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- 13.2. Socio-Economic Impact of Drug Abuse3.2 Objective3.2.1 Introduction3.2.2 Definition and important concepts3.2.2.1 What is Socio-economic impact of drug?3.2.2.2 What is Tobacco Addiction?3.2.2.3 What is alcoholism?3.2.3 Social Impact of drug3.2.3.1 Impact of drug on family and community3.2.3.2 Impact of drug on health3.2.3.3 Impact of drug on Education3.2.3.4 Impact of drug on crime3.2.3.5 Impact of drug on work3.2.3.6 Impact of drug on environment3.2.4 Economic Impact of Drug3.2.4.1. Impact of drug on Public safety3.2.4.2 Impact of drug on Governance3.2.5 Impact of drug and tobacco addiction and alcoholism3.2.5.1 Loss of physical and mental strength3.2.5.2 Loss of character3.2.5.3 Loss of family ties and relationship3.2.5.4 Loss of earning and livelihood potential3.2.5.5 Loss of societal respect and dignity3.2.6. Let us Sum Up3.2.7. Key words3.2.8. Check Your Learning3.2.9 Suggested Reading
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- 23.2 ObjectivesDrug abuse is one of the major socio-economic problems affecting the physical and mentallife of individuals and society. Substance Abuse or Drug Abuse means an over indulgence in adrug or other chemical substances. Addiction and use of drugs is increasing in the society day byday. This leads to a disease prone society and affects all aspects of human life. So, one has tounderstand how drugs are affecting the social harmony of the nation, society, individual and theworld at large. This chapter will make you Understand about the socio-economic impact of drug abuse Appreciate how drug addiction affects the social and individual life Enable you to identify the economic loss due to drug abuse3.2.1 IntroductionDrug abuse is a major social issue. Today there is no part of the world which is free fromdrug abuse. India is also caught in this vicious problem of drug abuse. Drug addiction causes ahuge cost on human resources as well as it promotes illegal production and distribution of drugs.Drug abuse has a direct impact on social and economic aspect of the nation. The impact of drug isrealized in workplace, family and the society. It results in violence at home and gang wars incities, increase crimes and even stresses the public health system and we find young massaddicted to drugs. It leads to unsafe life. Drug addiction not only breaks the family harmony butalso puts high economic burden on the society. The economic impact due to Drug abuse isimmeasurable. The use, production and marketing of drugs, emergence of a class of drugconsumers is a huge challenge for mankind. It ultimately leads to unemployment, weak humanresources, weak brain power, unhealthy society and increasing crime at large. The socio-economic impact is associated with the expenditure incurred. We need to design a policy toprevent drug abuse. We must develop a prevention strategy and we need to educate the youth andprotect the human resources. The impact is felt in various domains of life such as: family,industries, workplace and economy of the country.According to UNDCP report, the economic effects of drug abuse can be measured in twoforms, i.e. cost of government drug enforcement polices and the lost human productivity such aslost wages and decreased production that results from illness and premature deaths related to drugabuse. There are many hidden costs relating to disturbance in social life, wastage of young energyand increased crimes.
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- 3Here are five facts about drug abuse in India:1) When the Punjab state government commissioned a drug abuse study in 2015, it found that 230,000 peoplein the state were drug users. That translated to 836 drug users per 100,000 people in the state. The All Indianumber is 250 per 100,000 (for 2012), according to the Ministry of Social Justice and Empowerment. Eventhe figure of 250 drug abusers per 100,000 is very high when compared to other countries.2) In India, cannabis, heroin and opium are the most commonly used drugs. But there is an increasingprevalence of methamphetamine too. The number of users who inject drugs has also gone up substantially.There are one million heroin users registered in India according to a UN report. But unofficial estimatessuggest 5 million is a truer figure.3) According to the National Survey on Extent and Pattern of Substance Use in India in 2019, about 2.1% ofthe country’s population (2.26 crore individuals) uses opioids which include opium (or its variants like poppyhusk known as doda/phukki), heroin, and pharmaceutical opioids.4) The national survey of 2019 also showed that about 2.8% of Indians aged 10-75 years (3.1 croreindividuals) were using cannabis as bhang, ganja and charas.5) But what is alarming is the number of suicides due to drug abuse and alcohol addiction has more thandoubled in the last decade in India. In the year 2010, 3,343 cases of suicides were reported, and the numberincreased to 7,860 suicides in 2019.
