Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/93665
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Type: Journal article
Title: Khat use in people living with HIV: a facility-based cross-sectional survey from South West Ethiopia
Author: Soboka, M.
Tesfaye, M.
Feyissa, G.
Hanlon, C.
Citation: BMC Psychiatry, 2015; 15(1):69-1-69-7
Publisher: BioMed Central
Issue Date: 2015
ISSN: 1471-244X
1471-244X
Statement of
Responsibility: 
Matiwos Soboka, Markos Tesfaye, Garumma Tolu Feyissa, and Charlotte Hanlon
Abstract: Background: Khat is an evergreen plant with leaves containing the amphetamine-like compounds cathinone and cathine. Many people in the Horn of Africa use khat on a regular basis. Adverse health and social consequences of khat use have been described but little is known about the use of khat in people living with Human Immunodeficiency Virus (PLHIV) in Ethiopia. This study aimed to assess the prevalence of khat use and factors associated with khat use among PLHIV who are in contact with HIV services in a hospital in south-west Ethiopia. Methods: A cross-sectional study was conducted among 389 PLHIV who attended HIV services at Jimma University Specialized Hospital in September 2012. A structured questionnaire, translated into the local languages, was used to ask about the frequency of khat use and potential risk factors and consequences of khat use in this patient group. Logistic regression analysis was used for bivariate and multivariable analysis. Results: The overall prevalence of current khat use among people living with HIV was 23.0%. The prevalence was 18.3% in females and 33.6% in males. Christians were less likely to use khat when compared to Muslims (adjusted Odds Ratio (aOR) 0.26, 95% CI = 0.13, 0.55). There was a positive association between khat use and mental distress (aOR 1.84, 95% CI = 1.01, 3.36), smoking cigarettes (aOR 21.21, 95% CI = 7.19, 62.51), alcohol use disorders (aOR 2.16, 95% CI = 1.10, 4.21), CD4 count ≤200 cells/mm3 (aOR 3.46, 95% CI = 1.60, 7.50) and missing at least one dose of antiretroviral medication in the preceding month (ART) (aOR 4.2, 95% CI = 1.80, 5.75). Conclusion: In this study there was a high prevalence of khat use among people living with HIV which was associated with poorer adherence to ART. There is a need to adapt and evaluate feasible and acceptable interventions to reduce khat use in people living with HIV.
Keywords: Khat use; HIV; Mental distress; Ethiopia; 'ART adherence'; Substance use disorder; Sub-Saharan Africa
Rights: © 2015 Soboka et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
RMID: 0030032930
DOI: 10.1186/s12888-015-0446-5
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