Document Detail

The epidemiology of substance use among street children in resource-constrained settings: a systematic review and meta-analysis.
MedLine Citation:
PMID:  23844822     Owner:  NLM     Status:  MEDLINE    
AIMS: To compile and analyze critically the literature published on street children and substance use in resource-constrained settings.
METHODS: We searched the literature systematically and used meta-analytical procedures to synthesize literature that met the review's inclusion criteria. Pooled-prevalence estimates and 95% confidence intervals (CI) were calculated using the random-effects model for life-time substance use by geographical region as well as by type of substance used.
RESULTS: Fifty studies from 22 countries were included into the review. Meta-analysis of combined life-time substance use from 27 studies yielded an overall drug use pooled-prevalence estimate of 60% (95% CI = 51-69%). Studies from 14 countries contributed to an overall pooled prevalence for street children's reported inhalant use of 47% (95% CI = 36-58%). This review reveals significant gaps in the literature, including a dearth of data on physical and mental health outcomes, HIV and mortality in association with street children's substance use.
CONCLUSIONS: Street children from resource-constrained settings reported high life-time substance use. Inhalants are the predominant substances used, followed by tobacco, alcohol and marijuana.
Lonnie Embleton; Ann Mwangi; Rachel Vreeman; David Ayuku; Paula Braitstein
Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, N.I.H., Extramural; Review     Date:  2013-07-12
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  108     ISSN:  1360-0443     ISO Abbreviation:  Addiction     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-16     Completed Date:  2014-04-30     Revised Date:  2014-10-09    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  England    
Other Details:
Languages:  eng     Pagination:  1722-33     Citation Subset:  IM    
Copyright Information:
© 2013 Society for the Study of Addiction.
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MeSH Terms
Health Services Accessibility*
Homeless Youth / statistics & numerical data*
Substance-Related Disorders / epidemiology*
World Health / statistics & numerical data*
Grant Support
Comment In:
Addiction. 2013 Oct;108(10):1735-6   [PMID:  24033778 ]
Addiction. 2013 Oct;108(10):1734-5   [PMID:  24033777 ]

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