Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia

Bizuayehu Walle Birhane; Muluken Walle Birhane; Kidest Reba Lebeta

doi:doi:10.11648/j.ajbls.20140204.15

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Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia

Bizuayehu Walle Birhane, Muluken Walle Birhane, Kidest Reba Lebeta

Published in American Journal of Biomedical and Life Sciences (Volume 2, Issue 4)

Received: 7 August 2014 Accepted: 26 August 2014 Published: 10 September 2014

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Abstract

Khat is found in the evergreen tree or large shrub, consists of whole fresh leaves and buds of a plant known as Catha edulis. It is an indigenous tree to Ethiopia, Kenya, and Yemen and more than 20 different compounds are fund in khat. Cathinone, which is the main active ingredient in Khat leave, is responsible for the pharmacological properties of Khat. Bahir Dar is a city that three percent of Ethiopia’s total production of khat is originated from. There is no community based study that has been done in Bahir Dar city to determine effects of khat chewing behaviours on self rated oral health status and risk on elevated blood pressure. Therefore, this study aimed to determine the effects of Khat chewing behaviors on oral health status and blood pressure on chewers. A community based cross-sectional study was conducted from January to September 2013 among chewers of Bahir Dar city. A total of 422 male khat chewers were included in study, 422 respond to the questioners, giving a response rate of 100%. The study found that the mean age of participants with standard deviation was 30.31 ± 1.39 years old. Sixty two percent of participants reported oral health problems and started khat chewing at early age. Started khat chewing at early age was found to be statistically significantly associated with self rated oral health problem (AOR: 2.85, CI 95%:1.26-6.45). Frequent chewers were 7.58 times more likely to be affected by self rated oral health problem compared to those who chewed less frequently (AOR: 7.58,95%CI:3.53-16.27). Chewers who chewed more than or equal to 100gms of khat per session were 4.33 times more likely to be affected by oral health problem compared to those who chewed less amount (AOR: 4.33, 95%CI: 2.49-7.53). As for the time period spent for Khat session, those who spent more than 6 hours in a khat session were 7.25 times more likely to have elevated systolic blood pressure compared to those who spent less than 6 hours, (AOR :7.25; 95%CI: 4.03-13.05). It was also found that those who spent more than 6 hours in a khat session were almost 9 times more likely to have elevated diastolic blood pressure compared to who spent less than 6 hours (AOR:8.99,95%CI:4.85-16.66).The risk of elevated systolic blood pressure was more than 5.26 times more likely among male chewers who reported increase amount of khat chewing compared to who reported decrease the amount in last 12 months, (AOR:5.26:95% CI: 2.76-10.15) and the risk of elevated diastolic blood pressure was more than 7 times more likely among chewers who reported increase amount of khat chewing in the last 12 months (AOR:7.25,95%CI:3.66-14.38).

Published in	American Journal of Biomedical and Life Sciences (Volume 2, Issue 4)
DOI	10.11648/j.ajbls.20140204.15
Page(s)	89-97
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Khat Chewing, Health Outcomes, Bahir Dar, North West Ethiopia

