Abstract: | Adolescent substance abuse is a pressing public health concern in Addis Ababa City,
Ethiopia, with significant implications for individual well-being, family dynamics, and
societal development. This study aimed to develop a comprehensive solution model to
address this critical issue by examining the factors influencing adolescent substance abuse
and identifying effective intervention strategies. A mixed-methods approach was employed,
combining quantitative data analysis and qualitative insights from key stakeholders.
Accordingly, it is conducted a survey of questionnaire for a total of 80 participants and an
interview held for 20 specific group of individuals such as family members, teachers,
community elders and health care professionals. The survey also includes an interview of
10 participants specifically focusing on health care professionals to assess the impact of
the problem on adolescences. For the analysis of the study SPSS software was employed
and accordingly, correlation and regression analyses highlighted the complex interplay
between some contributing factors. The study findings revealed that substance availability,
peer influence, family dynamics, and socioeconomic factors were the primary drivers of
adolescent substance abuse in the city. The proposed solution model presents a
multifaceted and context-specific approach to tackle the issue of adolescent substance
abuse in Addis Ababa City. In conclusion reducing substance availability, strengthening
prevention programs, and addressing contextual factors are key priorities in tackling
adolescent substance abuse in Addis Ababa. A multifaceted, evidence-based solution model
is needed to target the complex individual, familial, social, and environmental
determinants of this issue. Comprehensive community engagement and cultural sensitivity
are crucial for designing effective and contextually relevant intervention strategies. Based
on the study's objectives and the derived insights, a set of key recommendations was
formulated to guide the development of an effective solution model. Accordingly,
strengthen regulatory frameworks and enforcement mechanisms to disrupt the supply
chain and reduce the accessibility of substances for adolescents. Invest in evidence-based
prevention programs that empower adolescents with knowledge, life skills, and support
systems to resist substance use. Conduct a thorough investigation into the various
individual, familial, social, and environmental determinants of adolescent substance abuse
prevalent in Addis Ababa. Future work should focus on longitudinal evaluation, expansion
of the scope, interdisciplinary collaboration, technological integration, community-based
participatory research, and policy advocacy to ensure the long-term sustainability and
scalability of the interventions. By implementing this comprehensive solution model, the
study aims to contribute to the reduction of adolescent substance abuse, promote healthier
behaviors, and foster positive youth development in Addis Ababa City, ultimately
contributing to the overall well-being and societal progress of the community. |