An examination of the prevalence of khat chewing and its contributing factors among high school students in Addis Ababa, Ethiopia, using a cross-sectional survey design

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2024-01-01 DOI:10.1016/j.ijans.2024.100793

Alembante Fikadu Lemma , Urban Robert , Lajtai Laszlo

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引用次数: 0

Abstract

Background

Khat (Catha edulis) is not just a substance but a cultural phenomenon in Ethiopia. This tiny tree induces euphoria by chewing its sensitive leaves and buds. It is grown in several locations in Ethiopia due to its high local and international demand. Khat is widely used for social and religious purposes, with users reporting a rise in spirit, sharper thinking, and vitality. Understanding the prevalence and factors associated with khat chewing among high school students in Addis Ababa is crucial for appreciating the cultural context and addressing the associated health issues.

Methods

A rigorous cross-sectional design was employed, ensuring a comprehensive understanding of the current khat chewing situation among high school students in Addis Ababa. The study was conducted in Addis Ababa’s high schools, with 349 out of 529 students participating, a significant sample size. A simple random sampling technique was applied, enhancing the representativeness of the findings. A structured self-administered questionnaire was used, and descriptive and inferential statistics were applied to analyze the collected data, ensuring the reliability and validity of the results.

Results

The prevalence of current khat chewing was 56.9 %. The fundamental reasons for current khat chewing were enjoyment, feeling better, overcoming bad moods or feelings, and feeling good while depressed or nervous. After conducting a multivariate logistic regression, the factors associated with current khat chewing behavior were Orthodox Christianity (AOR 0.62, 95 % CI: 0.17, 0.75), and Muslims (AOR 0.61, 95 % CI: 0.01, 0.96), students living with family members (AOR 1.96, 95 % CI: 0.22, 2.12), from urban areas (AOR 3.84, 95 % CI: 1.74, 8.50), with a monthly income of 2000 Ethiopian Birr (AOR 0.32, 95 % CI: 0.20, 0.51), students who study in Temenja Yazh High School (AOR 10.29, 95 % CI: 1.13, 93.29), who are in their 11th grade (AOR 2.62, 95 % CI: 1.25, 5.50), consumes 250 g or less of khat (AOR 7.54, 95 % CI: 2.17, 26.2), daily khat use (AOR 10.09, 95 % CI: 2.16, 47.10), spent 3 to 5 h (AOR 0.21, 95 % CI: 0.79, 0.60), and prefers 12:00–3:00 PM for chewing (AOR 0.09, 95 % CI: 0.02, 0.43).

Conclusion

High school students in Addis Ababa, Ethiopia, reported using khat. Further research is needed to better understand how khat use affects academic achievement and health-related issues.

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采用横断面调查设计，研究埃塞俄比亚亚的斯亚贝巴高中生咀嚼阿拉伯茶的普遍程度及其诱因

背景阿拉伯茶（Catha edulis）在埃塞俄比亚不仅是一种物质，还是一种文化现象。这种小树通过咀嚼其敏感的叶片和花蕾来引起兴奋。由于当地和国际市场对阿拉伯茶的需求量很大，埃塞俄比亚的许多地方都种植阿拉伯茶。哈特被广泛用于社交和宗教目的，使用者称其精神亢奋、思维敏锐、充满活力。了解亚的斯亚贝巴中学生咀嚼阿拉伯茶的流行程度和相关因素，对于了解文化背景和解决相关健康问题至关重要。研究采用了严格的横断面设计，确保全面了解亚的斯亚贝巴中学生咀嚼阿拉伯茶的现状。研究在亚的斯亚贝巴的高中进行，529 名学生中有 349 人参与，样本量相当大。研究采用了简单随机抽样技术，提高了研究结果的代表性。采用了结构化自填问卷，并运用描述性和推论性统计方法对收集到的数据进行分析，以确保结果的可靠性和有效性。目前咀嚼阿拉伯茶的基本原因是享受、感觉更好、克服不良情绪或感觉，以及在抑郁或紧张时感觉良好。在进行多元逻辑回归后，与目前咀嚼阿拉伯茶行为相关的因素有东正教（AOR 0.62，95 % CI：0.17，0.75）和穆斯林（AOR 0.61，95 % CI：0.01, 0.96）、与家人住在一起的学生（AOR 1.96, 95 % CI: 0.22, 2.12）、来自城市地区的学生（AOR 3.84, 95 % CI: 1.74, 8.50）、月收入为 2000 埃塞俄比亚比尔的学生（AOR 0.32, 95 % CI: 0.20, 0.51）、就读于 Temenja Yazh 高中的学生（AOR 10.29，95 % CI：1.13，93.29）、11 年级学生（AOR 2.62，95 % CI：1.25，5.50）、消费卡塔叶 250 克或以下（AOR 7.54，95 % CI：2.17，26.2）、每天使用卡塔叶（AOR 10.结论埃塞俄比亚亚的斯亚贝巴的高中生报告使用阿拉伯茶。要更好地了解阿茶的使用对学习成绩和健康相关问题的影响，还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.