References

[1]	Saw air F. A., Al - Mutwakel A. Al - Eryani K., Al - Surhy A., Mar uyama S., Cheng J. , Al - Sharabi A., Saku T. High relative frequency of oral squamous cell carcinoma in Yemen: Qat and tobacco chewing as its aetiological back ground. International Journal of Environmental Health Research. 2 007, 1 7(3): 185 – 1 95.
[2]	Drake PH. Khat-chewing in the Near East. Lancet. 1988, 8584:532–3.
[3]	Kalix, P. & Braenden, O. Pharmacological aspects of the chewing of khat leaves. Pharmacological Reviews. 1985, 37, 149-164.
[4]	Kalix, P. Khat: a plant with amphetamine effects. Journal of Substance Abuse and Treatment. 1988, 5, 163–169.
[5]	Kalix, P. Cathinone, a natural amphetamine. Pharmacology and Toxicology. 1992, 70, 77–86
[6]	Weir S. Qat in Yemen: consumption and social change London: Published for the Trustees of the British Museum by British Museum Publications. 1985,7:23-26
[7]	Kennedy JG. The flower of paradise: the institutionalized use of the drug qat in North Yemen Dordrecht; Lancaster: Reidel. 1987, 9:32-34
[8]	Kalix, P. Cathinone, a natural amphetamine. Pharmacology and Toxicology,1992, 70, 77–86
[9]	Dechassa, L. Khat (Catha edulis): Botany, Distribution, Cultivation, Usage and Economics in Ethiopia. UN Emergencies Unit for Ethiopia, Addis Ababa, 2001.
[10]	Yigzaw Kebede, Tefera Abula, Belete Ayele, Amsalu Feleke, Getu Degu, Abera Kifle, Zeleke Alebachew, En dris Mekonnen, and Belay Tessema. Substance Abuse For the Ethiopian Health Center Team: Gonder University. 2005: 7 - 19
[11]	Belew M, Kebede D, Kassaye M, Enquoselassie F. The magnitude of khat use and its association with health, nutrition and socio-economic status. Ethiop Med J, 2000, 38(1): 11-26.
[12]	Numan N. Exploration of adverse psychological symptoms in Yemeni khat users by the Symptoms Checklist-90 (SCL-90). Addiction. 2004, 99(1): 61-5.
[13]	World Bank. Yemen towards Qat demand reduction. 2007, 39738-YE.
[14]	Ayana AM, Mekonen Z (2004). Khat (Catha edulis Forsk) chewing, socio-demographic description and its effect on academic performance, Jimma University students. Ethiop Med J. 2002. 42(2): 125-36.
[15]	Kalix P. Pharmacological properties of the stimulant khat. Pharmacol Ther. 1990; 48: 397–416
[16]	Hassan NAGM. Gunaid AA, El Khally FMY, Murray-Lyon IM. The effect of Khat chewing leaves on the Human mood. Saudi Med J. 2002; 23(7): 850–853
[17]	Hassan NAGM, Gunaid AA, El Khally FMY, Murray-Lyon IM. The subjective effects of chewing qat leaves in human volunteers. Annals of Saudi Medicine.2003; 22(1–2): 34–37
[18]	Pantelis C, Hindler CG, Taylor JC. Use and abuse of khat (catha edulis): a review of the distribution, pharmacology, side effects and a description of psychosis attributed to khat chewing. Psychol Med.1989; 19: 657–668
[19]	Hassan NAGM, Gunaid AA, Ali MS, Shehab MMI. The effects of chewing qat leaves on psychotic patients. The Journal of the Egyptian Society of Pharmacology & Experimental Therapeutics. 2003; 23 (1): 179–190.
[20]	Halket JM, Karusu Z, Murray-Lyon IM. Plasma cathinone levels following chewing khat leaves (Catha edulis Forsk). J Ethnopharmacol. 1995; 46: 111–113.
[21]	Al-Motarreb AL, Al-Kebsi M, Al-Adhi B, Broadley KJ. Khat chewing and acute myocardial infarction. Heart. 2002; 87: 279–280.
[22]	Heymann TD, Bhupulan A, Zuriekat NEK, Bomanji J, Drinkwater C, Giles P. Murray-Lyon IM. Khat chewing delays gastric emptying of a semi-solid meal. Aliment Pharmacol Ther.1995; 9: 81–83.