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- 4Major findings of Survey by AIIMS at National and State level:A. Alcohol :i. At the national level, about 14.6% of people (among 10-75 year old) are current users of alcohol, i.e.about 16 Crore people. Prevalence is 17 times higher among men than women.ii. Among people consuming alcohol in India, Country liquor (‘desi’) (about 30%) and spirits (IMFL –Indian Made Foreign Liquor) (about 30%) are the predominantly consumed beverages.iii. About 5.2% of Indians (more than 5.7 crore people) are estimated to be affected by harmful ordependent alcohol use. In other words, every third alcohol user in India needs help for alcoholrelated problems.iv. States with the high prevalence of alcohol use are Chhattisgarh, Tripura, Punjab, Arunachal Pradeshand Goa.v. States with high prevalence (more than 10%) of alcohol use disorders are: Tripura, Andhra Pradesh,Punjab, Chhattisgarh, and Arunachal Pradesh.(b) Cannabis :i. About 2.8% of Indians (3.1 Crore individuals) report having used any cannabis product within past12 months (Bhang – 2% or 2.2 crore people; Ganja/Charas – 1.2% or 1.3 Crore people).ii. About 0.66% of Indian (or approximately 72 lakh individuals) need help for their cannabis useproblems.iii. Though bhang use is more common than ganja/charas, prevalence of harmful/dependent use isproportionately higher for ganja/charas users.iv. States with the higher than national prevalence of cannabis use are Uttar Pradesh, Punjab, Sikkim,Chhattisgarh and Delhi.v. In some states the prevalence of cannabis use disorders is considerably higher (more than thrice)than the national average (e.g. Sikkim, Punjab).
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- 5(c) Opioids :i. At the national level, the most common opioid used is Heroin, (current use 1.14%)followed by Pharmaceutical opioids (current use 0.96%) and then Opium (current use0.52%).ii. Prevalence of current use of opioids, overall is 2.06% and about 0.55% of Indians areestimated to need help for their opioid use problems (harmful use and dependence). Morepeople are dependent upon Heroin than Opium and Pharmaceutical Opioids.iii. Of the total estimated approximately 60 lakh people with opioid use disorders (harmful ordependent pattern) in the country, more than half are contributed by just a few states: UttarPradesh, Punjab, Haryana, Delhi, Maharashtra, Rajasthan, Andhra Pradesh and Gujarat.iv. In terms of percentage of population affected, the top states in the country are those in thenorth east (Mizoram, Nagaland, Arunachal Pradesh, Sikkim, Manipur) along with Punjab,Haryana and Delhi.(d) Sedatives and Inhalants :i. About 1.08% of 10-75 year old Indians (approximately 1.18 crore people) are current usersof sedatives (non-medical, non-prescription use).ii. States with the highest prevalence of current Sedative use are Sikkim, Nagaland, Manipurand Mizoram. However, Uttar Pradesh, Maharashtra, Punjab, Andhra Pradesh and Gujaratare the top five states which house the largest populations of people using sedatives.iii. Inhalants are the only category of substances for which the prevalence of current useamong children and adolescents is higher (1.17%) than adults (0.58%).iv. At the national level, an estimated 4.6 lakh children and 18 lakh adults need help for theirinhalant use (harmful use / dependence).v. In terms of absolute numbers, states with high population of children needing help forinhalant use are: Uttar Pradesh, Madhya Pradesh, Maharashtra, Delhi and Haryana.(e) Cocaine (0.10%) Amphetamine Type Stimulants (0.18%) and Hallucinogens (0.12%) are thecategories with lowest prevalence of current use in India.(f) Nationally, it is estimated that there are about 8.5 Lakh People Who Inject Drugs (PWID). Highnumbers of PWID are estimated in Uttar Pradesh, Punjab, Delhi, Andhra Pradesh, Telangana, Haryana,Karnataka, Maharashtra, Manipur and Nagaland. Opioid group of drugs are predominantly injected byPWID (heroin – 46% and pharmaceutical opioids – 46%). A substantial proportion of PWID reportrisky injecting practices.Access to treatment Services: In general, access to treatment services for people affected by substanceuse disorders is grossly inadequate. Just about one in 38 people with alcohol dependence reportgetting any treatment. Only about one in 180 people with alcohol dependence report getting inpatienttreatment / hospitalization for help with alcohol problems. Among people suffering from dependenceon illicit drugs, one among 20 people has ever received inpatient treatment/ hospitalization for helpwith drug problems.
