Prevalence of Substance Use in a Rural Community Sample in Maharashtra, India

Background: According to the World Health Organization (WHO), substance abuse is “Persistent or sporadic drug use inconsistent with or unrelated to acceptable medical practice.” Harmful substance use has enormous physical and mental health implications. As maximum population in India resides in the rural areas, a study assessing substance use would add to the current knowledge for formulation of management. Aims and Objectives: The aim of the present study was to assess and determine the prevalence of substance use in rural population. The objectives being determining predominant substance used and its pattern in rural community sample; to study the sociodemographic characteristics of the individuals with substance use disorder. Materials and Methods: The study was conducted at a rural health centre affiliated with the hospital. A total of 502 individuals were interviewed. A specialised proforma, ASSIST scale and ICD-10 were the tools used. The data was analysed using SPSS (statistical packages for social sciences) version 20.0 software. Results: Out of 502 participants evaluated 27.3% were using tobacco, 23.12% were using alcohol, only 0.6% and 0.2% were using cannabis and inhalant, respectively. Male gender (33.85% of males use tobacco, 42.91% use alcohol) and employment status was significantly associated with the substance use and its craving. Conclusion: Substance use of tobacco followed by alcohol is prevalent in the rural community sample.