International Journal of School Health

Published by: Kowsar

Phenomenology of Substance Use Among School-Going Adolescents in Botswana

Will Schupmann 1 , Katherine Riva 2 , * , Seipone Mphele 3 , Neo Moshashane 3 , Mitchelle Matesva 1 and Elizabeth Lowenthal 4 , **
Authors Information
1 University of Pennsylvania, Perelman School of Medicine, Philadelphia, United States
2 Psychiatry Department, University of Pennsylvania, Perelman School of Medicine, Philadelphia, United States
3 Psychology Department, University of Botswana, Gaborone, Botswana
4 Pediatrics and Epidemiology Department, University of Pennsylvania, Perelman School of Medicine, Philadelphia, United States
Corresponding Authors:
Article information
  • International Journal of School Health: October 2018, 5 (4); e82879
  • Published Online: September 29, 2018
  • Article Type: Research Article
  • Received: August 3, 2018
  • Revised: August 31, 2018
  • Accepted: September 4, 2018
  • DOI: 10.5812/intjsh.82879

How to Cite: Schupmann W, Riva K, Mphele S, Moshashane N, Matesva M, et al. Phenomenology of Substance Use Among School-Going Adolescents in Botswana, Int J School Health. 2018 ; 5(4):e82879. doi: 10.5812/intjsh.82879.

Copyright © 2018, International Journal of School Health. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. World Health Organization. Botswana 2005 fact sheet. Global school-based student health survey. 2005, [cited September 9 2017]. Available from:
  • 2. Majelantle RG, Bainame K, Masupu K, Nkawana P. Botswana youth risk behaviour surveillance survey: Final draft survey report. Botswana Ministry of Education and Skills Development; 2011.
  • 3. Squeglia LM, Gray KM. Alcohol and drug use and the developing brain. Curr Psychiatry Rep. 2016;18(5):46. doi: 10.1007/s11920-016-0689-y. [PubMed: 26984684]. [PubMed Central: PMC4883014].
  • 4. Balogun O, Koyanagi A, Stickley A, Gilmour S, Shibuya K. Alcohol consumption and psychological distress in adolescents: A multi-country study. J Adolesc Health. 2014;54(2):228-34. doi: 10.1016/j.jadohealth.2013.07.034. [PubMed: 24064281].
  • 5. Grant BF, Dawson DA. Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: Results from the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse. 1997;9:103-10. doi: 10.1016/S0899-3289(97)90009-2. [PubMed: 9494942].
  • 6. Elliott DS, Huizinga D, Menard S. Multiple problem youth: Delinquency, substance use, and mental health problems. New York, NY: Springer-Verlag; 1989. doi: 10.1007/978-1-4613-9637-6.
  • 7. Jessor R, Jessor SL. Problem behavior and psychosocial development: A longitudinal study of youth. New York, NY: Academic Press; 1977.
  • 8. Malete L. Aggressive and antisocial behaviours among secondary school students in botswana: The influence of family and school based factors. Sch Psychol Int. 2016;28(1):90-109. doi: 10.1177/0143034307075683.
  • 9. Page RM, Hall CP. Psychosocial distress and alcohol use as factors in adolescent sexual behavior among sub-Saharan African adolescents. J Sch Health. 2009;79(8):369-79. doi: 10.1111/j.1746-1561.2009.00423.x. [PubMed: 19630871].
  • 10. Peltzer K. Early sexual debut and associated factors among in-school adolescents in eight African countries. Acta Paediatr. 2010;99(8):1242-7. doi: 10.1111/j.1651-2227.2010.01874.x. [PubMed: 20491706].
  • 11. Ndugwa RP, Kabiru CW, Cleland J, Beguy D, Egondi T, Zulu EM, et al. Adolescent problem behavior in Nairobi's informal settlements: Applying problem behavior theory in sub-Saharan Africa. J Urban Health. 2011;88 Suppl 2:S298-317. doi: 10.1007/s11524-010-9462-4. [PubMed: 20499192]. [PubMed Central: PMC3132234].
  • 12. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption--II. Addiction. 1993;88(6):791-804. doi: 10.1111/j.1360-0443.1993.tb02093.x. [PubMed: 8329970].
  • 13. Stata Corp. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP; 2011.
  • 14. Hearst MO, Fulkerson JA, Maldonado-Molina MM, Perry CL, Komro KA. Who needs liquor stores when parents will do? The importance of social sources of alcohol among young urban teens. Prev Med. 2007;44(6):471-6. doi: 10.1016/j.ypmed.2007.02.018. [PubMed: 17428525]. [PubMed Central: PMC1987716].
  • 15. Komro KA, Maldonado-Molina MM, Tobler AL, Bonds JR, Muller KE. Effects of home access and availability of alcohol on young adolescents' alcohol use. Addiction. 2007;102(10):1597-608. doi: 10.1111/j.1360-0443.2007.01941.x. [PubMed: 17854336].
  • 16. Greene J, Pranis K, Ziedenberg J. Disparity by design: How drug-free zone laws impact racial disparity—and fail to protect youth. Justice policy institute. 2006, [cited September 9 2017]. Available from:
  • 17. Baumrind D. The influence of parenting style on adolescent competence and substance use. J Early Adolesc. 2016;11(1):56-95. doi: 10.1177/0272431691111004.
  • 18. Cohen DA, Rice J. Parenting styles, adolescent substance use, and academic achievement. J Drug Educ. 1997;27(2):199-211. doi: 10.2190/QPQQ-6Q1G-UF7D-5UTJ. [PubMed: 9270213].
  • 19. Wild LG, Flisher AJ, Bhana A, Lombard C. Associations among adolescent risk behaviours and self-esteem in six domains. J Child Psychol Psychiatry. 2004;45(8):1454-67. doi: 10.1111/j.1469-7610.2004.00851.x. [PubMed: 15482505].
  • 20. Brook DW, Rubenstone E, Zhang C, Morojele NK, Brook JS. Environmental stressors, low well-being, smoking, and alcohol use among South African adolescents. Soc Sci Med. 2011;72(9):1447-53. doi: 10.1016/j.socscimed.2011.02.041. [PubMed: 21492977]. [PubMed Central: PMC3090534].
  • 21. Wills TA, Resko JA, Ainette MG, Mendoza D. Role of parent support and peer support in adolescent substance use: A test of mediated effects. Psychol Addict Behav. 2004;18(2):122-34. doi: 10.1037/0893-164X.18.2.122. [PubMed: 15238054].
  • 22. Jaccard J, Dodge T, Dittus P. Parent-adolescent communication about sex and birth control: A conceptual framework. New Dir Child Adolesc Dev. 2002;(97):9-41. doi: 10.1002/cd.48. [PubMed: 14964942].
  • 23. Diamond GS, Reis BF, Diamond GM, Siqueland L, Isaacs L. Attachment-based family therapy for depressed adolescents: A treatment development study. J Am Acad Child Adolesc Psychiatry. 2002;41(10):1190-6. doi: 10.1097/00004583-200210000-00008. [PubMed: 12364840].
  • 24. Knerr W, Gardner F, Cluver L. Improving positive parenting skills and reducing harsh and abusive parenting in low- and middle-income countries: A systematic review. Prev Sci. 2013;14(4):352-63. doi: 10.1007/s11121-012-0314-1. [PubMed: 23315023].
  • 25. Thomas RE, Baker PRA, Thomas BC. Family-Based Interventions in Preventing Children and Adolescents from Using Tobacco: A Systematic Review and Meta-Analysis. Acad Pediatr. 2016;16(5):419-29. doi: 10.1016/j.acap.2015.12.006. [PubMed: 26892909].

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