Aim: To know about the major familial and socio-cultural factors contributing to the rising trend of drugs and substance use in youth in twin cities i.e. Rawalpindi and Islamabad.

Methods: The study was conducted in July-September 2021 in Twin Cities i.e. Rawalpindi and Islamabad. Data was collected from 150 young drug addicts (between the age group of 15 to 40 years). Snow ball and purposive sampling techniques were used to collect the data. A pre devised interview schedule having close and open ended questions was used. Frequency analysis method was used to represent the basic demographic data whereas a 4-points Likert Scale was used to know the extent of factors contributing to the rising trend of drug addiction in youth.

Results: Results showed that slightly more than one third of the respondents (34%) were quite young (21-25 years). Peer group/ bad company was found responsible factor to great extent (71%), To increase sexual pleasure was also found responsible (45.8%), Lack of knowledge about harms of drugs was found responsible  to great extent (49.3%). Another factor i.e. curiosity to use / taste drugs was also found responsible to great extent (77.3%).

Conclusion: Problem of drug addiction in youth in Pakistan is rising at a worrying trend. Numerous familial as well socio-cultural factors in the etiology of drug abuse and addiction have been found responsible.

Keywords: Drug, Substance, Addiction, youth, familial, social-cultural, factors, Pakistan,