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Psychoactive substance abuse among commercial bus drivers in Umuahia, Abia State, South-Eastern Nigeria: an uncontrolled “epidemic” with attendant road traffic crashes
Open accessPublished version of a preprint
Abstract
Background information: The unprecedented depletion of the productive workforce has been majorly attributed to road traffic crashes (RTCs). The attendant consequences of this depletion have been found to constitute a serious global public health challenge, with the use of psychoactive substances among drivers implicated in every three of five motor vehicle accidents. Hence, this study assessed the pattern and explored the determinants of substance abuse among commercial bus drivers in Umuahia, Abia State. Methods: A descriptive cross-sectional design was used for the study. Four hundred commercial bus drivers were recruited from selected motor parks in Abia-state, using a multistage sampling technique from October to December 2020. A pretested, interviewer-administered questionnaire was administered to obtain socio-demographics and information on substance abuse. Data were analyzed using IBM SPSS version 25; bivariate analysis was done using Chi-square. The level of significance was at 5%. Results: The mean age of the respondents was 40.03 ± 10.50 years. The proportion of respondents who had ever abused a psychoactive substance was 74.6%. The most commonly abused substances among drivers include alcohol (51%), cigarettes (27%), and alcoholic herbal mixtures (16%). The study participants had poor knowledge (54.5%) and poor perception (63.2%) about psychoactive substance abuse. Among the factors found to be significantly associated with substance abuse among respondents were ethnicity ( p = 0.002), religion ( p = 0.009) and monthly income ( p = 0.013) of the respondents, poor knowledge ( p < 0.001) and poor perception ( p < 0.001). However, this study found religion ( p = 0.031; OR = 5.469; CI = 1.170 to 25.555), knowledge ( p < 0.001; OR = 4.21; CI = 2.201 to 8.287) and perception ( p < 0.001; OR = 9.828; CI = 15.572 to 65.052) as factors that were associated with the higher likelihood of psychoactive substance abuse. Conclusion: Religion, poor knowledge and perception were associated with the higher likelihood of psychoactive substance abuse among commercial bus drivers. Targeting commercial bus drivers for educational interventions and using religious leaders as conveyor belts may reduce the use of psychoactive substances among them.
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“Commercial drivers increasingly use psychoactive substances, raising the risk of road crashes and occupational injuries.”
From Road safety threats and occupational health risk associated with psychoactive substance use and dependence risk among commercial drivers: WHO ASSIST evidence from Ghana (2026) · cites this paper as [5]
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“In Sub-Saharan Africa, psychoactive substance use among commercial drivers is a significant public health concern in Sub-Saharan Africa [5, 19];”
From Road safety threats and occupational health risk associated with psychoactive substance use and dependence risk among commercial drivers: WHO ASSIST evidence from Ghana (2026) · cites this paper as [5]
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“However, if left unaddressed, psychoactive substance use among commercial drivers will continue to undermine road safety efforts and contribute significantly to preventable injuries and fatalities [5, 15].”
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“Empirical studies from countries such as Nigeria and Ethiopia have reported prevalence rates of psychoactive substance use among commercial drivers exceeding 70% [5, 15].”
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Research works printed but not linked: 27
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Cited by
Bebangnidong, J., Norvivor, F. A., Umar, A., Bautsi, D. A., & Gmayinaam, V. U. (2026) · BMC Public Health · doi:10.1186/s12889-026-26972-7
“However, if left unaddressed, psychoactive substance use among commercial drivers will continue to undermine road safety efforts and contribute significantly to preventable injuries and fatalities [5, 15].”
Influential
Metadata
- Authors
- Akande, R. O., Akande, J. O., Babatunde, O. A., Ajayi, A. O., Ajayi, A. A., Ige, R. O., Saliu, A. S., Akande, A., & Olatunji, M. B.
- Affiliations
- Ladoke Akintola University of Technology (NG)
- Osun State University (NG)
- Ladoke Akintola University of Technology Teaching Hospital (NG)
- University of Ibadan (NG)
- Corresponding author
- Babatunde, Olaniyan Akintunde
- ORCID
- Venue
- BMC Public Health
- Published
- 2023-02-06
- Volume
- 23
- Issue
- 1
- Pages
- 250-250
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC9901138
- OpenAlex
- W4319298429
- Cited by
- 19
- References
- 0
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 6 · 2023: 2
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
- Keywords
- psychoactive substance abuse, road traffic crashes, alcohol consumption, cigarette smoking, occupational health
- MeSH terms
- Accidents, Traffic, Adult, Automobile Driving, Cross-Sectional Studies, Humans, Middle Aged, Nigeria, Psychotropic Drugs, Substance-Related Disorders
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- Akande, R. O., Akande, J. O., Babatunde, O. A., Ajayi, A. O., Ajayi, A. A., Ige, R. O., Saliu, A. S., Akande, A., & Olatunji, M. B. (2023). Psychoactive substance abuse among commercial bus drivers in Umuahia, Abia State, South-Eastern Nigeria: an uncontrolled “epidemic” with attendant road traffic crashes. BMC Public Health. https://doi.org/10.1186/s12889-023-15039-6
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