International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Prevalence and Determinants of Substance Use in Rural Areas of Barabanki District, Uttar Pradesh: A Community-Based Cross-Sectional Study

Author(s) Dr. VARSHA SRIVASTAVA
Country India
Abstract Background: Substance use is a major public health problem in India, contributing significantly to morbidity, mortality, and socioeconomic burden. Rural areas remain under-studied, particularly at the district level.
Objectives: To estimate the prevalence and determinants of substance use among adults in rural Barabanki district, Uttar Pradesh.
Methods: A community-based cross-sectional study was conducted among 400 adults (≥18 years) selected through multistage random sampling from five rural villages of Barabanki district. Data were collected using a pretested semi-structured questionnaire incorporating the AUDIT-C and Fagerström Test for Nicotine Dependence. Statistical analysis was performed using SPSS version 26. Chi-square test and multivariable logistic regression were applied. A p-value <0.05 was considered statistically significant.
Results: The overall prevalence of any substance use was 41.5%. Tobacco use was reported by 34.0%, alcohol use by 18.5%, and other substances by 3.5%. Male gender (AOR=4.82; 95% CI: 2.91–7.98), lower educational status (AOR=2.14; 95% CI: 1.28–3.56), and lower socioeconomic status (AOR=1.96; 95% CI: 1.12–3.42) were significant predictors of substance use.
Conclusion: Substance use is highly prevalent in rural Barabanki, predominantly tobacco use among males and socioeconomically vulnerable groups. Strengthening primary care-based screening and community-level preventive interventions is essential.
Keywords Substance use, Tobacco, Alcohol, Rural health, Barabanki, Uttar Pradesh
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-02-28
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E-ISSN 2582-2160
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