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- DOI 10.18231/j.ijfmts.49353.1759561471
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CrossMark
Prevalence and patterns of substance use among women: An Egyptian cross-sectional study
- Author Details:
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Rania Abdel Maguid Kaka *
Rania Abdel Maguid Kaka *
Background: Substance use among females is growing, presenting a significant public health and forensic challenge that affects individuals and communities. This study explored the prevalence and patterns of substance use among a sample of Egyptian females, emphasizing their awareness of associated risks. It also investigated the toxicological and legal hazards faced due to substance use, highlighting the interplay between that problem and the socio-legal environment.
Materials and Methods: A cross-sectional study was conducted over six months, from July 1 to December 31, 2023. This study involved a non-random sample of Egyptian females aged 18 to 60 (n = 482). A structured, self-administered questionnaire served as the data collection tool.
Results: Of the 482 women, 34.6% (n=167) reported substance use. The largest group of users (38.3%) was in the 26-35 age range. There was a significant association between marital status and substance use (p <0.001). Tobacco had the highest dependence rate at 66.6%, followed by psychotropics at 24%. The main motivation for substance use was emotional relief (51.5%), with performance enhancement at 19.8%. Awareness of risks such as overdose (86.2%) and organ damage (85.0%) was high, but understanding of withdrawal symptoms and drug interactions was limited. Common acute toxicity symptoms included respiratory issues (70.7%) and nausea/vomiting (58.7%), yet only 13.8% sought medical help. Legal consequences were minimal, with no arrests, but 28.1% faced drug testing and 19.2% experienced violent incidents due to impaired judgment.
Conclusion: These findings highlight the urgent need for integrated strategies combining mental health support, education, and harm reduction to address the rising substance use burden among females in Egypt. Improving forensic toxicology, expanding emergency care access, and reforming drug use laws could significantly lessen individual and societal harm. Future research should focus on monitoring emerging drugs and assessing context-specific interventions.
References
- Obiechina GO, Isiguzo BC. Curbing the menace of drug use among secondary school students in Nigeria. European J Res Ref Educ Sci. 2016;4(1):53-64.
- Idowu A., Aremu AO, Olumide A, A.O. O. Substance abuse among students in selected secondary schools of an urban community of Oyo-state, South-West Nigeria: implication for policy action. Afri Health Sci. 2018;18(3):776-85.
- Melchior H, Husing P, Grundmann J, Lotzin A, Hiller P, Pan Y, et al. Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder. Eur Addict Res. 2019;25(1):20-9.
- UNODC. World Drug Report 2021. United Nations Office on Drugs and Crime; 20 21; Avalable From: https://digitallibrary.un.org/record/3931425?ln=en&v=pdf
- WHO. Global status report on alcohol and health and treatment of substance use disorders. World Health Organization; 2024. Avalbale Frrom: https://www.who.int/publications/i/item/9789240096745
- Greenfield SF, Back SE, Lawson K, KT B. Substance abuse in women. Psychiatr Clin North Am. 2010;33(2):339-55.
- Becker JB, Koob GF. Sex Differences in Animal Models: Focus on Addiction. Pharmacol Rev. 2016;68(2):242-63.
- Tabatabaei SM, Behmanesh-Pour F, Salimi-Khorashad A, Zaboli M, Sargazi-Moakhar Z, Shaare-Mollashahi S. Substance Abuse and Its Associated Factors among Pregnant Women: A Cross-Sectional Study in the Southeast of Iran. Addict Health. 2018;10(3):162-72.
- CAPMAS. Egypt in Figures 2019. Central Agency for Public Mobilization And Statistics; 2019;10(8):1043-71.
- Naguib M, Sherif HA, Elbalshy AT. Prevalence and associated risk factors of cannabinoid abuse among Egyptian university students: a cross-sectional study. Environ Sci Pollut Res. 2021;28(48):68706–
- Okasha T, Shaker MN, El-Gabry D. Mental health services in Egypt, the Middle East, and North Africa, Int Rev Psych. 2024;3(4):306-14.