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- 6Key Take home Facts No single factor can be identified as a contributor to substance use in society. Multipliable factors interplay with each other to bring substance use among individuals. Adolescents are more prone to substance use. Genetic factors, mental health issues, and environmental issues contribute significantly tomaking one prey to substance use. Family discords, community acceptance, failures in life and academics, peer pressure, andganging are some of the prime reasons which propel individuals to resort to substance use. However, it needs to be kept in mind that substance use is a reflection of poor personalityand strong willpower can enable an individual to get out of its grip. Adolescents need to realise that “It is not substances that can make them their servants, butit is individuals’ strong self-confidence and determination that can help them to fight againstsubstances.
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- 73.2.2 Definition and important concepts3.2.2.1. What is Socio-economic impact of Drug?In simple terms socio-economic impact of drug abuse means undesirable or negativechanges in the social fabric due to drug abuse; it also includes negative economic impact onindividual, society and Government. It has many aspects. Use of drug by common peopleleads to many social consequences such as – Instability in family relationship, DomesticViolence, Crime prone life, Reduction of sense of belongingness to the family and thesociety. There is also lack of social harmony and happiness within the family. On the otherhand, family plays an important role in the life of an individual. Family members have astrong bond with each other, they support each other, face crisis together and affect thebehavior and attitude of each other. Once any member becomes a drug addict the entirefamily is negatively affected. The family can play a major role in preventing drug addictionwithin the family. Further even if unfortunately a member becomes a drug addict, de-addiction is impossible without the support of the family. Doctors alone cannot cure a drugaddict without the support of the family. Use of drugs by any family member particularly theparents and the elders negatively affect the young ones. Weak family link also reduces itsinfluence for preventing drug abuse. It has been found that use of drugs by elders leads to useby youngsters. Use of drugs by a family member creates a vicious circle of drug users and itsleads to a drug prone society.Definition of Social impactSocial impact can be both positive and negative.Social impact is defined as “Any significant or positive changes that solve or at least address social injusticeand challenges” Social impacts have been continuously bringing changes in many parts of ourlives Social impacts can be derived from many sources such as business, science andtechnology, politics and climate changes etc. Say, use of mobile phone hasbrought many social changes. A student can write 500 words on impact of mobilephones on the society.Drug abuse directly affects the society and destroys the family life. Thus, young men shouldprotect the family life by creating awareness and preventing drug addiction.3.2.2.2 What is Tobacco Addiction?The term Tobacco addiction means when a tobacco consumer has been using it for along period of time and cannot give up such use. Tobacco contains nicotine which ispoisonous. Nicotine creates dependence. Nicotine produces pleasing effects in the brain.Though it is temporary in nature but an addicted person is tempted to consume it again forthat pleasing effect. This addiction cannot be easily given up. In fact, it creates dependence.
