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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Disparities in risky sexual behavior among khat chewer and non- chewer college students in Southern Ethiopia: a comparative cross-sectional study

Authors: Eyasu Ware, Gurmesa Tura, Tsedach Alemu, Eshetu Andarge

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Risky sexual behavior (RSB) and its consequence among school adolescents and youths have been well understood. It is still a common practice among college and university students living away from their controlling families compounded with the ever-worsening khat chewing habits. However, the relation between khat chewing and RSB is not well studied particularly among college students in Ethiopia. Hence, this study contributes to the literature by examining disparities of RSB among khat chewer and non-chewer students in Southern Ethiopia with the purpose of improving adolescent and youth health.

Methods

An institution-based comparative cross-sectional study was conducted among 1211 college students at Arba Minch town in March 2015. Respondents were selected by employing a simple random sampling technique. Data was collected by using a pre-tested, structured, self- administered questionnaire. The data was entered into Epidata version 3.1 and analyzed using IBM SPSS statistics version 21. Level of statistical significance was declared at a p- value of < 0.05.

Results

The prevalence of lifetime and current RSB among college students was 40.8 and 36.5% respectively. The lifetime and current prevalence of RSB among khat chewers (82.2 and 30.9%) was significantly higher than non-chewers (74.2 and 27.6%) respectively (P-value = 0.001). Male sex (AOR = 1.82; 95% CI = 1.28, 2.6), urban residence (AOR = 1.63,95% CI = 1.17, 2.28), age of students (AOR = 1.18; 95% CI = 1.09,1.28), living away from family (AOR = 2.45, 95% CI = 1.62,3.7), having high peer pressure (AOR = 2.58, 95% CI = 1.85–3.59), an increase in average grade point (AOR = 0.98, 95% CI = 0.96–0.99), regular attendance of religious institutions (AOR = 0.24, 95%CI = 0.12, 0.42), watching pornographic movies (AOR = 2.51, 95% CI = 1.79,3.51), khat chewing (AOR = 3.02, 95% CI:=1.91,4.76) and alcohol drinking (AOR = 2.26, 95% CI = 1.54,3.35) were factors associated with RSB.

