• Maleeha Sahar Department of Social Work, University of Karachi, Pakistan
  • Sakina Riaz Department of Social Work, University of Karachi, Pakistan
  • Shah Zaman Khan Department of P.E & SS, IBA Sukkar, Pakistan


Educated Youth, Family Avoidance, Family Distress, Substance Use.


This paper intended to determine the impact of the contributory factor of substance use and its collision on the family of the educated user in Pakistan. This study used a quantitative research methodology for data collection. The target population for this study is based on higher education students at Karachi, Pakistan. The sample size was 316 responses which were analyzed using regression analysis via PLS-SEM. The results have shown that the availability of substances is positive and important with respect to substance use. Peer influence has a positive and significant effect on substance use. Substance use has a positive and significant impact on family avoidance and family conflict. Finally, addictions have a positive and significant impact on the plight of families.

Author Biographies

Maleeha Sahar, Department of Social Work, University of Karachi, Pakistan

Department of Social Work, University of Karachi, Pakistan

Sakina Riaz, Department of Social Work, University of Karachi, Pakistan

Department of Social Work, University of Karachi, Pakistan

Shah Zaman Khan, Department of P.E & SS, IBA Sukkar, Pakistan

Department of P.E & SS, IBA Sukkar, Pakistan


APA. (2013). Diagnostic and statistical manual of mental disorders (dsm-5®). American Psychiatric Association: American Psychiatric Pub.

Beardslee, J., Datta, S., Byrd, A., Meier, M., Prins, S., Cerda, M., & Pardini, D. (2018). An examination of parental and peer influence on substance use and criminal offending during the transition from adolescence to adulthood. Criminal justice and behavior, 45(6), 783-798.

Bouchard, M., Gallupe, O., Dawson, K., & Anamali, M. (2018). No place like home? Availability, opportunity, and substance use in adolescence. Journal of Youth Studies, 21(6), 747-764.

Bryman, A. (2017). Quantitative and qualitative research: Further reflections on their integration. In Mixing methods: Qualitative and quantitative research (pp. 57-78): Routledge.

Burns, L. (2014). World drug report 2013 by united nations office on drugs and crime new york: United nations, 2013 isbn: 978â€92â€1â€056168â€6, 151 pp. Grey literature. Drug and alcohol review, 33(2), 216-216.

Cénat, J. M., Blais, M., Lavoie, F., Caron, P.-O., & Hébert, M. (2018). Cyberbullying victimization and substance use among quebec high schools students: The mediating role of psychological distress. Computers in Human Behavior, 89, 207-212.

Choy, L. T. (2014). The strengths and weaknesses of research methodology: Comparison and complimentary between qualitative and quantitative approaches. IOSR Journal of Humanities and Social Science, 19(4), 99-104.

Copello, A., Templeton, L., & Powell, J. (2010). The impact of addiction on the family: Estimates of prevalence and costs. Drugs: education, prevention and policy, 17(sup1), 63-74.

Cranford, J. A., Nolen-Hoeksema, S., & Zucker, R. A. (2011). Alcohol involvement as a function of co-occurring alcohol use disorders and major depressive episode: Evidence from the national epidemiologic survey on alcohol and related conditions. Drug Alcohol Depend, 117(2-3), 145-151.

Creswell, J. W. (2002). Educational research: Planning, conducting, and evaluating quantitative: Prentice Hall Upper Saddle River, NJ.

D’Souza, M. S., Karkada, S. N., Somayaji, G., & Venkatesaperumal, R. (2013). Women’s well-being and reproductive health in indian mining community: Need for empowerment. Reproductive health, 10(1), 24.

Degenhardt, L., Singleton, J., Calabria, B., McLaren, J., Kerr, T., Mehta, S., . . . Hall, W. D. (2011). Mortality among cocaine users: A systematic review of cohort studies. Drug Alcohol Depend, 113(2-3), 88-95.

du Plessis, K., Corney, T., & Burnside, L. (2013). Harmful drinking and experiences of alcohol-related violence in australian male construction industry apprentices. American journal of men's health, 7(5), 423-426.

