Adolescent Substance Misuse Prevention Conceptual Framework (ASMPCF)

Drug and substance misuse among adolescents is a critical public health challenge in Phakalane, Botswana, requiring contextual understanding for effective intervention. This qualitative phenomenological study aimed to explore the patterns and predictors of drug and substance misuse among urban adolescents, guided by the Social-Ecological Model (SEM). The purpose of the study was to use the findings to develop a preventive conceptual framework to curb adolescent substance misuse and reduce its impact. The study employed a descriptive phenomenological design to capture the lived experiences of 36 adolescents. A Colaizzi’s descriptive phenomenological data analysis was used. The findings revealed three core patterns of misuse: early adolescent initiation, with boys starting earlier and using for longer durations; substance choice patterns, showing gender-differentiated repertoires (boys using cocaine, girls excluding it), and usage frequency patterns, involving high frequency use escalating during social events. Key predictors were identified across SEM levels: peer pressure, home availability, lack of parental attention, parental or sibling substance use, parental divorce, and excessive discretionary spending money. The study demonstrated how universal risk factors manifested in Botswana’s specific socio-cultural context, where economic and familial dynamics created unique risk configurations. Findings highlighted the necessity for multi-level prevention strategies that address individual, interpersonal, and community-level factors.

Keywords

Patterns, Predictors, Substance misuse, Adolescents, Phakalane

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1. Adindu, K. N., Otaniyen, P. N., Onochie, O. E., Oyedemi, D., Akubuiro, C. O., Nwonye, U. C., & Abdulazeez, I. A. (2024). The influence of social media on adolescent mental health and substance abuse patterns. World J. Adv. Res. Rev, 24, 253-261. https://doi.org/10.30574/wjarr.2024.24.2.3296 [Google Scholar] [Crossref]

2. Alho, H., Dematteis, M., Lembo, D., Maremmani, I., Roncero, C., & Somaini, L. (2020). Opioid-related deaths in Europe: strategies for a comprehensive approach to address a major public health concern. International Journal of Drug Policy, 76, 102616. [Google Scholar] [Crossref]

3. Belfiore, C. I., Galofaro, V., Cotroneo, D., Lopis, A., Tringali, I., Denaro, V., & Casu, M. (2024). A multi-level analysis of biological, social, and psychological determinants of substance use disorder and co-occurring mental health outcomes. Psychoactives, 3(2), 194-214. https://doi.org/10.3390/psychoactives3020013 [Google Scholar] [Crossref]

4. Bhatia, D., Mikulich, S. K., Natvig, C., & Sakai, J. T. (2023). Emergence of sex differences in US adolescent substance use. Substance use & misuse, 58(8), 1021-1029. [Google Scholar] [Crossref]

5. Bisset, S., Markham, W. A., & Aveyard, P. (2007). School culture as an influencing factor on youth substance use. Journal of Epidemiology & Community Health, 61(6), 485-490. https://doi.org/10.1136/jech.2006.048157 [Google Scholar] [Crossref]

6. Blum, R. W., McNeely, C., & Nonnemaker, J. (2002). Vulnerability, risk, and protection. Journal of Adolescent Health, 31(1), 28-39. [Google Scholar] [Crossref]

7. Connell, C. M., Gilreath, T. D., Aklin, W. M., & Brex, R. A. (2010). Social-ecological influences on patterns of substance use among non-metropolitan high school students. American journal of community psychology, 45(1), 36-48. [Google Scholar] [Crossref]

8. Creswell, J. W., Hanson, W. E., Clark Plano, V. L., & Morales, A. (2007). Qualitative research designs: Selection and implementation. The counseling psychologist, 35(2), 236-264. [Google Scholar] [Crossref]

9. Ebrahim, J., Adams, J., & Demant, D. (2024). Substance use among young people in sub-Saharan Africa: a systematic review and meta-analysis. Frontiers in psychiatry, 15, 1328318 https://doi.org/10.3389/fpsyt.2024.1328318 [Google Scholar] [Crossref]

10. El Moubchiri, C., Chahboune, M., Guennouni, M., & Hilali, A. (2024). The prevalence of tobacco, alcohol, stimulant, khat, and cannabis use among school-going students in African and Arab countries: a systematic review and meta-analysis. Osong Public Health and Research Perspectives, 16(1), 28. [Google Scholar] [Crossref]

