Journal of Addiction Research & Therapy
Open Access

Polysubstance abuse; Urban youth; Drug use patterns; Risk factors; Peer influence; Socioeconomic status; Epidemiological study; Early intervention; Substance dependence; Adolescent behavior

Introduction

Polysubstance abuse, the concurrent or sequential use of multiple substances, is a growing concern among urban youth populations. Unlike isolated substance use, polysubstance abuse presents compounded health risks, increased addiction severity, and greater challenges for treatment [1-5]. Urban environments often expose youth to complex socio-environmental factors such as poverty, violence, peer pressure, and easy access to illicit drugs. This epidemiological study investigates the patterns, prevalence, and predictors of polysubstance use among adolescents and young adults living in urban communities, with a focus on identifying modifiable risk factors to inform prevention and intervention strategies[6-10].

Discussion

Survey results showed that over 40% of participants reported using two or more substances within the last 30 days. The most common combinations included alcohol with cannabis, or cannabis with prescription opioids. Males were more likely to engage in high-frequency polysubstance use, while females reported more emotional triggers for use. Peer influence, lack of parental supervision, and low academic engagement were significant predictors. Participants exposed to drug use in their social environment were 3x more likely to initiate polysubstance use. Early initiation (before age 15) was associated with higher dependency levels later. The study also found strong associations between mental health issues—such as trauma exposure, anxiety, and undiagnosed ADHD—and substance use severity. The results underscore the importance of early screening, community-based outreach, and trauma-informed care models. Prevention efforts should incorporate family involvement, peer mentoring, and after-school programs.

Conclusion

Polysubstance abuse among urban youth is influenced by a mix of environmental, social, and psychological factors. Understanding these predictors is critical to designing effective, early interventions. Tailored, community-informed strategies that engage families and schools can significantly reduce the burden of adolescent addiction and improve long-term health trajectories.

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