Patterns of substance use in South Africa: results from the South African Stress and Health study

dc.contributor.authorVan Heerden, Margaretha S
dc.contributor.authorGrimsrud, Anna T
dc.contributor.authorSeedat, Soraya
dc.contributor.authorMyer, Landon
dc.contributor.authorWilliams, David R
dc.contributor.authorStein, Dan J
dc.date.accessioned2017-05-17T10:02:14Z
dc.date.available2017-05-17T10:02:14Z
dc.date.issued2009
dc.date.updated2016-01-08T07:36:21Z
dc.description.abstractBackground. There are limited data on substance use in South Africa. We describe patterns of substance use based on recent, nationally representative data. Methods. Data were derived from the 2002 - 2004 South African Stress and Health (SASH) study. A nationally representative household probability sample of 4 351 adults was interviewed using the paper and pencil version of the World Health Organization Composite International Diagnostic Interview (CIDI). Data are reported for lifetime use, socio-demographic correlates of use, and age of cohort predicting lifetime use for four classes of drugs. Results. The estimate for cumulative occurrence of alcohol use was 38.7%, of tobacco smoking 30.0%, of cannabis use 8.4%, of other drug use 2.0%, and of extra-medical psychoactive drug use 19.3%. There were statistically significant associations between male gender and alcohol, tobacco, cannabis and other drug use. Coloureds and whites were more likely than blacks to have used alcohol, tobacco and other drugs. Clear cohort variations existed in the age of initiation of drug use; these were most marked for other drugs and for extra-medical drug use. Use of all drug types was much more common in recent cohorts, with a similar cumulative incidence of tobacco, alcohol and cannabis use across age cohorts. Conclusions. Epidemiological patterns of use for alcohol, tobacco, cannabis, other drugs and extra-medical drugs provide the first nationally representative data. New findings on race and exploratory data on time trends provide a foundation for future epidemiological work on drug use patterns across birth cohorts and population subgroups in South Africa.
dc.identifier.apacitationVan Heerden, M. S., Grimsrud, A. T., Seedat, S., Myer, L., Williams, D. R., & Stein, D. J. (2009). Patterns of substance use in South Africa: results from the South African Stress and Health study. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24345en_ZA
dc.identifier.chicagocitationVan Heerden, Margaretha S, Anna T Grimsrud, Soraya Seedat, Landon Myer, David R Williams, and Dan J Stein "Patterns of substance use in South Africa: results from the South African Stress and Health study." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24345en_ZA
dc.identifier.citationVan Heerden, M. S., Grimsrud, A. T., Seedat, S., Myer, L., Williams, D. R., & Stein, D. J. (2009). Patterns of substance use in south africa : Results from the south african stress and health study : Mental health. South African Medical Journal, 99(5), 358-366.
dc.identifier.ris TY - Journal Article AU - Van Heerden, Margaretha S AU - Grimsrud, Anna T AU - Seedat, Soraya AU - Myer, Landon AU - Williams, David R AU - Stein, Dan J AB - Background. There are limited data on substance use in South Africa. We describe patterns of substance use based on recent, nationally representative data. Methods. Data were derived from the 2002 - 2004 South African Stress and Health (SASH) study. A nationally representative household probability sample of 4 351 adults was interviewed using the paper and pencil version of the World Health Organization Composite International Diagnostic Interview (CIDI). Data are reported for lifetime use, socio-demographic correlates of use, and age of cohort predicting lifetime use for four classes of drugs. Results. The estimate for cumulative occurrence of alcohol use was 38.7%, of tobacco smoking 30.0%, of cannabis use 8.4%, of other drug use 2.0%, and of extra-medical psychoactive drug use 19.3%. There were statistically significant associations between male gender and alcohol, tobacco, cannabis and other drug use. Coloureds and whites were more likely than blacks to have used alcohol, tobacco and other drugs. Clear cohort variations existed in the age of initiation of drug use; these were most marked for other drugs and for extra-medical drug use. Use of all drug types was much more common in recent cohorts, with a similar cumulative incidence of tobacco, alcohol and cannabis use across age cohorts. Conclusions. Epidemiological patterns of use for alcohol, tobacco, cannabis, other drugs and extra-medical drugs provide the first nationally representative data. New findings on race and exploratory data on time trends provide a foundation for future epidemiological work on drug use patterns across birth cohorts and population subgroups in South Africa. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Patterns of substance use in South Africa: results from the South African Stress and Health study TI - Patterns of substance use in South Africa: results from the South African Stress and Health study UR - http://hdl.handle.net/11427/24345 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24345
dc.identifier.vancouvercitationVan Heerden MS, Grimsrud AT, Seedat S, Myer L, Williams DR, Stein DJ. Patterns of substance use in South Africa: results from the South African Stress and Health study. South African Medical Journal. 2009; http://hdl.handle.net/11427/24345.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titlePatterns of substance use in South Africa: results from the South African Stress and Health study
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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