Easton, C. J., Swan, S., & Sinha, R. (2000). Prevalence of family violence in clients entering substance abuse treatment. Journal of substance abuse treatment, 18(1), 23-28.

Elam, K. K., Wang, F. L., Bountress, K., Chassin, L., Pandika, D., & Lemery-Chalfant, K. (2016). Predicting substance use in emerging adulthood: A genetically informed study of developmental transactions between impulsivity and family conflict. Dev Psychopathol, 28(3), 673-688.

Fischer, B., Keates, A., Bühringer, G., Reimer, J., & Rehm, J. (2014). Nonâ€medical use of prescription opioids and prescription opioidâ€related harms: Why so markedly higher in n orth a merica compared to the rest of the world? Addiction, 109(2), 177-181.

Flores, J. M., Santos, G.-M., Makofane, K., Arreola, S., & Ayala, G. (2017). Availability and use of substance abuse treatment programs among substance-using men who have sex with men worldwide. Substance use & misuse, 52(5), 666-673.

Fornell, C., & Larcker, D. F. (1981). Structural equation models with unobservable variables and measurement error: Algebra and statistics. Journal of marketing research, 18(3), 382-388.

Ghazal, P. (2019). Rising trend of substance abuse in pakistan: A study of sociodemographic profiles of patients admitted to rehabilitation centres. Public Health, 167, 34-37. doi:10.1016/j.puhe.2018.10.020

Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). Pls-sem: Indeed a silver bullet. Journal of Marketing theory and Practice, 19(2), 139-152.

Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). Pls-sem: Indeed a silver bullet. Journal of Marketing theory and Practice, 19(2), 139–152.

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of pls-sem. European Business Review, 31(1), 2-24.

Hair, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (pls-sem) an emerging tool in business research. European Business Review, 26(2), 106-121.

Hair, J. F., Sarstedt, M., Ringle, C. M., & Mena, J. A. (2012). An assessment of the use of partial least squares structural equation modeling in marketing research. Journal of the academy of marketing science, 40(3), 414-433.

Henseler, J., Hubona, G., & Ray, P. A. (2016). Using pls path modeling in new technology research: Updated guidelines. Industrial management & data systems, 116(1), 2-20.

Jesuraj, M. J. (2012). Impact of substance abuse on families. Rajagiri Journal of Social Development, 4(2), 18-23.

Kabore, A., Afriyie-Gyawu, E., Awuah, J., Hansen, A., Walker, A., Hester, M., . . . Meda, N. (2019). Social ecological factors affecting substance abuse in ghana (west africa) using photovoice. Pan Afr Med J, 34.

Keyes, K. M., Hatzenbuehler, M. L., & Hasin, D. S. (2011). Stressful life experiences, alcohol consumption, and alcohol use disorders: The epidemiologic evidence for four main types of stressors. Psychopharmacology, 218(1), 1-17.

Laursen, B., Hartl, A. C., Vitaro, F., Brendgen, M., Dionne, G., & Boivin, M. (2017). The spread of substance use and delinquency between adolescent twins. Developmental psychology, 53(2), 329.

Lewis, M. M., & Loverich, T. M. (2019). Measuring experiential avoidance and posttraumatic stress in families. Behavioral Sciences, 9(10), 104.

Lipari, R., & Jean-Francois, B. (2016). Trends in perception of risk and availability of substance use among full-time college students. In The cbhsq report: Substance Abuse and Mental Health Services Administration (US).

Low, S., Shortt, J. W., & Snyder, J. (2012). Sibling influences on adolescent substance use: The role of modeling, collusion, and conflict. Development and psychopathology, 24(1), 287-300.

Mansoori, N., Mubeen, S. M., Mohiuddin, S. M., & Ahsan, S. (2018). Factors associated with substance abuse among male illicit drug users in rehabilitation centres of pakistan. Annals of King Edward Medical University, 24(4).

