期刊论文详细信息
BMC Public Health
Khat chewing among Ethiopian University Students- a growing concern
Alemayehu Worku1  Yemane Berhane2  Ewenat Gebrehanna2 
[1] Addis Ababa University, School of Public Health, Addis Ababa, Ethiopia;Addis Continental Institute of Public Health, Addis Ababa, Ethiopia
关键词: University students;    Ethiopia;    Khat chewing;   
Others  :  1122920
DOI  :  10.1186/1471-2458-14-1198
 received in 2013-07-17, accepted in 2014-11-06,  发布年份 2014
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【 摘 要 】

Background

Khat has amphetamine like effect. Students chew khat to stay alert. It has various negative physical, mental, social and cognitive effects. Poor academic performance has been associated with khat. The purpose of this study was to determine the prevalence and identify factors associated with khat chewing among Ethiopian University students.

Methods

A cross sectional study was conducted on Bahir Dar University Students. A self-administered questionnaire was completed by 3268 students. Proportion was calculated to estimate prevalence of khat chewing. Logistic regression was used to identify factors associated with khat chewing.

Results

Lifetime prevalence of khat chewing was 24% (95% Confidence Interval: 22.5%, 26.6%). Half of these are current khat users with a prevalence of 12.7% (95% Confidence Interval: 11.5%, 13.9%). Male students Adjusted Odds Ratio (AOR) = 3.3 (95% Confidence Interval: 1.8, 6.0), students living in off campus housing AOR = 3.0 (95% Confidence Interval: 1.5, 6.0), students who have khat user friends AOR = 4.2 (95% Confidence Interval: 2.6, 6.9), and students who perceive khat use improves academic performance AOR = 6.6 (95% Confidence Interval: 4.6, 9.5) are more likely to use khat.

Conclusions

Prevalence of current use of khat reported in this study is higher than recent study done on university students in Ethiopia and heavily influenced with peer practice.

