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2025 ; 20
(1
): 47
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Tramadol use among young commercial drivers in Tamale Metropolis: a concurrent
triangulation mixed-methods study
#MMPMID41131526
Awugah PA
; Tanko A
; Daliri DB
; Adjei D
; Abagye N
Subst Abuse Treat Prev Policy
2025[Oct]; 20
(1
): 47
PMID41131526
show ga
BACKGROUND: Non-medical use of tramadol has emerged as a significant public
health concern in Ghana, particularly among young commercial drivers. Despite its
growing prevalence, there is a lack of mixed-methods research exploring both the
quantitative patterns and underlying motivations for the inappropriate use of
tramadol. This study adopts a concurrent triangulation mixed-methods design to
investigate the key factors driving tramadol use among young commercial drivers
in the Tamale Metropolis. METHODS: A total of 434 participants were recruited
through convenience sampling for the quantitative component, while 50 individuals
who use tramadol participated in seven focus group discussions using snowball
sampling. The study examined patterns of tramadol use, reasons for consumption,
modes of intake, and sources of supply among young commercial drivers. RESULTS:
The findings indicate that 60.1% of participants used tramadol for non-medical
purposes, with 41.5% consuming it daily. The primary motivation for use was to
enhance physical performance (39.2%), followed by pain relief (19.4%). Regarding
the mode of consumption, 43.5% mixed tramadol powder with energy drinks, while
31.6% swallowed the tablets with water. On average, participants consumed 155 mg
of tramadol daily, often in unauthorized high-dose formulations. Alarmingly,
72.8% of users sourced tramadol from the black market. CONCLUSION: The study
highlights the widespread misuse of high-dose, non-prescribed tramadol among
commercial drivers in the Tamale Metropolis. The illicit supply chain and
unregulated distribution exacerbate the crisis. Addressing this issue requires
stringent regulation of drug importation and distribution, alongside targeted
awareness campaigns to educate young drivers about the risks associated with the
inappropriate use of tramadol. CLINICAL TRIAL NUMBER: Not applicable.