Conclusions

Considerable proportions of students were engaged in khat chewing and RSB. RSB was significantly higher among khat chewers as compared to non- chewers. Comprehensive sexuality education was recommended to college communities and by extension to the ministry of health and education to address the identified factors so that RSB can be reshaped.
Appendix
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Literature
1.
Douglas K. Reducing adolescent sexual risk: a theoretical guide for developing and adapting curriculum-based programs. California: ETR Associates 4 Carbonero Way Scotts Valley; 2011.
2.
UNAIDS. Reports on the global HIV/AIDS epidemic: WHO Library. UNAIDS / JC2502/1/E; 2013.ISBN 978-92-9253-032-7
3.
4.
Yi S, Krishna C, Junko Y, et al. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia. BMC Public Health. 2010;10:477.CrossRefPubMedPubMedCentral
5.
Linda B, Krishna C, Bruno F, et al. A call for parental monitoring to improve condom use among secondary school students in dares salaam, Tanzania. BMC Public Health. 2012;12:1061.CrossRef
6.
7.
Gemechu E. Premarital sexual practice among unmarried first year undergraduatestudents in Alkan University College in Addis Ababa, Ethiopia. Glob J Med Public Health. 2014;3(2):2277-9604. www.​gjmedph.​org.
8.
Al-Mugahed L. Khat chewing in Yemen: turning over a new leaf: Khat chewing is on the rise in Yemen, raising concerns about the health and social consequences. World Health Organ. 2008;86(10):741–2.CrossRef
9.
Laswar A, 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):862–6.PubMed
10.
Mulugeta Y. Khat chewing and its associated factor among college students in Bahir Dar town, Ethiopia. Science. J Public Health. 2013;1(5):209–14.
11.
12.
Tura G, Alemseged F, Dejene S. Risky sexual behavior and predisposing factors among students of Jimma University, Ethiopia. Ethiop J Health Sci. 2012;22(3):170–80.PubMedPubMedCentral
13.
Fekadu A, Gebrethadkan F. Risky sexual behavior and associated factors among grade 9-12 students in Humera secondary school, western zone of Tigray, north West Ethiopia. Science. J Public Health. 2014;2(5):410–6.
14.
Derese A, Seme A, Misganaw C. Assessment of substance use and risky sexual behavior among Haramaya university students, Ethiopia. Science. J Public Health. 2014;2(2):102–10.
15.
Abebe D, Debella A, Dejene A, et al. Khat chewing habit as possible risk behavior for HIV infection: a case-control study. Ethiop J Health Dev. 2005;3:174–81.
16.
Ayalu A, Mail R, Moges A, Biadgilign S, Berhanu Y, 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.doi:10.1371/journal.pone.0033946
17.
Worku A. Knowledge, attitude and practice of emergency contraceptives among female college students in Arba Minch town, Southern Ethiopia. Ethiop J Health Dev. 2011;25(3):176–83.
18.
Daka D, Shaweno D. Magnitude of risky sexual behavior among high school adolescents in Ethiopia: a cross-sectional study. Acad J Public Health Epidemiol. 2014;6(7):211–5.CrossRef
19.
HAPCO. Federal Democratic Republic of Ethiopia: country progress report on the HIV response. Addis Ababa: HAPCO; 2014.
20.
Yohannes B, Gelibo T, Tarekegn M. Prevalence and associated factors of sexually transmitted infections among students of Wolaita Sodo University, Southern Ethiopia. Int J Scientific Technol Res. 2013;2:86–94.
21.
Lenjisa JL, Ulfina D, Tamme E, et al. Knowledge and practice of emergency contraceptives among students at ambo techniques college, Ethiopia. Int J HIV/AIDS Res (IJHR). 2014;01:101.
22.
CSA and ORC Macro. Report of Ethiopia demographic and health survey 2011. Addis Ababa and Calverton: Central Statistical Authority and ORC, Macro; 2012.
23.
Arba Minch Town Administration. Annual report of the year 2013/2014 G.C. 2014.
24.
Gammo Goffa Zone Culture and Tourism Department. Woga Gammo Goffa. 2014.
25.
Arba Minch General Hospital. Annual report of 2013/2014. 2014.
26.
Arba Minch Town Education Office. Student enrollment data of the year 2013/2014 G.C. 2014.
27.
28.
Abebe M, Tsion A, Fentahun N. Living with parents and risky sexual behaviors among preparatory school students in Jimma zone, south West Ethiopia. Afr Health Sci. 2013;13(2):498–506.PubMedPubMedCentral
29.
Legesse E. Assessment of risky sexual behaviors and risk perception among youths in western Ethiopia: the influences of family and peers: a comparative cross-sectional study. BMC Public Health. 2014;14:301.CrossRef
30.
Fentahun N, Mamo A. Risky sexual behaviors and associated factors among male and female students in Jimma zone preparatory schools, south West Ethiopia: comparative study. Ethiop J Health Sci. 2014;24(1):59–68.CrossRefPubMedPubMedCentral
31.
Shiferaw Y, Alemu A, Girma A, et al. Assessment of knowledge, attitude and risk behaviors towards HIV/AIDS and other sexually transmitted infections among preparatory students of Gondar town, north West Ethiopia. BMC. 2011;4:505.
32.
The Federal Democratic Republic of Ethiopia, Ministry of Health. Health sector transformation plan. 2015.
33.
WHO. The sustainable development goals. Indicator and monitoring framework for the global Women’s, Children’s and adolescents’ health (2016–2030). Every woman every child. 2016.
34.
Asrat A. Assessment of sexual risk behaviors of in-school youth: effect of living arrangement of students; west Gojam zone, Amhara regional state, Ethiopia. Am J Health Res. 2014;2(2):78–83.CrossRef
35.
Cherie A, Berhane Y. Peer pressure is the prime driver of risky sexual behaviors among school adolescents in Addis Ababa, Ethiopia. World J AIDS. 2012;2:159–64.CrossRef
36.
Metadata
Title
Disparities in risky sexual behavior among khat chewer and non- chewer college students in Southern Ethiopia: a comparative cross-sectional study
Authors
Eyasu Ware
Gurmesa Tura
Tsedach Alemu
Eshetu Andarge
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5405-x

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