- WHO. Alcohol Egypt 2019 country profile. World Health Organization; 2019. A valable From: https://www.who.int/publications/m/item/alcohol-egy-2019
- Greaves L, Poole N, Brabete AC. Sex, Gender, and Alcohol Use: Implications for Women and Low-Risk Drinking Guidelines. Int J Environ Res Public Health. 2022;19(8):4523.
- Taylor O. Barriers to Treatment for Women With Substance Use Disorders. J Hum Beh Soc Environ. 2010;20(3):393-409.
- Doweiko HE. Concept of Chemical Dependency. 6th Edition ed. Belmont- USA: Thomson Higher Education; 2006.p.582.
- GBD. The global burden of disease attributable to alcohol drug, and use in 195 countries and territories,1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry. 2018;5:987–1012.
- McHugh RK, Wigderson S, Greenfield SF. Epidemiology of substance use in reproductive-age women. Obstet Gynecol Clin North Am. 2014;41(2):177-89.
- Barbosa-Leiker C, Campbell ANC, Pavlicova M, Scodes J, Burlew AK, Hatch-Maillette M, et al. Substance Use and Mental Health in Emerging Adult Vs Older Adult Men and Women With Opioid Use Disorder. Am J Addict. 2020;29(6):536-42.
- Hamdi E, Gawad T, Khoweiled A, Sidrak AE, Amer D. Lifetime prevalence of alcohol and substance use in Egypt: a community survey. Subst Abus. 2013;34(2):97-104.
- Saapiire F, Namillah G, Tanye V, Abubakari A. The Insurgence of Tramadol Abuse among the Most Active Population in Jirapa Municipality: A Study to Assess the Magnitude of the Abuse and Its Contributory Factors. Psychiatry J. 2021;2021:3026983.
- Hamdi E, Sabry N, Sedrak A, Khowailed A, N L. Sociodemographic Indicators for Substance Use and Abuse in Egypt. J Addiction Prevention. 2016;4(1):8.
- Fals-Stewart W, O'Farrell TJ, Birchler GR. Behavioral couples therapy for substance abuse: rationale, methods, and findings. Sci Pract Perspect. 2004;2(2):30-41.
- Hamdi E, Sabry N, Khoweiled A, Edward DE. The National Addiction Research Program: prevalence of alcohol and substance use among women in Cairo. Egypt J Psychiatry. 2013;34:155-63.
- Yahaya J. The Effect of Drug Abuse among Youth in Nasarawa Local Government, Kano State, Nigeria (2014 -2017). J Int Politics. 2019;1(3):13-25.
- McCabe CJ, Hipwell AE, Keenan K, Stepp S, Chung T, King KM. Substance use and sexual minority status: examining the mediating roles of stress and emotion dysregulation in young adult women. Clin Psychol Sci. 2021;9(6):1095-114.
- Rabie M, Shaker NM, Gaber E, El-Habiby M, Ismail D, El-Gaafary M. Prevalence updates of substance use among Egyptian adolescents. Middle East Current Psychiatry. 2020;27(1):4.
- Boachie MK, Rossouw L, Ross H. The Economic Cost of Smoking in South Africa, 2016. Nicotine Tob Res. 2021;23(2):286-93.
- EL-Zoghby S, Mansour N, Eldahshan N, Fawzy M, Hagras A. Pattern of Illicit Drug Use Among Adults Attending Family Medicine Center Of Fanarah Village In Ismailia City, Egypt. Egypt J Forensic Sci Appli Toxicol. 2017;17(1):1-20.
- Hasin DS, Saha TD, Kerridge BT, Goldstein RB, Chou SP, Zhang H. et al. Prevalence of Marijuana Use Disorders in the United States Between 2001-2002 and 2012-2013. JAMA Psychiatry. 2015;72(12):1235-42. 92 Kaka / IP International Journal of Forensic Medicine and Toxicological Sciences 2025;10(3):80–92
- Maust DT, Lin LA, Blow FC. Benzodiazepine Use and Misuse Among Adults in the United States. Psychiatric Services. 2019;70(2):97-106.
