Evidence map›Paper›PMID 41361277›Full record

ArticleBMC public health2025

Assessing the prevalence, determinants, and health impact of substance use among university students in Bangladesh.

Masom Mia, Most Rawnak Islam, Mosharef Hossain, Md Saifur Rahman, Tafajjal Islam, Md Muzahid Islam, Zamira Atamuratova, Valisher Sapayev Odilbek Uglu, Kholbek Shermatov

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Masom MiaDepartment of Clinical Psychology, Faculty of Biological Science, University of Rajshahi, Rajshahi, 6205, Bangladesh. mdmasom153@gmail.com.
Most Rawnak IslamDepartment of Clinical Psychology, Faculty of Biological Science, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Mosharef HossainDepartment of Environmental Science, Southeast Missouri State University, Cape Girardeau, MO, USA.
Md Saifur RahmanDepartment of Clinical Psychology, Faculty of Biological Science, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Tafajjal IslamHealth Research Group, Department of Statistics, University of Rajshahi, Rajshahi, 6205, Bangladesh. tafazzal.edu@gmail.com.
Md Muzahid IslamDepartment of Psychology, Faculty of Biological Science, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Zamira AtamuratovaDepartment of Pedagogy and Psychology, Urgench State University, Urgench, Uzbekistan.
Valisher Sapayev Odilbek UgluGeneral professional science, Mamun University, Khiva, Uzbekistan.
Kholbek ShermatovDepartment of Medicine, Termez University of Economics and Service, Termez, Uzbekistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubstance use is a pressing and rapidly escalating concern among university students, particularly in low-resource settings like Bangladesh where comprehensive data is scarce. This study was conducted with a sense of urgency to investigate the prevalence and determinants of substance use, as well as its associated health burdens, among university students in Bangladesh.

methodsThis was a rigorous cross-sectional study conducted from 26 May to 31 July 2025. A total of 509 students (mean age = 22.4 years) from four randomly selected public universities were recruited using a multistage random sampling technique. A comprehensive semi-structured questionnaire was used to collect data on socio-demographics, lifestyle factors, health indicators, and substance use. Binary logistic regression models were employed to identify determinants and assess associations with health outcomes, ensuring a thorough and reliable methodology.

resultsThe current, past-year, and lifetime prevalence of substance use were 16.1% (95% CI: 12.9%-19.3%, 19.6% (95% CI: 16.2%-23.1%), and 25.1% (95% CI: 21.3%-28.9%), respectively, with higher rates among males compared to female students (20.0% vs. 6.7%). Seven determinants were identified in the logistic regression: (i) age ((aOR = 3.157; 95% CI: 1.136-8.774; p < 0.05), (ii) family history of substance use (aOR = 5.834; 95% CI: 2.802-12.146; p < 0.01), (iii) having substance-using friends (aOR = 2.199; 95% CI: 1.005-4.811; p < 0.05), (iv) family income (aOR = 2.840 95% CI: 1.050-7.683; p < 0.05), (v) physical inactivity (aOR = 0.184; 95% CI: 0.059-0.576; p < 0.01) & (aOR = 0.256; 95% CI: 0.099-0.661; p < 0.01), (vi) eating habits (aOR = 3.703; 95% CI: 1.866-7.348;p < 0.01), and (vii) sleep disturbances (aOR = 15.935; 95% CI: 6.410-39.614; p < 0.01). Substance use was significantly associated with increased odds of poor self-rated health (aOR = 5.71; 95% CI: 1.29-25.29), hypertension (aOR = 2.95; 95% CI: 1.11-7.84), depression (aOR = 2.33; 95% CI: 1.06-5.14), and stress (aOR = 3.00; 95% CI: 1.29-6.94).

conclusionThese findings have the potential to significantly shape public health policies and student-focused programs aimed at reducing substance use and its related health burdens. They underscore the need for targeted prevention, psychosocial support, and campus-based initiatives, thereby highlighting the practical relevance and importance of the research.

Indexed as

StudentsSubstance-Related DisordersAdolescentAdultBangladeshCross-Sectional StudiesFemaleHumansMalePrevalenceRisk FactorsSurveys and QuestionnairesUniversitiesYoung AdultBangladeshHealth burdensPrevalenceSubstance useUniversity students

Identifiers

PMID41361277
PMCPMC12801996

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.