Introduction: Narcotic drug abuse and illicit use of drugs is a major, complicated multifactorial phenomenon affecting most of the societies today. Incidence of drug abuse among adolescents is very high. Adolescents become addicted to substances more quickly than adults. The aim of this study was to assess the pattern of drug abuse among male adolescents in Hamadan. Methods: This study was a descriptive study and samples (n=400) were collected on the basis of snowball sampling method. Information was collected individually through completion of a researcher-designed questionnaire including demographic and epidemiological indices, perceived familial support, religiosity, and locus of control. Results: The results showed that smoking (93%), alcohol (92.5%), marijuana (64.3%), and opium (57.8%) use were very high, while LSD (4.8%) and Cocaine(2.3%) use was rare. 77.8 % of adolescents began drug abuse between 12 and 18 years of age. Moreover, sensation seeking (26.5%), individual interest (24.8%), and peer pressure (22%), were the main reasons for drug abuse. Conclusion: As initial smoking, alcohol and marijuana use play an important role in determining the future addiction of adolescents to narcotics, yearly surveillance programs in the country and evaluation of etiological factors of narcotic addiction need to be studied carefully. All of the preventive and school programs designed for the young should take into account environmental, demographic and policy factors in addition to personal factors so that the programs have a maximum effect.

Keywords: Substance abuse, Adolescents, Drugs, Pattern of drug abuse

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