Prevalence of Substance Use and the Role of Religiosity Among Uganda Christian University Undergraduate Students
References
- World Health Organization. Urgent health challenges for the next decade [Internet]. 2020. Available from: https://www.who.int/news-room/photo-story/detail/urgent-health-challenges-for-the-next-decade
- Centers for Disease Control and Prevention. Substance use [Internet]. 2023. Available from: https://www.cdc.gov/nchs/hus/sources-definitions/substance-use.htm
- World Health Organization. Global status report on alcohol and health and treatment of substance use disorders [Internet]. 2024 Available from: https://iris.who.int/bitstream/handle/10665/377960/9789240096745-eng.pdf
- International Narcotics Control Board. Economic consequences of drug abuse [Internet]. 2013. Available from: https://www.incb.org/documents/Publications/AnnualReports/AR2013/English/AR_2013_E_Chapter_I.pdf
- Degenhardt L, Glantz M, Evans-Lacko S, Sadikova E, Sampson N, Thornicroft G et al. World Health Organization’s World Mental Health Surveys collaborators. Estimating treatment coverage for people with substance use disorders: an analysis of data from the World Mental Health Surveys. World Psychiatry. 2017;16(3):299–307. https://doi.org/10.1002/wps.20457
- World Population Review. Drug use by country 2024 [Internet]. 2024. Available from: https://worldpopulationreview.com/country-rankings/drug-use-by-country
- United Nations Office on Drugs and Crime. World drug report 2020: socioeconomic characteristics and drug use disorders [Internet]. 2020. Available from: https://wdr.unodc.org/wdr2020/field/WDR20_Booklet_5.pdf
- Onaolapo OJ, Olofinnade AT, Ojo FO, Adeleye O, Falade J, Onaolapo AY. Substance use and substance use disorders in Africa: an epidemiological approach to the review of existing literature. World J Psych. 2022;12(10):1268-86. https://doi.org/10.5498/wjp.v12.i10.1268
- Global Burden of Disease 2016 Alcohol and Drug Use Collaborators. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psych. 2018;5(12):987-1012. https://doi.org/10.1016/S2215-0366(18)30337-7
- United Nations Office on Drugs and Crime. World drug report 2019: executive summary [Internet]. 2019. Available from: https://wdr.unodc.org/wdr2019/prelaunch/WDR19_Booklet_1_EXECUTIVE_SUMMARY.pdf
- Aguocha CM, Nwefoh E. Prevalence and correlates of substance use among undergraduates in a developing country. African Health Sci. 2021;21(2):875-83. https://doi.org/10.4314/ahs.v21i2.49
- Zaman M, Razzaq S, Hassan R, Qureshi J, Ijaz H, Hanif M, et al. Drug abuse among the students. Pakistan J Pharma Res. 2015;1:41-7.
- Abate SM, Chekol YA, Minaye SY. Prevalence and risk factors of psychoactive substance abuse among students in Ethiopia: a systematic review and meta-analysis. Ann Med Surgery. 2021;70:102790. https://doi.org/10.1016/j.amsu.2021.102790
- Uganda Bureau of Statistics. National population and housing census 2024: preliminary report [Internet]. 2024. https://www.ubos.org/wp-content/uploads/publications/National-Population-and-Housing-Census-2024-Preliminary-Report.pdf
- World Bank Group. World Bank country classifications by income level (Uganda) [Internet]. 2022. Available from: https://www.worldbank.org/en/news/factsheet/2022/07/07/world-bank-country-classifications-by-income-level-uganda
- Gitatui M, Kimani S, Muniu S, Okube O. Determinants of harmful use of alcohol among urban slum dwelling adults in Kenya. African Health Sci. 2019;19(4):2906-25. https://doi.org/10.4314/ahs.v19i4.12
- Ministry of Health Uganda [MoH]. National alcohol control policy [Internet]. 2019. Available from: https://www.issup.net/files/2024-01/Uganda-Alcohol-policy-2019.pdf
- Abbo C, Okello ES, Muhwezi W, Akello G, Ovuga E. Alcohol, substance use and psychosocial competence of adolescents in selected secondary schools in Uganda: a cross-sectional survey. Int Neuropsych Disease J. 2016;7(2):1-12. https://doi.org/10.9734/INDJ/2016/25387
- Government of Uganda. The Narcotic Drugs and Psychotropic Substances (Control) Act 2023 [Internet]. Available from: https://bills.parliament.ug/attachments/Narcotic%20Drugs%20and%20Psychotropic%20Substances%20(Control)%20Act,%202023.pdf
- Edlund MJ, Harris KM, Koenig HG, Han X, Sullivan G, Mattox R, et al. Religiosity and decreased risk of substance use disorders: Is the effect mediated by social support or mental health status? Soc Psych Psychiat Epidemiol. 2010;45(8):827-836. https://doi.org/10.1007/s00127-009-0124-3
- Oman D, editor. Why religion and spirituality matter for public health: evidence, implications, and resources. Springer; 2018.