Marmorstein, N. R., Iacono, W. G., & McGue, M. (2012). Associations between substance use disorders and major depression in parents and late adolescent–emerging adult offspring: An adoption study. Addiction, 107(11), 1965-1973.

Marshall, E. J. (2014). Adolescent alcohol use: Risks and consequences. Alcohol and alcoholism, 49(2), 160-164.

Morton, C. M. (2019). Community social deprivation and availability of substance use treatment and mutual aid recovery groups. Substance abuse treatment, prevention, and policy, 14(1), 33.

Nayak, S., & Mishra, A. (2018). Prevalence and factors affecting tobacco use among urban adolescents in bhilai city, central india. Int J Community Med Public Health, 5, 1492-1498.

Nessa, A., Latif, S., Siddiqui, N., Hussain, M., & Hossain, M. A. (2008). Drug abuse and addiction. Mymensingh medical journal: MMJ, 17(2), 227-235.

Possi, M. (2018). Effects of drug abuse on cognitive and social behaviours: A potential problem among youth in tanzania. Utafiti Journal, 3(1).

Radcliffe, P., Gadd, D., Henderson, J., Love, B., Stephens-Lewis, D., Johnson, A., . . . Gilchrist, G. (2019). What role does substance use play in intimate partner violence? A narrative analysis of in-depth interviews with men in substance use treatment and their current or former female partner. Journal of interpersonal violence, 0886260519879259.

Radebe, N. G. (2015). Exploring the effects of substance abuse on the family in a selected ethekwini district.

Sajid, M. A., Tatlah, I. A., & Butt, I. H. (2020). Causes of drug abuse among university students in pakistan: Variation by gender and drug type.

Sekaran, U., & Bougie, R. (2016). Research methods for managers: A skill-building approach (7th ed.). New Jersey, USA: John Wiley & Sons, Inc.

Short, L. (2010). Alcohol misuse in older adults is a silent epidemic we ignore at our peril. Nursing Standard, 24(35), 32-33.

Sigurvinsdottir, R., Asgeirsdottir, B. B., & Sigfusdottir, I. D. (2020). Sexual abuse, family violence/conflict, substance use, religion and spirituality among icelandic adolescents. Nordic psychology, 72(1), 51-64.

Soper, D. S. (2018). A-priori sample size calculator for structural equation models [software]. Retrieved from

Stuart, G. L., Moore, T. M., Elkins, S. R., O'Farrell, T. J., Temple, J. R., Ramsey, S. E., & Shorey, R. C. (2013). The temporal association between substance use and intimate partner violence among women arrested for domestic violence. Journal of consulting and clinical psychology, 81(4), 681.

Tanweer, H., Batool, Z., Shabbir Chudhary, M., & Mahmood, S. (2019). The social impact of substance abuse on males livelihood in punjab, pakistan. European Online Journal of Natural and Social Sciences, 8(4), pp. 777-783.

UNODC. (2012). World drug report. Retrieved from Worldwide:

UNODC. (2014). World drug report. Retrieved from Worldwide:

Van Ryzin, M. J., Fosco, G. M., & Dishion, T. J. (2012). Family and peer predictors of substance use from early adolescence to early adulthood: An 11-year prospective analysis. Addictive behaviors, 37(12), 1314-1324.

Van Ryzin, M. J., & Roseth, C. J. (2018). Peer influence processes as mediators of effects of a middle school substance use prevention program. Addict Behav, 85, 180-185.

WDR. (2012). World drug report. Retrieved from Worldwide:

Welch, K. A., Carson, A., & Lawrie, S. M. (2013). Brain structure in adolescents and young adults with alcohol problems: Systematic review of imaging studies. Alcohol Alcohol, 48(4), 433-444.

Welman, C., Kruger, F., & Mitchell, B. (2005). Research methodology: Oxford University Press Cape Town.

Williams, J. G., Sottile, P., Moss, M., & Clark, B. J. (2017). Psychological distress in family members of critically ill patients with alcohol or drug use disorders. In C94. Psychosocial impacts on respiratory health and critical illness (pp. A6737-A6737): American Thoracic Society.