Alcohol, drugs and sexual abuse in Cameroon's rainforest

Due to global socio-economical and ecological changes, indigenous societies are exposed to an increased risk of alcohol and substance abuse. Most research on this topic has been done on indigenous communities in Canada, Australia, the US, parts of Europe and New Zealand, leaving indigenous communities in other parts of the world largely unrepresented. This study focuses on alcohol and drug consumption among the Baka: a former huntergatherer society in southeastern Cameroon that has been facing drastic socio-ecological changes in the last five decades. During long-term fieldwork we collected ethnographic and empirical data by means of group and individual interviews among four Baka communities. By using a multivariable approach, we describe psychoactive substance use behaviors, its socio-cultural and political context, and consequences. Our findings show that 48% of men, 24% of women and 11% of children between five and 16 years old reported alcohol intake in the past 24 h. The use of Tramadol was also reported, including by children as young as five years old. Psychoactive substances were used for recreational purposes, as painkillers, and energy boosters. Substance abuse was related to health issues, especially problems with fertility, and to several household and social conflicts. Other factors related to substance abuse were Baka's marginalization and sexual exploitation of Baka women and girls. By discussing these matters, we hope to stimulate more research on similar problems in small-scale societies and to invite governments, human rights activists, and other important parties to take action.