- Richelle L, Kacenelenbogen N, Kornreich C, Aron M. Expectations and needs of people with illicit substance use disorders in general practice: a qualitative study in Belgium. BMC Primary Care. 2024;25(1):303.
- Schoenfeld AJ, Holly KE, Bryan MR, Hatton MO, Wien M, Koehlmoos TP. Prescription opioid use and substance use disorder in US women (2006-2022): a retrospective cohort study. Lancet Reg Health Am. 2025;46:101108.
- CDC. Understanding Drug Overdoses and Deaths. Centers for Disease Control and Prevention; 2023.
- Abolmaged S, Kodera A, Okasha T, Gawad T, Rawson R. Tramadol Use in Egypt: Emergence of A Major New Public Health Problem. Canadian J Addic. 2013;4:5.
- Fawzy M. Some medicolegal aspects concerning tramadol abuse: the new Middle East youth plague 2010. An Egyptian overview. Egypt J Forensic Sci. 2010;1:99-102.
- Keyes KM, Grant BF, Hasin DS. Evidence for a closing gender gap in alcohol use, abuse, and dependence in the United States population. Drug Alcohol Depend. 2008;93(1-2):21-9.
- Labbate LA, Sonne SC, Randal CL, Anton RF, Brady KT. Does comorbid anxiety or depression affect clinical outcomes in patients with post-traumatic stress disorder and alcohol use disorders? Compr Psychiatry. 2004;45(4):304-10.
- UNODC. Women and Drugs: Drug Use, Drug Supply and Their Consequences. Vienna: United Nations Office on Drugs and Crime;
- Smith M, Farah M. Are Prescription Stimulants "Smart Pills"? The Epidemiology and Cognitive Neuroscience of Prescription Stimulant Use by Normal Healthy Individuals. Psychological bulletin. 2011;137:717-41.
- Otorkpa OJ. Pattern of Drug Abuse among Adolescents in Lokoja Metropolis of Kogi State, Nigeria. J Appl Life Sci Inte. 2019;20(3):1-9.
- Peacock A, Leung J, Larney S, Colledge S, Hickman M, Rehm J, et al. Global statistics on alcohol, tobacco and illicit drug use: 2017 status report. Addiction. 2018;113(10):1905-26.
- Abdel Mageid R. Estimation of the Prevalence of Tramadol and Cannabis Abuse among Drivers Involved in Road Traffic Accidents Admitted to Alexandria Main University Hospital: A Prospective Study. Int J Contemp Med Res. 2017;4(4):848-52.
- Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49.
- Liakoni E, Muller S, Stoller A, Ricklin M, Liechti ME, Exadaktylos AK. Presentations to an urban emergency department in Bern, Switzerland associated with acute recreational drug toxicity. Scand J Trauma Resusc Emerg Med. 2017;25(1):26.
- Ricci G, Busardo FP, Gibelli F, Sirignano A, Brunetti P. Evaluating the risk of toxicity and adverse drug interactions involving recreational GHB use and prescribed drugs. Expert Opin Drug Metab Toxicol. 2021;17(12):1445-54.
- Degenhardt L, Whiteford H, Ferrari A, Baxter A, Charlson F, Hall W. et al. Global burden of disease attributable to illicit drug use and dependence: Findings from the Global Burden of Disease Study
- Lancet. 2013;382.
- Goldenberg SM, Perry C, Watt S, Bingham B, Braschel M, Shannon K. Violence, policing, and systemic racism as structural barriers to substance use treatment amongst women sex workers who use drugs: Findings of a community-based cohort in Vancouver, Canada (2010-2019). Drug Alcohol Depend. 2022;237:109506.