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This study investigates barriers to utilization of drug abuse treatment by female street sex workers in Nigeria. Twenty-seven (n = 27) street sex workers were recruited through venue-based snow-ball sampling. In-depth, individual interviews were conducted, and transcripts were subjected to thematic, inductive and data-driven analysis. Sex workers use psychoactive drugs to manage the hazards of street sex work, including guilt, stigma, and violence. While a few denied drug-related harms, doubted treatment efficacy and evinced self-efficacy in managing drug problems, the majority of sex workers recognized drug-related harms and the need for treatment. Inadequate information on services, financial and time cost of treatment, fear of police arrest, stigma and lack of male partner support posed as barriers to drug abuse treatment. Social and structural barriers to treatment utilization violate sex workers' rights to health and exacerbate drug-related harms. Findings highlight the need for changes in policy and societal perceptions of sex work, and multi-level, rights-based interventions to remove barriers to drug abuse treatment for female street sex workers. [ABSTRACT FROM AUTHOR]

The study was conducted in response to the lack of epidemiological data in recent time on the use of psychoactive substances by adolescents in metropolitan Lagos-a city unique for its socio-economic profile. We considered some methodological issues omitted in several previous studies. A total of 4,286 school pupils (mean age 15.2) were anonymously administered a Self-Report Questionnaire to ascertain a range of key drug use factors in lifetime and 1-year periods. The rate of use of most of the 14 substances investigated was much higher than reported in any other study on comparable population sample. We found that 61.8 and 32.1% of respondents have used one or more substances in their lifetime and in the past 1 year, respectively. High lifetime rates of use were found for common stimulants: coffee, kolanut, and prescription drugs (barbiturates and minor tranquilisers). The rate of use of proscribed addictive substances, cannabis, heroin, and cocaine, ranged between 4.0 and 4.8%. Missing data and non-response rates were few; however, social acquiescence, under and over reporting, could be mitigant to estimation of rates and patterns of use. We advocate properly articulated school-based educative programmes that can facilitate drug demand reduction. [ABSTRACT FROM AUTHOR]

Introduction: Recently, there has been an increase in the abuse of relatively newer substances sometimes in unusual combinations. Some of these drugs and their street names are unfamiliar to researchers and clinicians, hindering their identification. Our objective was to investigate current trends in drug abuse, focusing on eliciting drugs of use and their street names in Calabar, Nigeria., Methods: Using a qualitative design, we conducted focus group discussions among 15 male in-patients of the drug treatment ward of the Federal Neuropsychiatric Hospital, Calabar. Data was collected as audio recordings and handwritten notes and was analyzed using the Nvivo software., Results: Prescription drugs like flunitrazepam (street name Blueboy, Sweetnol), trihexyphenidyl, codeine and tramadol were commonly abused. Illicit substances included cannabis of various potencies (each having unique street names), vulcanizing gum (street name Solution), cocaine and heroin (street name Thailand). Some unusual substances such as soakaway fumes, formaldehyde or gammalin (lindane) mixed with cannabis were described. Few supposedly nonpsychoactive substances were reportedly potent when consumed alone (e.g., leaves of the papaya plant) or in mixtures, such as menthol candy dissolved in soft drinks. Other prescription drugs such as Benadol or D4, unfamiliar to the researchers, were volunteered., Conclusion: Newer substances of abuse in their various combinations are abused by Nigerian youth. More studies are needed to elucidate further the chemical composition of these drugs/mixtures and their mechanism of action., Competing Interests: The Authors declare that no competing interest exists., (Copyright © 2022 by West African Journal of Medicine.)

In 1992, 250 professional sports people (72 per cent males, mean age 25 years), mostly among those invited for screening for the Olympics, completed a questionnaire, aimed at highlighting the prevalence of use of anabolic steroids and other psychoactive substances, and the factors associated with the use of drugs. The prevalence of life-time use of drugs was as follows: 1.2 per cent for anabolic steroids, 0.8 per cent for amphetamines, 0.4 per cent for cocaine, 0.8 per cent for cannabis and 5-6 per cent for codeine. On the four-item CAGE for screening for alcoholism, 3.6 per cent scored 1, while 1.2 per cent scored 2 and above. Those on steroids denied regular use of the drug, while one of them admitted having experienced DSM-IIIR symptoms of dependence while on steroids. Compared with estimated rates in general population samples in Nigeria, drug-use rate among our cohort is mostly lower, but not significantly different from what obtains in general society. Our cohort seemed largely ignorant of the deleterious effects of the use of anabolic steroids, they are liable to peer group pressure to use drugs, and seemed exposed to the temptation of being asked to be drug couriers. A programme of drug education for sports people is needed to address these issues, and keep the prevalence of drug-use low. [ABSTRACT FROM AUTHOR]