“…Research on exosystemic factors in India has resulted in the identification of the following risk factors: the presence of drug trafficking (Datta et al., ), proximity to illegal cultivation of drugs (Charles et al., ), the introduction of drugs through tourism (Ibid), accessibility/availability of drugs (Chetna et al., ; Naskar et al., ), community or neighborhood stress (Bagdi, ; Suchday, Suman, Ewart, & Friedberg, ), and unemployment (Lone, Wani, Ashai, Paray, & Abbas, ). Protective factors include accessibility/availability of programs aimed at prevention (D'Costa et al., ; Kumar, Mudaliar, & Daniels, ; Reddy et al., 2002) or treatment (Bhattacharya, ; Dhand, ; Chandrasekaran, Krupp, Ruja, & Madhivanan, ; Jacob, Kurvilla, & Vijayakumar, ; Jena, Raj, & Yadav, ; Mohan & Sharma, ; Schensul et al, ; Seth et al., ; Waraich, Chavan, & Lok, ), and educational opportunities (Bagdi, ). Region of the country (Chaturvedi et al., ), location (urban vs. rural; Juyal et al., ), ethnic group (Chaturvedi & Mahantra, ; Chaturvedi et al., ), and religion (Charles et al., ) are all complex in their effects on drug use and related problems.…”