicine, University of Liberia, Monrovia, Liberia. 7. Bay Area Children's Association, Oakland, CA, USA. 8. Boston University School of Medicine, Department of Psychiatry, Boston Medical Center, Boston, MA, USA. 9. Christ Jubilee International Ministries, Lowell, MA, USA. 10. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston MA, USA; Boston University School of Medicine, Department of Psychiatry, Boston Medical Center, Boston, MA, USA.
Abstract
OBJECTIVE: Substance use is a significant and common problem among school-aged youths throughout Africa. Like other countries on this continent, the West-African nation of Liberia is recovering from civil war. A well-educated population of young people is critical to the recovery efforts and long-term success of Liberia. Substance use by school-aged youths has important public health consequences that could undermine Liberia's post-conflict recovery efforts. We wanted to better understand the culturally significant themes and subthemes related to substance use among youths attending public schools in Monrovia, Liberia. METHODS: A qualitative research design was used to collect data from 72 students attending public school in Monrovia, Liberia. Nine focus groups of 6-8 students from three public schools were facilitated using a semi-structured format to guide discussions on substance use. Student narratives were translated and re-occurring themes and subthemes were coded and analyzed. RESULTS: Four emergent themes described in this study were: Behaviors associated with substance useConsequences associated with individual useConsequences of substance use that affected the school milieuSchool-related factors that were protective from substance use.Subthemes associated with substance use included concealment of substances, intoxication and disruption of the classroom environment, expulsion from school, school drop-out, and school as protective against substance use. CONCLUSION: Liberian school-aged youths described important themes and subthemes associated with substance use occurring within the school milieu. These data have germane public health ramifications, and could help inform larger epidemiologic study methods and public health interventions for Liberia and countries with similar profiles.
OBJECTIVE: Substance use is a significant and common problem among school-aged youths throughout Africa. Like other countries on this continent, the West-African nation of Liberia is recovering from civil war. A well-educated population of young people is critical to the recovery efforts and long-term success of Liberia. Substance use by school-aged youths has important public health consequences that could undermine Liberia's post-conflict recovery efforts. We wanted to better understand the culturally significant themes and subthemes related to substance use among youths attending public schools in Monrovia, Liberia. METHODS: A qualitative research design was used to collect data from 72 students attending public school in Monrovia, Liberia. Nine focus groups of 6-8 students from three public schools were facilitated using a semi-structured format to guide discussions on substance use. Student narratives were translated and re-occurring themes and subthemes were coded and analyzed. RESULTS: Four emergent themes described in this study were: Behaviors associated with substance useConsequences associated with individual useConsequences of substance use that affected the school milieuSchool-related factors that were protective from substance use.Subthemes associated with substance use included concealment of substances, intoxication and disruption of the classroom environment, expulsion from school, school drop-out, and school as protective against substance use. CONCLUSION: Liberian school-aged youths described important themes and subthemes associated with substance use occurring within the school milieu. These data have germane public health ramifications, and could help inform larger epidemiologic study methods and public health interventions for Liberia and countries with similar profiles.
Entities:
Keywords:
Children and adolescents; Focus groups; Post-conflict Liberia; School; Substance use
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