【 授权许可】

   
2014 Gebrehanna et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Dhaifalah I, Santavy J: Khat habit and its health effect. A natural amphetamine. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2004, 148(1):11-15.
  • [2]Kassim S, Croucher R, al’Absi M: Khat dependence syndrome: a cross sectional preliminary evaluation amongst UK-resident Yemeni khat chewers. J Ethnopharmacol 2013, 146(3):835-841.
  • [3]Malaju MT, Asale GA: Association of Khat and alcohol use with HIV infection and age at first sexual initiation among youths visiting HIV testing and counseling centers in Gamo-Gofa Zone, South West Ethiopia. BMC Int Health Hum Rights 2013, 13:10. BioMed Central Full Text
  • [4]Kebede D, Alem A, Mitike G, Enquselassie F, Berhane F, Abebe Y, Ayele R, Lemma W, Assefa T, Gebremichael T: Khat and alcohol use and risky sex behaviour among in-school and out-of-school youth in Ethiopia. BMC Public Health 2005, 5:109. BioMed Central Full Text
  • [5]Damena T, Mossie A, Tesfaye M: Khat chewing and mental distress: a community based study, in jimma city, southwestern ethiopia. Ethiopian J Health Sci 2011, 21(1):37-45.
  • [6]Bongard S, al’Absi M, Khalil NS, Al Habori M: Khat use and trait anger: effects on affect regulation during an acute stressful challenge. Eur Addict Res 2011, 17(6):285-291.
  • [7]Cox G, Rampes H: Adverse effects of khat: a review. Adv Psychiatr Treat 2003, 9(6):456-463.
  • [8]Halboub E, Dhaifullah E, Abdulhuq M: Khat chewing and smoking effect on oral mucosa: a clinical study. Acta Med (Hradec Kralove) 2009, 52(4):155-158.
  • [9]Belew M, Kebede D, Kassaye M, Enquoselassie F: The magnitude of khat use and its association with health, nutrition and socio-economic status. Ethiop Med J 2000, 38(1):11-26.
  • [10]Colzato LS, Ruiz MJ, van den Wildenberg WP, Hommel B: Khat use is associated with impaired working memory and cognitive flexibility. PLoS ONE 2011, 6(6):e20602.
  • [11]Central Statstical Agency of Ethiopia, ICF international: Ethiopia Demographic and Health Survey 2011. 2012 edition. Addis Ababa, Ethiopia: Central Statstical Agency; 2012.
  • [12]Reda AA, Moges A, Biadgilign S, Wondmagegn BY: Prevalence and determinants of khat (Catha edulis) chewing among high school students in eastern Ethiopia: a cross-sectional study. PLoS ONE 2012, 7(3):e33946.
  • [13]Kebede Y: Cigarette smoking and Khat chewing among college students in North West Ethiopia. Ethiop J Health Dev 2002, 16(1):9-17.
  • [14]Eshetu E, Gedif T: Prevalence of khat, cigarette and alcohol Use among students of technology and pharmacy. Addis Ababa University. Ethiop Pharm J 2006, 24(2):116-124.
  • [15]Deressa W, Azazh A: Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia. BMC Public Health 2011, 11(1):660. BioMed Central Full Text
  • [16]Aklog GT, Girmay Tsegay T: Assessment of substance abuse and associated factors among students of Debre Markos Poly Technique College In Debre Markos Town, East Gojjam Zone, Amhara Regional State, Ethiopia, 2013. Global J M Res 2013., 13(4)
  • [17]Gebreslassie M, Feleke A, Melese T: Psychoactive substances use and associated factors among Axum university students, Axum Town, North Ethiopia. BMC Public Health 2013, 13(1):693. BioMed Central Full Text
  • [18]Mulugeta Y: Khat chewing and its associated factor among College students in Bahir Dar town. Ethiop Sci J Public Health 2013, 1(5):209-214.
  • [19]Laswar AK, Darwish H: Prevalence of cigarette smoking and khat chewing among Aden university medical students and their relationship to BP and body mass index. Saudi J Kidney Dis Transpl 2009, 20(5):862-866.
  • [20]Wedegaertner F, al-Warith H, Hillemacher T, te Wildt B, Schneider U, Bleich S, Breitmeier D: Motives for khat use and abstinence in Yemen--a gender perspective. BMC Public Health 2010, 10:735. BioMed Central Full Text
  • [21]Nakajima M, al’Absi M, Dokam A, Alsoofi M, Khalil NS, Al Habori M: Gender differences in patterns and correlates of Khat and tobacco use. Nicotine Tob Res 2013, 15(6):1130-1135.
  • [22]Basunaid S, Dongen MV, Cleophas TJ: Khat abuse in Yemen: a population-based survey. Clin Res Regul Aff 2008, 25(2):87-92.
  • [23]List of Public Universities in Ethiopia [http://www.moe.gov.et/English/Information/Pages/pubuni.aspx webcite]
  • [24]Zein ZA: Polydrug abuse among Ethiopian university students with particular reference to khat (Catha edulis). J Trop Med Hyg 1988, 91(2):71-75.
  • [25]Ministry of Education of Ethiopia: Education Statistics Annual Abstract, 2004 E.C (2011/2012). Edited by EMIS PaRMD. Addis Ababa, Ethiopia: Federal Ministry of Education of Ethiopia; 2012.
  • [26]Baer JS, Kivlahan DR, Blume AW, McKnight P, Marlatt GA: Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. Am J Public Health 2001, 91(8):1310-1316.
  • [27]Tessema KA: The unfolding trends and consequences of expanding higher education in Ethiopia: massive universities, massive challenges. High Educ Q 2009, 63(1):29-45.
  • [28]Ageely HM: Prevalence of Khat chewing in college and secondary (high) school students of Jazan region, Saudi Arabia. Harm Reduct J 2009, 6(11):3.
  • [29]Brady KT, Randall CL: Gender differences in substance use disorders. Psychiatr Clin N Am 1999, 22(2):241-252.
  • [30]Kulis S, Marsiglia FF, Ayers SL, Booth J, Nuño-Gutiérrez BL: Drug resistance and substance use among male and female adolescents in alternative secondary schools in Guanajuato, Mexico. J Stud Alcohol Drugs 2012, 73(1):111-119.
  • [31]Stevenson M, Fitzgerald J, Banwell C: Chewing as a social act: cultural displacement and Khat consumption in the East African Communities of Melbourne. Drug Alcohol Rev 1996, 15:73-82.
  • [32]Room R: Multicultural contexts and alcohol and drug use as symbolic behaviour. Addict Res Theory 2005, 13(4):321-331.
  • [33]Andrews JA, Tildesley E, Hops H, Li F: The influence of peers on young adult substance use. Health Psychol 2002, 21(4):349.
  • [34]Allen JP, Chango J, Szwedo D, Schad M, Marston E: Predictors of susceptibility to peer influence regarding substance use in adolescence. Child Dev 2012, 83(1):337-350.
  • [35]Mahfouz MS, Alsanosy RM, Gaffar AM: The role of family background on adolescent khat chewing behavior in Jazan Region. Ann Gen Psychiatry 2013, 12(1):16. BioMed Central Full Text
  • [36]Park A, Sher KJ, Krull JL: Selection and socialization of risky drinking during the college transition: the importance of micro-environments associated with specific living units. Psychol Addict Behav 2009, 23(3):404-414.
  • [37]Carmody TP, Delucchi K, Simon JA, Duncan CL, Solkowitz SN, Huggins J, Lee SK, Hall SM: Expectancies regarding the interaction between smoking and substance use in alcohol-dependent smokers in early recovery. 2011.
  • [38]Teter CJ, McCabe SE, Cranford JA, Boyd CJ, Guthrie SK: Prevalence and motives for illicit use of prescription stimulants in an undergraduate student sample. J Am Coll Heal 2005, 53(6):253-262.
  • [39]Arria AM, DuPont RL: Nonmedical prescription stimulant use among college students: why we need to do something and what we need to do. J Addict Dis 2010, 29(4):417-426.
  • [40]Ayana A, Mekonen Z: Khat (Catha edulis Forsk) chewing, sociodemographic description and its effect on academic performance, Jimma University students 2002. Ethiop Med J 2004, 42(2):125-136.
  • [41]Al-Sanosy RM: Pattern of khat abuse and academic performance among secondary school and college students in jazan region, kingdom of saudi arabia (ksa). J Fam Community Med 2009, 16(3):89-95.
  • [42]Dean AC, Hellemann G, Sugar CA, London ED: Educational attainment is not a good proxy for cognitive function in methamphetamine dependence. Drug Alcohol Depend 2012, 123(1):249-254.
  • [43]Brenneisen R, Fisch HU, Koelbing U, Geisshusler S, Kalix P: Amphetamine-like effects in humans of the khat alkaloid cathinone. Br J Clin Pharmacol 1990, 30(6):825-828.
  • [44]Patel NB: Mechanism of action of cathinone: the active ingredient of khat (Catha edulis). East Afr Med J 2000, 77(6):329-332.
  • [45]Hall DA, Stanis JJ, Avila HM, Gulley JM: A comparison of amphetamine-and methamphetamine-induced locomotor activity in rats: evidence for qualitative differences in behavior. Psychopharmacology 2008, 195(4):469-478.
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