- Uganda Christian University. Uganda Christian University values and identity [Internet]. 2025. Available from: https://ucu.ac.ug/values-and-identity/
- Uganda Christian University. Alcohol and other drugs policy [Unpublished policy document]. 2016.
- Grim BJ, Grim ME. Belief, behavior, and belonging: how faith is indispensable in preventing and recovering from substance abuse. J Reli Health. 2019;58(5):1713-50. https://doi.org/10.1007/s10943-019-00876-w
- Joseph OA, Joseph A, Tella O, Adekeye D, Williams TM, Olokoba BL, et al. Substance use and treatment in an institution of higher learning in Nigeria. African J Social Work [Internet]. 2020;9(2):1-10. Available from: https://www.ajol.info/index.php/ajsw/article/view/192190
- Sliedrecht W, de Waart R, Witkiewitz K, Roozen HG. Alcohol use disorder relapse factors: a systematic review. Psych Res. 2019;278:97-115. https://doi.org/10.1016/j.psychres.2019.05.038
- Blows S, Isaacs S. Prevalence and factors associated with substance use among university students in South Africa: implications for prevention. BMC Psych. 2022;10(1):309. https://doi.org/10.1186/s40359-022-00987-2
- Alghzawi HM, Ghanem FK. Social ecological model and underage drinking: a theoretical review and evaluation. Psych. 2021;12(5):817-28. https://doi.org/10.4236/psych.2021.125050
- Koenig HG, King DE, Carson VB. Handbook of religion and health. 2nd ed. Oxford University Press; 2012.
- Fentaw KD, Fenta SM, Biresaw HB. Prevalence and associated factors of substance use male population in East African countries: a multilevel analysis of recent demographic and health surveys from 2015 to 2019. Subst Abuse: Res Treat. 2022;16:1-10. https://doi.org/10.1177/11782218221101011
- Cvetković Vega A, Maguiña JL, Soto A, Lama-Valdivia J, Correa López LE. Cross-sectional studies. Revista de la Facultad de Medicina Humana [Internet]. 2021;21(1):Article 22. Available from: https://revistas.urp.edu.pe/index.php/RFMH/article/view/3069/4497
- Koenig HG, Büssing A. The Duke University Religion Index (DUREL): a five-item measure for use in epidemiological studies [Internet]. 2010;1(1):78-85. https://doi.org/10.3390/rel1010078
- Kokotailo PK, Egan J, Gangnon R, Brown D, Mundt M, Fleming M. Validity of the alcohol use disorders identification test in college students. Alcohol: Clin Exper Res. 2004;28(6):914-20. https://doi.org/10.1097/01.ALC.0000128239.87611.F5
- World Health Organization. The Alcohol Use Disorders Identification Test [Internet]. 2001. Available from: https://iris.who.int/server/api/core/bitstreams/c57d9855-5450-4c46-84b1-c88a6df4192c/content
- Humeniuk R, Ali R, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, et al. Validation of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) [Internet]. Addiction. 2008;103(6):1039-47. https://doi.org/10.1111/j.1360-0443.2007.02114.x
- World Health Organization. Substance use [Internet]. 2023. Available from: https://iris.who.int/bitstream/handle/10665/367424/9789240064812-eng.pdf?sequence=1
- Ebrahim J, Adams J, Demant D. Substance use among young people in sub-Saharan Africa: a systematic review and meta-analysis. Front Psych. 2024;15:1328318. https://doi.org/10.3389/fpsyt.2024.1328318