[23]	Gunaid AA, El Khally FMY, Hassan NAGM, Murray-Lyon IM. Chewing qat leaves slows the whole gut transit time. Saudi Med J. 1999; 20: 444–447.
[24]	Kassim S, Croucher R. Khat chewing amongst UK resident male Yemeni adults: an exploratory study. Int Dent J. 2006), 56(2):97-101.
[25]	Griffiths P, Gossop M, Wickenden S, Dunworth J, Harris K, Lloyd C : A transcultural pattern of drug use: qat (khat) in the UK. Br J Psychiatry. 1997, 170(281-4).
[26]	Fasanmade A, Kwok E, Newman L . Oral squamous cell carcinoma associated with khat chewing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007, 104(1): e53-5.
[27]	Cott CA, Gignac MA, Badley EM : Determinants of self rated health for Canadians with chronic disease and disability. J Epidemiol Community Health.1999, 53(11):731-6.
[28]	Kaplan G, Baron-Epel O: What lies behind the subjective evaluation of health status? Soc Sci Med. 2003, 56(8):1669-76.
[29]	Locker D, Maggirias J, Wexler E: What frames of reference underlie self-ratings of oral health? J Public Health Dent. 2009, 69(2):78-89.
[30]	Adams J, White M. Is the disease risk associated with good self-reported health constant across the socio-economic spectrum? Public Health.2006, 120(1):70-5.
[31]	Dalstra JA, Kunst AE, Borrell C, Breeze E, Cambois E, Costa G, et al. Socioeconomic differences in the prevalence of common chronic diseases: an overview of eight European countries. Int J Epidemiol. 2005, 34(2):316-26.
[32]	Schaufelberger M, Rosengren A. Heart failure in different occupational classes in Sweden. Eur Heart J. 2007, 28(2): 212-8.
[33]	Goldman N, Lin IF, Weinstein M, Lin YH. Evaluating the quality of self-reports of hypertension and diabetes. J Clin Epidemiol. 2003, 56(2):148-54.
[34]	Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ . Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly. J Clin Epidemiol. 1996, 49(12):1407-17
[35]	Schrijvers CT, Stronks K, van de Mheen DH, Coebergh JW, Mackenbach JP. Validation of cancer prevalence data from a postal survey by comparison with cancer registry records. Am J Epidemiol. 1994, 139(4):408-14.
[36]	Tomar SL. Public health perspectives on surveillance for periodontal diseases. J Periodontol. 2007, 78 (7):1380-6.
[37]	A. Dosinas, M. Vaitkūnas, J. Daunoras. Measurement of Human Physiological Parameters in the Systems of Active Clothing and Wearable Technologies.2006;71: 27
[38]	Belew M, Kebede D, Kassaye M, Enquoselassie F (2000). The magnitude of khat use and its association with health, nutrition and socio-economic status. Ethiop Med J 38(1): 11-26.
[39]	Ayana A, Sharif H, Tekli Y (2002). Effects of khat (Catha edulis forsk) on blood pressure and heart rate, a community based study. Ethiopian Journal Development 16(3): 325-334.
[40]	Kassim S(2010). An Exploration of the Association between Khat Chewing and Health Outcomes in UK-resident Male Yemeni Khat Chewers,22-62
[41]	Ayana AM, Mekonen Z (2004). Khat (Catha edulis Forsk) chewing, sociodemographic description and its effect on academic performance, Jimma University students 2002. Ethiop Med J 42(2): 125-36.
[42]	Fekade A, Challi J, Tadess M. Khat chewing among Agaro secondary school students. Ethiop Medic J. 1994;32:161- 166.
[43]	Kalman S. Recent progress in khat chemistry: in chemical and pharmacological aspect of khat; international symposium of khat. 1983;13- 28.
[44]	Wilder P, Mathys K, Brenneisen R, Kalix P, Fisch HU. Pharmacodynamics and pharmacokinetics of khat: a controlled study. Clin Pharmacol Ther. 1994; 59:556- 562.

