The epidemiology of substance use among street children in resource-constrained settings: A systematic review and meta-analysis

Lonnie Embleton, Ann Mwangi, Rachel Vreeman, David Ayuku, Paula Braitstein

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1722-1733
Number of pages12
JournalAddiction
Volume108
Issue number10
DOIs
StatePublished - Oct 2013

Fingerprint

Homeless Youth
Meta-Analysis
Epidemiology
Confidence Intervals
Cannabis
Tobacco
Mental Health
Alcohols
HIV
Mortality
Pharmaceutical Preparations

Keywords

  • Homeless youth
  • Resource-constrained settings
  • Street children
  • Substance use
  • Systematic review
  • Volatile solvent use

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Medicine(all)

Cite this

The epidemiology of substance use among street children in resource-constrained settings : A systematic review and meta-analysis. / Embleton, Lonnie; Mwangi, Ann; Vreeman, Rachel; Ayuku, David; Braitstein, Paula.

In: Addiction, Vol. 108, No. 10, 10.2013, p. 1722-1733.

Research output: Contribution to journalArticle

Embleton, Lonnie ; Mwangi, Ann ; Vreeman, Rachel ; Ayuku, David ; Braitstein, Paula. / The epidemiology of substance use among street children in resource-constrained settings : A systematic review and meta-analysis. In: Addiction. 2013 ; Vol. 108, No. 10. pp. 1722-1733.
@article{a0e76c5365674bd89da39fc4a4f67782,
title = "The epidemiology of substance use among street children in resource-constrained settings: A systematic review and meta-analysis",
abstract = "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.",
keywords = "Homeless youth, Resource-constrained settings, Street children, Substance use, Systematic review, Volatile solvent use",
author = "Lonnie Embleton and Ann Mwangi and Rachel Vreeman and David Ayuku and Paula Braitstein",
year = "2013",
month = "10",
doi = "10.1111/add.12252",
language = "English",
volume = "108",
pages = "1722--1733",
journal = "Addiction",
issn = "0965-2140",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - The epidemiology of substance use among street children in resource-constrained settings

T2 - A systematic review and meta-analysis

AU - Embleton, Lonnie

AU - Mwangi, Ann

AU - Vreeman, Rachel

AU - Ayuku, David

AU - Braitstein, Paula

PY - 2013/10

Y1 - 2013/10

N2 - 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.

AB - 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.

KW - Homeless youth

KW - Resource-constrained settings

KW - Street children

KW - Substance use

KW - Systematic review

KW - Volatile solvent use

UR - http://www.scopus.com/inward/record.url?scp=84884202181&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884202181&partnerID=8YFLogxK

U2 - 10.1111/add.12252

DO - 10.1111/add.12252

M3 - Article

C2 - 23844822

AN - SCOPUS:84884202181

VL - 108

SP - 1722

EP - 1733

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 10

ER -