Medical Students and Substance Abuse: Exploring the Scope and Repercussions - A Cross Sectional Study

Substance abuse among medical students is an emerging public health concern, potentially impacting academic performance, mental well-being, and future clinical practice. Understanding the extent and consequences of substance use in this population is crucial for early intervention and developing a course of action for prevention and support Objective: To assess the prevalence of substance abuse and examine its psychological, academic, and social repercussions among medical students in a medical college in South Delhi Methods: A cross-sectional study was conducted among 200 undergraduate medical students using a structured, anonymous questionnaire. Out of 200, 182 responded. The survey collected data on demographic details, types and frequency of substances used, reasons for use, and perceived impacts. Statistical analysis was performed to identify significant associations between substance use and various academic and psychosocial factors. Results: Out of the total participants (N = 182),  71 or 39 % reported current or past use of at least one psychoactive substance, with alcohol and cannabis being the most commonly used. A significant proportion cited stress relief, peer pressure, and academic burden as key motivators. Substance use was found to correlate with decreased academic performance, poor sleep quality, and higher levels of anxiety and depression (p < 0.05). Conclusion: The study highlights a concerning prevalence of substance abuse among medical students and underscores its negative implications on academic and mental health outcomes. There is a pressing need for awareness programs, counselling services, and institutional support systems to address this issue within medical education environments.