Drig dependence .pprevalance in india

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drug dependence substance use disorder prevalence India

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drug dependence prevalence India 2023 2024 national survey statistics

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Here is a detailed overview of drug dependence prevalence in India, drawn primarily from India's landmark national survey conducted by AIIMS-NDDTC for the Ministry of Social Justice and Empowerment (Government of India, 2019) - the most comprehensive study to date (age group 10-75 years):

Drug Dependence Prevalence in India

Background

The 2019 National Survey on Extent and Pattern of Substance Use in India (MoSJE, AIIMS-NDDTC) is the most authoritative source on this topic. An earlier survey was done in 2004 (UNODC collaboration). The data below is from the 2019 national survey report.

1. Alcohol

Category% of Population (10-75 yrs)Absolute Numbers
Current users14.6%~16 crore
Problem users (harmful/hazardous)5.2%~5.7 crore
Dependent users2.7%~2.9 crore
  • For every 1 woman who consumes alcohol, there are 17 alcohol-using men
  • India's overall use rate is lower than global average, but the proportion with harmful use/dependence (~5.2%) nearly matches the WHO global estimate (5.1%)

2. Cannabis

Category% of PopulationAbsolute Numbers
Current users2.8%~3.1 crore
Problem users0.66%~72 lakh
Dependent users0.25%~25 lakh
  • Bhang: 40 lakh problem users
  • Charas/Ganja: 50 lakh problem users

3. Opioids

Category% of PopulationAbsolute Numbers
Current users2.1%~2.3 crore
Problem users0.70%~77 lakh
Dependent users0.26%~28 lakh
Breakdown of opioid users:
  • Heroin: 63 lakh (largest group)
  • Opium: 11 lakh
  • Pharmaceutical opioids: 25 lakh

4. Sedatives

  • Current use: 1.08% of the population
  • Prevalence higher in children/adolescents (1.17%) than adults (0.58%)
  • This reflects misuse of over-the-counter and prescription sedatives

5. Inhalants

  • Overall current use: 0.7% (adults), 1.34% (children 10-17 yrs)
  • Harmful use: 0.13% (adults), 0.20% (children)
  • Dependence: 0.07% (adults), 0.12% (children)

6. Other Substances (smaller proportions)

SubstanceCurrent Use Prevalence
Cocaine0.10%
Amphetamine-type stimulants (ATS)0.18%
Hallucinogens0.12%

Key Patterns and Risk Factors

  1. Gender: Adult men bear the disproportionate burden of substance use disorders
  2. Age: Adolescents (10-17 yrs) show concerning rates of inhalant and sedative use
  3. Geography: Wide state-level variation exists - northeastern states and Punjab/Haryana show higher opioid use; southern states higher alcohol use
  4. Urban vs. rural: Problem use is more prevalent in urban areas
  5. Comorbidities: Substance dependence is closely linked to psychiatric illness (depression, anxiety, psychosis) and HIV/hepatitis risk (especially among people who inject drugs)

Historical Comparison (2004 vs 2019)

Substance2004 Dependent (among current users)2019 Estimate
Alcohol~26% of current users2.9 crore dependent
Cannabis~25% of current users25 lakh dependent
Opiates/Opioids~22% of current users28 lakh dependent

"Quantum of Work" (Treatment Gap)

The survey highlights that only a small fraction of dependent users receive treatment. For opioids alone, 28 lakh people are dependent but treatment capacity is vastly insufficient - the treatment gap remains a major public health challenge in India.

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