الفهرس 
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Abstract
Adolescence is the period during which the future life style and behavior are being shaped. The leading causes of illness and death among adolescents and young adults are largely preventable. Add in the fact that teen brains also are more excitable, and risk-taking is almost inevitable. Adolescents often engage in risky behaviors such as smoking, drinking alcohol, using drugs, and early unprotected sexual activity.
Substance use disorder occur when the recurrent use of drugs causes clinically and functionally significant impairment and failure to meet major responsibilities
The objectives of this study were to assess prevalence of substance use disorder and prevalence of risky behaviors. Also, assess the relation between them.
To achieve such objectives, a cross-sectional study was conducted in the context of time frame of 19 months among secondary school adolescents in Dragil village, Alshohadaa district, Menoufia governorate.
The study population sampled from Dragil village’s secondary schools during period from the 1st of January 2018 till 1st of April 2018. The final sample size was 140 students and proportionally allocated according to the total number of adolescents in each school. Inclusion criteria were secondary school students in Dragil schools (academic year 2017-2018). And exclude students whom their parents refused to participate in the study, students who refused to handle the questionnaire sheet after answering the questions and students older than 18 years old. Data collected by using pre-designed questionnaire designed with two sections:
First section included basic identification data and socio-economic status: such as gender, age, school year, education and residence. Socio-economic status was assessed based on Fahmy et al. [106], socioeconomic scoring system.
Second section included questions about health risky behaviors according to the WHO, 2017 [21] health related problems which include:
Injuries, risky sexual behavior, smoking and drug use, self-image and weight, eating habits, peer effect and social media miss use
Personal computer was used for data collection. Data were collected; tabulated, statistically analyzed using Statistical Package for Social Science (SPSS) version 23. P value < 0.05 was considered statistically significant.
The study revealed the following results:
Prevalence of substance use was 23%, the most used substance was hashish followed by alcohol, bango and tramadol.
Prevalence of shisha smoking, cigarette smoking and alcohol consumption was 40%, 10.7% and 8.6% respectively.
Unlicensed car driving was 26.4% among the study group, 39.3% drove motorcycles, 24.2% engaged in fights that needed immediate medical treatment, 6.4% of them engaged in unprotected sexual intercourse, 79.3% felt depressed, 6.4% tried to commit suicide, 60.7% used computers to surf porn and 37.1% miss-used mobile phones.
Drug use, shisha smoking, alcohol consumption, reckless driving, and carrying weapons, engaging in fights and miss-using mobiles were more in males than females.