Asmamaw Zeleke, Worku Awoke^*, Endalew Gebeyehu, Fentie Ambaw

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Food, Medicine and Health Care Administration and Control Authority (FMHACA) of Ethiopia, North Western Branch Office, Bahir Dar, Ethiopia.
College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
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Abstract: Introduction: Khat chewing is believed to be rapidly increasing worldwide. Worldwide, it is estimated that 10 million people consume khat daily. Khat chewing practice renders certain influence on physical and psychological well being of the community and it can cause more serious adverse psychiatric, cardiovascular, dental and gastrointestinal effects. The recent sharp increase in khat consumption may not only affect the health of individuals but could also have serious socio-economic consequences. This study was conducted to assess prevalence of khat chewing practice, its associated factors and perceived health effects among communities in Dera woreda, Amhara region, Ethiopia 2013. Methods: Community-based cross-sectional study was conducted by using both quantitative and qualitative method of data. The sample size for quantitative was determined by using single population proportion formula and the households were selected by systematic sampling method and in the selected household, one respondent was selected by lottery among members of household aged 15 years and above. Data were collected by means of a pretested questionnaire; analysis was carried out using SPSS version 16. For the qualitative part ten in-depth interviews were conducted on purposely selected individuals and sample size for this method was determined through continuing to interview participants until no new information was obtained. Results: The response rate was 98.3%. Current prevalence of khat chewing practice was 17%. Males were more likely to chew khat (AOR, 18.53; 95%CI, 7.20-47.66) compared to females. Muslims were more likely to chew khat (AOR, 4.34; 95%CI, 2.07-9.11) compared to Orthodox Christians. Respondents who had family member chewing khat were more likely to chew khat (AOR, 2.67; 95%CI, 1.15-6.21) compared to family member without a chewer. Among all the respondents, 92.8% perceived the health effects of khat chewing practice. Respondents who did not perceive health effect of khat were 5 times more likely to chew khat (AOR = 5.10, 95%CI; 1.64-15.5) compared to those who perceived health effect of khat. Conclusions: The prevalence of khat chewing practice was 17% with high proportion of the khat chewers found in the urban setting. Sex, religion, residence, family chewing habit and perceived health effect were significantly associated factors with khat chewing practice. In this study 92.8% of the respondents perceived that khat chewing practice had harmful effects on health and the perceived health effects reported were sleeping disorder, hallucination, tooth staining, anxiety, and loss of appetite, depression, constipation, gastritis, hypertension and psychosis.

Keywords: Khat Chewing; Perceived Health Effect; Ethiopia

Cite this paper: Zeleke, A. , Awoke, W. , Gebeyehu, E. and Ambaw, F. (2013) Khat chewing practice and its perceived health effects among communities of Dera Woreda, Amhara region, Ethiopia. Open Journal of Epidemiology, 3, 160-168. doi: 10.4236/ojepi.2013.34024.

References

[1]   Michael, O. (2007) Chronic khat use and psychotic disorders: A review of the literature and future prospects. Konstanzer Online-Publikations-System(KOPS). http://www.ub.uni-konstanz.de/kops/volltexte /2008/4059/

[2]   Alem, A., Kebede, D. and Kullgren, G. (1999) The prevalence and socio-demographic correlates of khat chewing in Butajira, Ethiopia. Acta Psychiatrica Scandinavica, 100, 84-91. http://dx.doi.org/10.1111/j.1600-0447.1999.tb10699.x

[3]   Kasule, H. (2011) Prevalence, factors associated with and perceived health effects of use of cannabis/khat among persons aged 18 years and above in Makindye division, Kampala district. Uganda Makerere University.

[4]   John Fitzgerald, L.L. (2009) Khat: A literature review. http://www.ceh.org.au/downloads/khat_report_final.pdf

[5]   Glenice Cox, H.R. (2003) Adverse effects of khat: A review. Journal of Continuing Professional Development, 9, 456-463.

[6]   Taye Hailu Feyisa, J.B.A. (2003) Khat expansion in the Ethiopian highlands: Effects on the farming system in Habro district. Mountain Research and Development, 23, 185-189. http://dx.doi.org/10.1659/0276-4741(2003)023[0185:KEITEH]2.0.CO;2

[7]   (ECDD) WECoDD (2006) Assessment of khat (Catha edulis Forsk). WHO Expert Committee on Drug Dependence. www.who.int/medicines/areas/quality_safety/4.4 KhatCritReview.pdf?

[8]   Ahmed AL-Motarreb KbaK, J.B. (2002) Khat: Pharmacological and medical aspects and its social use in Yemen. Phytotherapy Research, 16, 403-413. http://dx.doi.org/10.1002/ptr.1106

[9]   Abebe, D. et al. (2006) Is khat-chewing associated with HIV risk behaviour? A community-based study from Ethiopia. African Journal of AIDS Research, 5, 61-69.

[10]   Andualem, M. (2002) The prevalence and socio-demographic characteristics of khat chewing in Jimma town, South Western Ethiopia. Ethiopian Journal of Health Science, 12, 69-80.

[11]   Hussein, M. and Ageely, A. (2008) Health and socio-economic hazards associated with khat consumption. Journal of Family Community Medicine, 15, 3-11.

[12]   Mekonnen, G. (2006) The prevalence of khat-induced psychotic reactions among college students: A case in Jimma University College of Agriculture. Ethiopian Journal of Education & Science, 2, 1.

[13]   Yigzaw, K. et al. (2005) Substance abuse for the Ethiopian health center team module. www.cartercenter.org/.../pdfs /health/.../Mod_Substance_Abuse_final.pdf

[14]   Melaku, B. et al. (2009) Prevalence, attitude and associated problems of khat use among Bahir Dar University Students, Northwestern Ethiopia. http://www.scribd.com/doc/39095347/Prevalence-Attitude-and-Associated-Problems-of-Khat-Use

[15]   Rashad, E. et al. (2011) Socio-medical problem of the habituation of khat chewing in Jazan region in Southern Saudi Arabia. European Journal of Scientific Research, 63, 122-133.

[16]   Michael, O. (2006) The use of the stimulant khat, war-related trauma and psychosis in Somalia, University of Konstanz. http://kops.ub.uni-konstanz.de/volltexte/2009/8936

[17]   Deborah, Z. (2008) Ethiopian social policy reader. http://groups.google.com/group/ethiopian-social-policy-reader-2008

[18]   Sikiru, L. (2012) Flower of paradise (Khat: Catha edulis): Psychosocial, health and sports perspectives. African Journal of Health Science, 22, 161-175.

[19]   Wendy, S. et al. (2010) Perceptions of the social harms associated with khat use. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/116579/horr44-summary.pd

[20]   Shilpa, L. et al. (2005) Khat use among Somalis in four English cities. http://collection.europarchive.org/tna/20080205132101/homeoffice.gov.uk/rds/pdfs05/rdsolr4705.pdf