11. El-Khatib, Z., Herrera, C., Campello, G., Mattfeld, E., & Maalouf, W. (2021). The role of law enforcement officers/police in drug prevention within educational settings—study protocol for the development of a guiding document based on experts’ opinions. International journal of environmental research and public health, 18(5), 2613. https://doi.org/10.3390/ijerph18052613 [Google Scholar] [Crossref]

12. Gasebonno, T. L. (2020). Modelling substance abuse in Botswana in presence of multiple amelioration stages and outpatient rehabilitation, optimal control and fractional-order dynamics. [Google Scholar] [Crossref]

13. Gerra, G., Benedetti, E., Resce, G., Potente, R., Cutilli, A., & Molinaro, S. (2020). Socioeconomic status, parental education, school connectedness, and individual socio-cultural resources in vulnerability for drug use among students. International journal of environmental research and public health, 17(4), 1306. https://doi.org/10.3390/ijerph17041306 [Google Scholar] [Crossref]

14. Griffin, K. W., Botvin, G. J., Scheier, L. M., & Williams, C. (2023). Long-term behavioral effects of a school-based prevention program on illicit drug use among young adults. Journal of public health research, 12(1), 22799036221146914. https://doi.org/10.1037/14861-026 [Google Scholar] [Crossref]

15. Hall, N., Le, L., Majmudar, I., Teesson, M., & Mihalopoulos, C. (2021). Treatment-seeking behaviour among people with opioid use disorder in the high-income countries: A systematic review and meta-analysis. Plos one, 16(10), e0258620. [Google Scholar] [Crossref]

16. Hennink, M., Hutter, I. and Bailey, A. (2011) Qualitative research methods. Sage, London. [Google Scholar] [Crossref]

17. Jeremiah, R. P., Katisi, M., & Shehu, O. M. (2024). Alcohol misuse within different socio-ecologies in rural communities of Botswana. PLoS One, 19(9), e0306542. https://doi.org/10.1371/journal.pone.0306542 [Google Scholar] [Crossref]

18. Jose, J. P., & Cherayi, S. J. (2020). Effect of parental alcohol abuse severity and child abuse and neglect on child behavioural disorders in Kerala. Child abuse & neglect, 107, 104608. https://doi.org/10.1016/j.chiabu.2020.104608.3 [Google Scholar] [Crossref]

19. Kanga, B. M. (2022). Factors Influencing Alcohol and Drug Abuse among Chuka University Students, Kenya. European Journal of Education and Pedagogy, 3(3), 147-151. 10.24018/ejedu.2022.3.3.301 [Google Scholar] [Crossref]

20. Kugbey, N., Manortey, S., Dziwornu, E., Kyei-Arthur, F., Boateng, M. O., Kushitor, S. B., & Sutherland, E. K. (2025). Alcohol use among adolescents in eight sub-Saharan African countries: evidence from the Global School-based student health survey (2012–2017) using the socio-ecological model. BMC psychiatry, 25(1), 1080. https://doi.org/10.1186/s12888-025-07555-z [Google Scholar] [Crossref]

21. Lander, L., Howsare, J., & Byrne, M. (2013). The impact of substance use disorders on families and children: from theory to practice. Social work in public health, 28(3-4), 194-205. https://doi.org/10.1080/19371918.2013.759005 [Google Scholar] [Crossref]

22. Liu, X. Q., Guo, Y. X., & Wang, X. (2023). Delivering substance use prevention interventions for adolescents in educational settings: A scoping review. World journal of psychiatry, 13(7), 409. doi:10.5498/wjp.v13.i7.409 [Google Scholar] [Crossref]

23. Loke, A. Y., & Mak, Y. W. (2013). Family process and peer influences on substance use by adolescents. International journal of environmental research and public health, 10(9), 3868-3885. [Google Scholar] [Crossref]

24. Mahmud, A. (2024). Substance Abuse among Male Adolescents in Dhaka North City: A Comparative Study on Causes, Consequences, Knowledge, and Attitudes. International Neuropsychiatric Disease Journal, 21(1), 59-66. DOI:10.9734/INDJ/2024/v21i1421 [Google Scholar] [Crossref]

25. Manyanda, K., Mangwegape, D. S., Dambe, W., & Hendrick, K. (2021). Prevention of Substance Use among the Youth: A Public Health Priority. Substance Use and Misuse in sub-Saharan Africa: Trends, Intervention, and Policy, 145-159 https://doi.org/10.1007/978-3-030-85732-5_10. [Google Scholar] [Crossref]

