The study reveals a high prevalence (28%) of substance abuse among adolescents, comparable with global trends. Tobacco and alcohol were the most common substances. Peer pressure emerged as the strongest predictor, highlighting the importance of social environment during adolescence.

Family history of substance use shows genetic and behavioral influence. Psychological stress and depression were significantly associated, indicating the need for mental health screening in schools.

Regular users demonstrated poor academic performance and behavioral issues, emphasizing the need for school-based awareness programs and counseling services.