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2018 ISSUE

Substance Abuse Screening for At-Risk Youth in Bluefields, Nicaragua


Joshua Moore & Emma McKimm Mitchell

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The purpose of this study was to identify factors related to substance abuse and explore concepts necessary for future development of a culturally appropriate substance abuse screening tool targeting at-risk youth in Bluefields, Nicaragua.



This secondary data analysis was guided by a qualitative descriptive approach using thematic analysis. Seven focus groups with young adult women were conducted, including either young adults, teachers, or parents.



The major themes related to substance abuse and screening barriers which emerged from the interviews were: (1) issues related to economic contextual factors, risky behaviors, and the at-risk population; (2) local resources and barriers to accessing them; and (3) grassroots ideas for action related to regionally relevant solutions, sports and engagement, and health communication.

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