- Roba HS, Beyene AS, Irenso AA, Gebresilassie BT. Prevalence of lifetime substances use among students in Ethiopia: a systematic review and meta-analysis. System Rev. 2019;8(1):326. https://doi.org/10.1186/s13643-019-1217-z
- Kuteesa J. Prevalence and determinants of substance use among students at Kampala International University Western Campus, Ishaka Municipality Bushenyi District Uganda. Eurasian Exper J Med Med Sci [Internet]. 2024;5(1):1-12. https://publications.kiu.ac.ug/view/1340/prevalence-and-determinants-of-substance-use-among-students-at-kampala-international-university-western-campus-ishaka-municipality-bushenyi-district-uganda
- Oluwole I. Prevalence & risk factors for substance abuse among university students in Kampala, Uganda [Doctoral dissertation] [Internet]. Victoria University Uganda; 2018. https://www.researchgate.net/publication/329060348_PREVALENCE_RISK_FACTORS_FOR_SUBSTANCE_ABUSE_AMONG_UNIVERSITY_STUDENTS_IN_KAMPALA_UGANDA
- Mupara LM, Tapera R, Selemogwe-Matsetse M, Kehumile JT, Gaogane L, Tsholofelo E, et al. Alcohol and substance use prevention in Africa: systematic scoping review. J Subst Use. 2021;27(4):335-51. https://doi.org/10.1080/14659891.2021.1941356
- Gjersing L, Bretteville-Jensen AL. Patterns of substance use and mortality risk in a cohort of ‘hard-to-reach’ polysubstance users. Addict. 2018;113(4):729-39. https://doi.org/10.1111/add.14053
- Wang L, Min JE, Krebs E, Evans E, Huang D, Liu L, et al. Polydrug use and its association with drug treatment outcomes among primary heroin, methamphetamine, and cocaine users. Int J Drug Policy. 2017;49:32-40. https://doi.org/10.1016/j.drugpo.2017.07.009
- Timko C, Han X, Woodhead E, Shelley A, Cucciare MA. Polysubstance use by stimulant users: health outcomes over three years. J Stud Alcohol Drugs 2018;79(5):799-807. https://doi.org/10.15288/jsad.2018.79.799
- Institute of Medicine. Exploring the biological contributions to human health: does sex matter [Internet]? Washington, DC: National Academies Press. 2001. https://www.ncbi.nlm.nih.gov/books/NBK222287/
- Zimmer Z, Rojo F, Ofstedal MB, Chiu C, Saito Y, Jagger C. Religiosity and health: a global comparative study. SSM - Pop Health. 2019;7:100322. https://doi.org/10.1016/j.ssmph.2018.11.006
- Gillum RF, King DE, Obisesan TO, Koenig HG. Frequency of attendance at religious services and mortality in a U.S. national cohort. Ann Epidemiol. 2008;18(2):124-29. https://doi.org/10.1016/j.annepidem.2007.10.015
- Headey B, Hoehne G, Wagner GG. Does religion make you healthier and longer lived? Evidence for Germany. Soc Indic Res. 2014;119(3):1335-61. https://doi.org/10.1007/s11205-013-0546-x
- Pitel L, Madarasova Geckova A, Kolarcik P, Halama P, Reijneveld SA, van Dijk JP. Gender differences in the relationship between religiosity and health-related behaviour among adolescents. J Epidemiol Comm Health [Internet]. 2012;66(12):1122-8. https://doi.org/10.1136/jech-2011-200914
- Hummer RA, Benjamins MR, Ellison CG, Rogers RG. Religious involvement and mortality risk among pre-retirement aged U.S. adults. In: Ellison CG, Hummer RA, editors. Religion, families, and health: population-based research in the United States. Rutgers University Press; 2010. p. 273-91.
