Abstract

ObjectiveMedical and nursing students in Cameroon are likely to have mental health problems given the stressful nature of their studies. Paucity of mental health institutions in the country implies they hardly get access to professional help when needed and are obliged to develop coping strategies such as recreational drug use. This study aims to determine the prevalence and predictors of recreational drug use among a group of Cameroonian medical and nursing students.ResultsCross-sectional analysis of 852 medical and nursing students (mean age 21.78 ± 3.14, 31.49% males) recruited by convenience sampling from three state-owned medical schools; and from two state-owned and two private nursing schools in Cameroon over a four-month period (January–April 2018). Information was collected via a printed self-administered and structured questionnaire from consenting students. Multivariable logistic regression analysis was used to identify independent predictors of recreational drug use. The overall prevalence of recreational drug use was 1.64% with tramadol and marijuana noted as the drugs used by these students. Independent predictors of recreational drug use were: presence of a chronic illness (OR 5.26; 95% CI 1.32, 20.97; p = 0.019), alcohol consumption (OR 5.08; 95% CI 1.54, 16.73; p = 0.008) and Total Oldenburg Burnout Inventory score (OR 1.11; 95% CI 1.02, 1.21; p = 0.021). The use of recreational drugs by medical and nursing students in Cameroon remains worrisome despite its very low prevalence, as it may negatively impact their performance and health.

Highlights

  • Recreational drugs are legal and illegal drugs used without medical supervision

  • Predictors of recreational drug use On univariable analysis, being in a personal relationship; presence of a chronic illness and alcohol consumption were associated with recreational drug use (Table 3)

  • The following variables were shown to be independent predictors of recreational drug use: presence of a chronic illness, alcohol consumption and Total Oldenburg Burnout Inventory (OLBI) score (Additional file 4)

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Summary

Introduction

Recreational drugs are legal and illegal drugs used without medical supervision. The four categories of recreational drugs include analgesics, depressants, stimulants, and hallucinogens [1]. The increasing use of recreational drugs among students has become a rising and disturbing phenomenon worldwide [2, 3]. This uprising problem is relevant in Cameroon. A rapid assessment on drug abuse in Cameroon carried out in 1996, reported that males and females of all age groups were involved in the consumption of recreational drugs [3]. Narcotics consumed in Cameroon ranged from Cannabis (Marijuana) which was the most consumed, to traditional drugs, a host of other pharmaceutical drugs, as well as cocaine and heroin [3]

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