Facilitators to the continuous abuse of tramadol among the youth: A qualitative study in Northern Ghana
- PMID: 31660166
- PMCID: PMC6805709
- DOI: 10.1002/nop2.353
Facilitators to the continuous abuse of tramadol among the youth: A qualitative study in Northern Ghana
Abstract
Study aim: Considering the alarming rate at which young people abuse tramadol, as evidenced by the numerous media reports on the subject, this qualitative study was conducted to explore the facilitators to the abuse of tramadol by young people.
Design and methods: A qualitative exploratory descriptive design was employed in conducting the study. A total of 18 participants were purposively sampled. Data for the study were collected through two focused group discussions and three in-depth-interviews. Thematic analysis was used to analyse the data.
Results: The findings of the study revealed four main themes. These themes were initiating factors of abuse; desirable physical effects; desirable psychological effects; and undesirable effects. It was revealed that many young people initially get into tramadol abuse because of peer pressure, curiosity or post-traumatic addiction. However, they often continue the practice for various physical and psychological gratifications including euphoria, attentiveness, high energy levels, pain relief and improved sexual performance. The study also revealed some unpleasant side effects of tramadol abuse such as severe vomiting, loss of appetite, seizures, emotional aloofness and irritability. Many of the participants in this study also expressed willingness to quit tramadol abuse because of social discrimination and the enormous side effects that come with the abuse of the drug.
Keywords: abuse; desirable; effects; physical; psychological; tramadol; undesirable; youth.
© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.
Conflict of interest statement
The authors have no conflict of interest.
Figures
Similar articles
-
Where is the pain? A qualitative analysis of Ghana's opioid (tramadol) 'crisis' and youth perspectives.PLOS Glob Public Health. 2022 Dec 21;2(12):e0001045. doi: 10.1371/journal.pgph.0001045. eCollection 2022. PLOS Glob Public Health. 2022. PMID: 36962854 Free PMC article.
-
"With tramadol, I ride like a Jaguar": a qualitative study of motivations for non-medical purpose tramadol use among commercial vehicle operators in Kumasi, Ghana.Subst Abuse Treat Prev Policy. 2020 Jul 23;15(1):49. doi: 10.1186/s13011-020-00292-4. Subst Abuse Treat Prev Policy. 2020. PMID: 32703243 Free PMC article.
-
Factors Associated with Tramadol Abuse: A Cross-Sectional Study Among Commercial Drivers and Assistants in the Accra Metropolitan Area of Ghana.Drugs Real World Outcomes. 2021 Sep;8(3):337-347. doi: 10.1007/s40801-021-00247-6. Epub 2021 Apr 28. Drugs Real World Outcomes. 2021. PMID: 33909271 Free PMC article.
-
Tramadol with or without paracetamol (acetaminophen) for cancer pain.Cochrane Database Syst Rev. 2017 May 16;5(5):CD012508. doi: 10.1002/14651858.CD012508.pub2. Cochrane Database Syst Rev. 2017. PMID: 28510996 Free PMC article. Review.
-
Methods of Treating Chronic Pain: A Systematic Review [Internet].Stockholm: Swedish Council on Health Technology Assessment (SBU); 2006 Oct. SBU Yellow Report No. 177/1+2. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2006 Oct. SBU Yellow Report No. 177/1+2. PMID: 28876750 Free Books & Documents. Review.
Cited by
-
A consideration of CYP2D6 genetic variations in the Ghanaian population as a potential 'culprit' for the tramadol 'abuse crisis'.BMC Med Genomics. 2024 Jan 22;17(1):28. doi: 10.1186/s12920-023-01773-8. BMC Med Genomics. 2024. PMID: 38254077 Free PMC article.
-
Prevalence and health consequences of nonmedical use of tramadol in Africa: A systematic scoping review.PLOS Glob Public Health. 2024 Jan 18;4(1):e0002784. doi: 10.1371/journal.pgph.0002784. eCollection 2024. PLOS Glob Public Health. 2024. PMID: 38236813 Free PMC article.
-
"You get stuck in it": Young people's accounts of attempting to quit non-medical tramadol use.Nordisk Alkohol Nark. 2023 Aug;40(4):355-370. doi: 10.1177/14550725231160330. Epub 2023 Apr 2. Nordisk Alkohol Nark. 2023. PMID: 37663056 Free PMC article.
-
Where is the pain? A qualitative analysis of Ghana's opioid (tramadol) 'crisis' and youth perspectives.PLOS Glob Public Health. 2022 Dec 21;2(12):e0001045. doi: 10.1371/journal.pgph.0001045. eCollection 2022. PLOS Glob Public Health. 2022. PMID: 36962854 Free PMC article.
-
Perceptions of the use of mobile phones to access reproductive health care services in Tamale, Ghana.Front Public Health. 2022 Oct 21;10:1026393. doi: 10.3389/fpubh.2022.1026393. eCollection 2022. Front Public Health. 2022. PMID: 36339214 Free PMC article.
References
-
- Adams, E. , Dart, R. , & Knisely, J. (2005). Tramadol abuse and dependence among physicians. JAMA, 19(3), 1977–1978. - PubMed
-
- Braun, V. , & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. 10.1191/1478088706qp063oa - DOI
-
- Cicero, T. J. , Adams, E. H. , Geller, A. , Inciardi, J. A. , Muñoz, A. , Schnoll, S. H. , … Woody, G. E. (1999). A postmarketing surveillance program to monitor Ultram® (tramadol hydrochloride) abuse in the United States. Drug and Alcohol Dependence, 57(1), 7–22. 10.1016/S0376-8716(99)00041-1 - DOI - PubMed
LinkOut - more resources
Full Text Sources