- Likisa K. The causes and challenges of students’ drug abuse in higher learning institutions: a comprehensive review of related literature. Ethiop J Sci Sustain Devel. 2019;6(2):33-45. https://doi.org/10.20372/ejssdastu:v6.i2.2019.88
- Sinha R. Stress and substance use disorders: risk, relapse, and treatment outcomes. J Clin Invest. 2024;134(16):e172883. https://doi.org/10.1172/JCI172883
- Hust SJT, Willoughby J, Couto L, Velazquez N, Bares S. Parents & cannabis: adolescents’ reports of parent-related factors associated with their attitudes about and intentions to use cannabis. J Child Family Studies. 2024;33(10):3428-39. https://doi.org/10.1007/s10826-024-02943-7
- Srivastava S, Kumar P, Rashmi, Singh SK, Chauhan S. Does substance use by family members and community affect the substance use among adolescent boys? Evidence from UDAYA study, India. BMC Public Health. 2021;21(1):1896. https://doi.org/10.1186/s12889-021-11911-5
- Shegute T, Wasihun Y. Prevalence of substance use in university students, Ethiopia. Subst Abuse: Res Treat. 2021;15:1–9. https://doi.org/10.1177/11782218211003558
- Musyoka CM, Mbwayo A, Donovan D, Mathai M. Alcohol and substance use among firstyear students at the University of Nairobi, Kenya: prevalence and patterns. PLOS ONE. 2020;15(8):e0238170. https://doi.org/10.1371/journal.pone.0238170
- Walters KS, Bulmer SM, Troiano PF, Obiaka U, Bonhomme R. Substance use, anxiety, and depressive symptoms among college students. J Child Adolesc Subs Abuse. 2018;27(2):103-11. https://doi.org/10.1080/1067828X.2017.1420507
- Gebremariam TB, Mruts KB, Neway TK. Substance use and associated factors among Debre Berhan University students, Central Ethiopia. Subst Abuse Treat Preven Policy. 2018;13(1):13. https://doi.org/10.1186/s13011-018-0150-9
- Ramdhani S. Demographic factors and depression as predictors of substance use among students at a South African university [Unpublished master’s thesis]. University of Cape Town; 2018.
- Libreria Editrice Vaticana. Catechism of the Catholic Church [Internet]. n.d. Available from: https://www.vatican.va/archive/ENG0015/__P80.HTM
- Mirror J. Church denominational positions on drinking alcohol [Internet]. 2015 Sep 21. Available from: https://jamesmirror.com/2015/09/21/church-denomination-positions-on-alcohol/
- Sullivan SC. Living faith: Everyday religion and mothers in poverty. University of Chicago Press; 2011.
- Hai AH, Franklin C, Park S, DiNitto DM, Aurelio N. The efficacy of spiritual/religious interventions for substance use problems: a systematic review and meta-analysis of randomized controlled trials. Drug Alcohol Depend. 2019;202:134-48. https://doi.org/10.1016/j.drugalcdep.2019.04.045
- Yeung JWK. Faith-based intervention, change of religiosity, and abstinence of substance addicts. Brazil J Psych. 2022;44(1):46-56. https://doi.org/10.1590/1516-4446-2020-1576
- Resnick HS, Acierno R, Amstadter AB, Self-Brown S, Kilpatrick DG. An acute post-sexual assault intervention to prevent drug abuse: updated findings. Addict Behav. 2007;32(10):2032-45. https://doi.org/10.1016/j.addbeh.2007.01.001
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
Keywords:
© 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.