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Title: | The epidemiology of substance use among street children in resource-constrained settings: a systematic review and meta-analysis |
Authors: | Lonnie, Embleton Ann, Mwangi Rachel, Vreeman David, Ayuku Paula, Braitstein |
Keywords: | Epidemiology Substance use Street Children Resource-constrained settings meta-analysis systematic review |
Issue Date: | 5-May-2013 |
Publisher: | Indiana university,moi university |
Abstract: | Aims To compile and analyze critically the literature published on street children and substance use in resourceconstrained 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 |
URI: | http://ir.mu.ac.ke:8080/xmlui/handle/123456789/534 |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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AYUKU DAVID.pdf | 990.26 kB | Adobe PDF | View/Open |
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