Shillong — A recent study has revealed that drug use in Meghalaya often begins as young as 10 years old, far earlier than in Manipur or Nagaland, where the average initiation age is 22. The findings, published in the Indian Journal of Public Health (April–June 2025), are based on research by the Indian Institute of Public Health, Shillong, and the Meghalaya AIDS Control Society.
Surveying 128 individuals enrolled in opioid substitution therapy across East Khasi Hills, West Jaintia Hills, and East Jaintia Hills — along with 17 service providers — researchers found a mean drug initiation age of 19 years. Over one-third of participants began using drugs as minors, and one-fourth while still in school.
The study noted that 91% of users were male, 80% worked in the unorganised sector, and more than half had less than a decade of schooling. Curiosity, family issues, peer influence, and stress relief were the primary triggers for drug use. Heroin was identified as the most injected substance, with users spending between ₹500 and ₹2,000 daily — and up to ₹2,500 in some cases. Access was reportedly “easy” via markets and mobile-based deals.
Once initial sharing within peer groups stopped, many resorted to borrowing or theft to fund their use. Researchers warned that early initiation heightens the risk of chronic addiction, linking it to weakening community support systems. They urged targeted outreach in schools and community hubs to counter the growing trend.