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- 8Tobacco is the common name for tobacco product from several plants. They areknown as “Genus Nicotiana”. More than 70 species of tobacco are available in nature. Thechief commercial crop is N tabacum. It is generally used in dried form especially in cigarettesand cigars. There are many Indian variants like bidi, sutta, nasa or snuff etc. It containshighly addictive stimulant which makes the person to consume it time and again. Tobaccouse is highly risky for human body. It directly damages lungs, heart, liver and also leads tocancer. Nicotine dependence effects our body. Which include: Lung cancer Variety of cancers Heart and circulatory problems Diabetics Eye problem Infertility and impotence Complications during pregnancy Cold, flu and other illness Infections Hearing loss Chronic respiratory problem Osteoporosis Dental problems Irregular periods of womenThe tobacco smoker also negatively affects the health of other people. People living with thesmokers are periodically exposed to them and are known as passive smokers. In fact, eventhough they are not smokers they are forced to inhale the toxic smoke and as such can sufferfrom all the above health problems. Smokers create group of smokers. They in fact createpeer pressure on their friends and force them to smoke. Social smokers become addicts incourse of time. Tobacco consumption leads to pre-mature death. The society has the sacredresponsibility of promoting a tobacco free society.In Odisha and many other parts in India people consume paan. It contains many harmfulsubstances like tobacco and beetle nut. This is also quite harmful. In addition people spit outthe liquid and negatively affect cleanliness. Other tobacco product includes gutka which isvery dangerous.3.2.2.3. What is alcoholism?The word “alcoholism” means addiction to the consumption of alcoholic drink. In otherwords, it is alcohol dependence. An addicted alcoholic is forced to drink by habit. Alcoholaddiction has a direct impact over the society. Such a person starts stealing to pay for it. Hebecomes a habitual liar. He hides alcohol. He loses his sense and has no control over hisbehavior. He even has very little control over his motor action (say walking). He suffers fromfrequent irritation. He suffers from increased heart rate, nausea and vomiting. Alcoholism oralcohol addiction leads to many unhealthy behaviors and also health problems. There arephysical, mental and social problems faced by the alcohol addicts. The following problemsare faced by alcohol addicts.
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- 9 The inability to control alcohol intake Obsession with alcohol Their behavior is unacceptable to the society They socialize with other alcohol addict Getting drunk in workplace and home Having frequent blackouts Drinking daily Negative drunken behaviors Inability to imagine their life without alcohol Using alcohol as the reward of lifeThese are the common behavioral problems of the alcohol addicts. Therefore, one shouldseek professional help when trying to quit their drinking habit. Depression, anxiety, low self-esteem and enjoyment lead to drinking. None of these is justified. In fact, drinks will not helpto reduce depression and low self-esteem. It does more harm than good. The enjoyment partis also not true. In fact, the so called enjoyment is only a kick for a short time. Thisoutbalances the enjoyment. There are social smokers and drinkers. Who in course of timebecome habitual drinkers and smokers?3.2.3. Social Impact of drug3.2.3.1 Impact of drug on family and communityFamily is the basic unit of the society. The harmony of the family depends on thefamily members. When one member of family becomes drug abuser then he disturbs theentire family harmony. Every family member suffers due to a single drug abuser. It affectsthe life style, behavior, personality formation of the children and also financial condition ofthe family. The money spent on drugs can be put to better use. Amongst the poor thespending on drugs deprives others from food. The nation also pay heavy price in terms ofworkforce and from economic point of view relating to absenteeism, lack of performance andaccidents at work place are the common problems created by the drug abusers. The drugabusers show criminal attitude in family. It ultimately breaks down the family bondage.Parents of young drug abuser suffer a lot. Parents cannot face the child who is takingdrugs and behaves abnormally. When the younger ones observe the elders using drugs, theywrongly assume that drug abuse is an accepted behavior. The family members ultimatelyaccept this with anger, fear, shame and embarrassment. Drug abuser in family generallyshows socially unacceptable behaviors, violence, aggression, irresponsibility and selfishness.Many addicts also indulge in gambling. Drug addicts in the family affect children negatively.They create fear amongst children. When the children grow up many of them take drugs. Thenegative attention of the society also spoils child’s life. This vicious circle of parent childrenbecoming drug addicts must be broken. The drug addicts and their children suffer from lossof identity, depression and low self- esteem. Only a healthy family creates a healthy society.
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- 10Domestic Violence Men who commit domestic violence also have problems with substance misuse Research indicates that up to 75% of individuals who suffer from substance usedisorder are engaged in physical assault, mugging, using a weapon to attack theirwives at home, and committing other violent crimes when prevented to takesubstances Alcohol caused approximately 90,000 domestic violence deaths worldwide Alcohol or drug use is involved in 40-60% of domestic abuse situations. More than30 percent of men are drunk at the time they commit a domestic assault, and 90percent abuse substances on the same day, with alcohol More than half of the individuals who abuse their elder parents (age 60 or older)are dependent on alcohol or drugs Each year, about 300,000 victims of violent assaults report that their attackers wereunder the influence of alcohol
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