26. Moradinazar, M., Najafi, F., Jalilian, F., Pasdar, Y., Hamzeh, B., Shakiba, E., ... & Mirzaei-Alavijeh, M. (2020). Prevalence of drug use, alcohol consumption, cigarette smoking, and measures of socioeconomic-related inequalities of drug use among Iranian people: findings from a national survey. Substance abuse treatment, prevention, and policy, 15, 1-11. https://doi.org/10.1186/s13011-020-00279-1 [Google Scholar] [Crossref]

27. Nawi, A. M., Ismail, R., Ibrahim, F., Hassan, M. R., Manaf, M. R. A., Amit, N., ... & Shafurdin, N. S. (2021). Risk and protective factors of drug abuse among adolescents: a systematic review. BMC Public Health, 21(1), 2088. https://doi.org/10.1186/s12889-021-11906-2 [Google Scholar] [Crossref]

28. Nichols, L. M., Pedroza, J. A., Fleming, C. M., O’Brien, K. M., & Tanner-Smith, E. E. (2021). Social-ecological predictors of opioid use among adolescents with histories of substance use disorders. Frontiers in psychology, 12, 686414 https://doi.org/10.3389/fpsyg.2021.686414. [Google Scholar] [Crossref]

29. OLADELE, A. (2021). Overview of the Impact of Substance Use Disorder on Traffic Crashes: A Case of Botswana. Journal of Construction Project Management and Innovation, 11(1), 55-62. https://doi.org/10.36615/jcpmi.v11i1.558 [Google Scholar] [Crossref]

30. Olashore, A. A., Brooks, W., Roy, H., Adebayo, F. A., & Chiliza, B. (2022). Psychiatric disorders and associated risk factors in a sample of adolescents in Gaborone, Botswana: a cross-sectional study. BMC pediatrics, 22(1), 381. https://doi.org/10.1186/s12887-022-03435-7 [Google Scholar] [Crossref]

31. Olashore, A. A., Opondo, P. R., Ogunjumo, J. A., & Ayugi, J. O. (2020). Cannabis use disorder among first-year undergraduate students in Gaborone, Botswana. Substance abuse: research and treatment, 14, 1178221820904136. https://doi.org/10.1177/1178221820904136 [Google Scholar] [Crossref]

32. Onyenwe, C. A., Onwumere, C., & Odilibe, I. P. (2024). Public health strategies for preventing youth substance use: A review of prevention programs and conceptual approaches. International Journal of Biology and Pharmacy Research Updates, 3(1), 12-19. https://doi.org/10.53430/ijbpru.2024.3.1.0022 [Google Scholar] [Crossref]

33. Osborne, N., & Grant-Smith, D. (2021). In-depth interviewing. In Methods in Urban Analysis (pp. 105-125). Singapore: Springer Singapore. [Google Scholar] [Crossref]

34. Othalefile, E. O. (2022). Prevalence and Patterns of Substance Use Disorders in Sbrana Psychiatric Hospital, Botswana (Doctoral dissertation, University of Nairobi). http://erepository.uonbi.ac.ke/handle/11295/161910 [Google Scholar] [Crossref]

35. Praveena, K. R., & Sasikumar, S. (2021). Application of colaizzi’s method of data analysis in phenomenological research. Med Leg Updat, 21(2), 914-8. [Google Scholar] [Crossref]

36. Riva, K., Allen-Taylor, L., Schupmann, W. D., Mphele, S., Moshashane, N., & Lowenthal, E. D. (2018). Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study. BMC Public Health, 18(1), 1396. https://doi.org/10.1186/s12889-018-6263-2 [Google Scholar] [Crossref]

37. Riva, K., Allen-Taylor, L., Schupmann, W. D., Mphele, S., Moshashane, N., & Lowenthal, E. D. (2018). Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study. BMC Public Health, 18(1), 1396. https://doi.org/10.1186/s12889-018-6263-2 [Google Scholar] [Crossref]

38. Voutsina, C. (2018). A practical introduction to in-depth interviewing. International Journal of Research and Method in Education, 41(1), 123-124. [Google Scholar] [Crossref]

39. Wilson, A. (2015). A guide to phenomenological research. Nursing Standard (2014+), 29(34), 38. [Google Scholar] [Crossref]

Adolescent Substance Misuse Prevention Conceptual Framework (ASMPCF)

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