Background: In some countries the use of Khat is widespread. The use or misuse of Khat is increasingly prevalent in
Ethiopia. College and university students consume Khat to get mental alertness and to work hard in their academic
endeavours. Most of the studies concerning Khat chewing were done on community-based
studies and high school-based as well as psychiatric effects of Khat: less was done among university
students. Objective: The study was aimed to assess the prevalence and
associated factors of Khat chewing
among undergraduate Adama University students. Methodology: A cross-sectional
study using self-administered questionnaire was conducted on population sample
size determined by using single population proportion formula in January 2012. By
using multi-stage sampling technique followed by simple random sampling, one
department was selected from each school. Then, by simple random sampling, the
sampled students were selected proportionally to their year of study and class
size. Questions regarding demographic variables, academic and environmental
factors were included in the survey. Data quality was controlled by pre-test,
supervision, translation and training data collectors. Completed data were
coded and entering into EPI info version 3.5.1 and analyzed by SPSS version 16.
Odds ratio with 95% CI and multiple logistic regression analysis were used.
Results: A total of 728 students participated giving a response rate of 95.3%.
The lifetime and current prevalence of Khat chewing were found to be 27.7% and 20.7% respectively. Being male (AOR = 1.95;
95% CI 1.10 - 3.47), monthly pocket money (AOR = 1.52; 95% CI = 1.01 - 2.28),
family history of Khat chewing (AOR =
1.72; 95% CI = 1.14 - 2.59) and friend chewing Khat (AOR = 1.70; 95% CI = 1.12 - 2.58) were associated factors for Khat chewing (p < 0.05). Conclusion
and Recommendation: The prevalence of Khat chewing among Adama University students was high compared to other studies done
in similar settings. Therefore, there is a need for early intervention that
targets university students to reduce impact of peer pressure, family history
of Khat chewing and proper management
of money. To realize this involvement and participation of policy makers,
ministry of education, universities and parents are mandatory.
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