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Prevalence of Substance Use and the Role of Religiosity Among Uganda Christian University Undergraduate Students Cover

Prevalence of Substance Use and the Role of Religiosity Among Uganda Christian University Undergraduate Students

Open Access
|Apr 2026

Figures & Tables

Table 1

Participant demographics

VariableCategoryFrequency (n=407)Percentage
Age in completed years19–2433682.6
25–345613.8
≥ 35153.7
Faculty / SchoolSchool of Law14435.4
School of Business8621.1
Technical and Applied Sciences7418.2
Humanities and Social Sciences Schools5914.5
Health Sciences4410.8
SexFemale24359.7
Male16440.3
Duration at the University3 years13332.7
Less than 1 year9122.4
1 year7718.9
4 years & over6115.0
2 years4511.1
Is there anyone in your family that drinks alcohol or uses drugs?someone in my extended family15137.1
No family member drinks alcohol or uses drugs12430.5
sibling5413.3
parent4711.5
Relatives (multiple)317.6
How often do you have a drink containing alcohol?Never28269.3
Monthly or less9122.4
2-4 times a month297.1
2-3 times a week41.0
4 or more times a week10.3
Religious affiliationAnglican19948.9
Catholic9623.6
Pentecostal8320.4
Seventh Day Adventist143.4
Islam92.2
Other61.5
Residential StatusPrivate Hostel16741.0
Resident on campus / University affiliated hostel13232.4
I commute from home6516.0
I rent a room / a house4310.6
Table 2

Prevalence and AUDIT levels

VariableCategory/LevelCount (n=407)Percentage
Substance useNever used any substance25863.4
Alcohol only9322.936.7 prevalence of overall substance use
Multiple substances including alcohol327.9
Other substances only245.9
Breakdown of other substancesTobacco products only (cigarettes, chewing tobacco, cigars, shisha, etc.)143.45.9 prevalence of other substances
Cannabis only (marijuana, pot, grass, hash, etc.)102.5
AUDIT Risk of alcohol use disordersLow risk35687.47
Risky4410.81
Dependence40.98
Harmful30.74
Table 3

Logistic regression of demographic predictors of substance use

n = 407
VariableLevelsBivariate analysisMultivariable analysisVIF
Coefficientp-valueCORCI [95%]Coefficientp-valueAORCI [95%]
Interceptn/a-1.913p-value < 0.0010.148(0.072, 0.303) **n/a
SexFemale
Male0.4360.0371.546(1.026, 2.329) **0.4920.0381.636(1.027, 2.607) **1
Faculty / SchoolSchool of Law11
School of Business-0.4240.130.654(0.375, 1.140)
Technical and Applied Sciences-0.3030.300.739(0.415, 1.315)
Humanities and Social Sciences Schools-0.9160.0090.4(0.202, 0.793) **
Health Sciences-0.3080.3860.735(0.366, 1.475)
Residential statusI rent a room / a house1
I commute from home-0.6710.0990.511(0.230, 1.135)1
Resident on campus/University affiliated hostel-0.8800.0160.415(0.203, 0.847) **-0.8560.040.425(0.214, 1.318) **
Private Hostel-0.0890.7960.915(0.467, 1.793)
How long have you attended UCU?1 year & below1
2 years0.5070.1511.660(0.830, 3.317)1
3 years0.840< 0.0012.316(1.429, 3.752) **0.8260.0022.285(1.340, 3.897) **
4 years & above0.70830.02322.031(1.102, 3.743) **
Family Use of Alcohol or Drugs?No family member drinks alcohol or uses drugs1
Parent1.437< 0.0014.208(2.029, 8.728) **1.3040.0013.682(1.681, 8.065) **1
Relatives (multiple)2.222< 0.0019.222(3.83, 22.204) **2.158< 0.0018.652(3.296, 22.712) **
Sibling1.0280.0052.795(1.374, 5.685) **0.9040.0182.467(1.166, 5.232) **
Someone in my extended family1.091< 0.0012.976(1.705, 5.197) **1.1470.00013.15(1.743, 5.694) **
What is your religious affiliation?Anglican1
Catholic0.7560.0032.131(1.298, 3.496) **0.7110.0102.036(1.186, 3.495) **1
Pentecostal-0.8430.0080.431(0.232, 0.799) **-0.8480.01210.428(0.221, 0.830) **
Other (including Islam & SDA)-0.0530.90.949(0.418, 2.152)
Table 4

Logistic regression of the Duke University Religion Index (DUREL) as predictors of substance use among UCU undergraduates

n = 407
VariableLevelsBivariate analysisMultivariable analysisVIF
Coefficientp-valueCORCI [95%]Coefficientp- valueAORCI [95%]
Interceptn/a0.6370.1321.891(0.826, 4.331)n/a
Time spent in private
religious
activities (Spirituality)
Rarely or never1
Few times a week-0.5220.0490.594(0.353, 0.998)
Once a day-0.7590.0130.468(0.257, 0.854)1
More than once a day-1.225< 0.0010.294(0.162, 0.532)
How often attend religious meetings (Religion)Rarely or never1
A few times a month-0.0920.7920.913(0.462, 1.802)
Once a week-0.5750.0630.563(0.307, 1.031)1
More than once a week-1.412< 0.0010.244(0.131, 0.452) **-0.8020.0310.449(0.217, 0.928)**
Importance of religious beliefs (Faith)Not true1
Somewhat true-0.1020.7530.904(0.480, 1.701)
I Definitely true-1.155< 0.0010.315(0.186, 0.533) **-0.6880.0480.503(0.254, 0.992)1 **
Experience the presence of God (Spirituality)Not true1
Somewhat true-0.5050.3180.604(0.224, 1.624)
Definitely true-1.0640.0050.345(0.165, 0.724) **1
Religion carries over into life. (Religion)Not true1
Somewhat true0.0950.7691.1(0.581, 2.082)
Definitely true-10.00030.368(0.214, 0.632) **1

** Significant at 95% Confidence Interval; Variance Inflation Factor (VIF = 1 no multicollinearity

DOI: https://doi.org/10.15566/2dmfrt24 | Journal eISSN: 2167-2415
Language: English
Page range: 26 - 41
Submitted on: Oct 8, 2025
Accepted on: Mar 4, 2026
Published on: Apr 17, 2026
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services

© 2026 Henry Sseguya, Jennifer Hatzfeld, Angella Napakol, Alicia Cortright, Geoffrey Mulindwa Mulindwa, Paul Wasswa, Edward Kibikyo Mukooza, Jason Paltzer, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.