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APA Style

Bizuayehu Walle Birhane, Muluken Walle Birhane, Kidest Reba Lebeta. (2014). Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia. American Journal of Biomedical and Life Sciences, 2(4), 89-97. https://doi.org/10.11648/j.ajbls.20140204.15

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ACS Style

Bizuayehu Walle Birhane; Muluken Walle Birhane; Kidest Reba Lebeta. Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia. Am. J. Biomed. Life Sci. 2014, 2(4), 89-97. doi: 10.11648/j.ajbls.20140204.15

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AMA Style

Bizuayehu Walle Birhane, Muluken Walle Birhane, Kidest Reba Lebeta. Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia. Am J Biomed Life Sci. 2014;2(4):89-97. doi: 10.11648/j.ajbls.20140204.15

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@article{10.11648/j.ajbls.20140204.15,
  author = {Bizuayehu Walle Birhane and Muluken Walle Birhane and Kidest Reba Lebeta},
  title = {Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {2},
  number = {4},
  pages = {89-97},
  doi = {10.11648/j.ajbls.20140204.15},
  url = {https://doi.org/10.11648/j.ajbls.20140204.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20140204.15},
  abstract = {Khat is found in the evergreen tree or large shrub, consists of whole fresh leaves and buds of a plant known as Catha edulis. It is an indigenous tree to Ethiopia, Kenya, and Yemen and more than 20 different compounds are fund in khat. Cathinone, which is the main active ingredient in Khat leave, is responsible for the pharmacological properties of Khat. Bahir Dar is a city that three percent of Ethiopia’s total production of khat is originated from. There is no community based study that has been done in Bahir Dar city to determine effects of khat chewing behaviours on self rated oral health status and risk on elevated blood pressure. Therefore, this study aimed to determine the effects of Khat chewing behaviors on oral health status and blood pressure on chewers. A community based cross-sectional study was conducted from January to September 2013 among chewers of Bahir Dar city. A total of 422 male khat chewers were included in study, 422 respond to the questioners, giving a response rate of 100%. The study found that the mean age of participants with standard deviation was 30.31 ± 1.39 years old. Sixty two percent of participants reported oral health problems and started khat chewing at early age. Started khat chewing at early age was found to be statistically significantly associated with self rated oral health problem (AOR: 2.85, CI 95%:1.26-6.45). Frequent chewers were 7.58 times more likely to be affected by self rated oral health problem compared to those who chewed less frequently (AOR: 7.58,95%CI:3.53-16.27). Chewers who chewed more than or equal to 100gms of khat per session were 4.33 times more likely to be affected by oral health problem compared to those who chewed less amount (AOR: 4.33, 95%CI: 2.49-7.53). As for the time period spent for Khat session, those who spent more than 6 hours in a khat session were 7.25 times more likely to have elevated systolic blood pressure compared to those who spent less than 6 hours, (AOR :7.25; 95%CI: 4.03-13.05). It was also found that those who spent more than 6 hours in a khat session were almost 9 times more likely to have elevated diastolic blood pressure compared to who spent less than 6 hours (AOR:8.99,95%CI:4.85-16.66).The risk of elevated systolic blood pressure was more than 5.26 times more likely among male chewers who reported increase amount of khat chewing compared to who reported decrease the amount in last 12 months, (AOR:5.26:95% CI: 2.76-10.15) and the risk of elevated diastolic blood pressure was more than 7 times more likely among chewers who reported increase amount of khat chewing in the last 12 months (AOR:7.25,95%CI:3.66-14.38).},
 year = {2014}
}

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TY  - JOUR
T1  - Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia
AU  - Bizuayehu Walle Birhane
AU  - Muluken Walle Birhane
AU  - Kidest Reba Lebeta
Y1  - 2014/09/10
PY  - 2014
N1  - https://doi.org/10.11648/j.ajbls.20140204.15
DO  - 10.11648/j.ajbls.20140204.15
T2  - American Journal of Biomedical and Life Sciences
JF  - American Journal of Biomedical and Life Sciences
JO  - American Journal of Biomedical and Life Sciences
SP  - 89
EP  - 97
PB  - Science Publishing Group
SN  - 2330-880X
UR  - https://doi.org/10.11648/j.ajbls.20140204.15
AB  - Khat is found in the evergreen tree or large shrub, consists of whole fresh leaves and buds of a plant known as Catha edulis. It is an indigenous tree to Ethiopia, Kenya, and Yemen and more than 20 different compounds are fund in khat. Cathinone, which is the main active ingredient in Khat leave, is responsible for the pharmacological properties of Khat. Bahir Dar is a city that three percent of Ethiopia’s total production of khat is originated from. There is no community based study that has been done in Bahir Dar city to determine effects of khat chewing behaviours on self rated oral health status and risk on elevated blood pressure. Therefore, this study aimed to determine the effects of Khat chewing behaviors on oral health status and blood pressure on chewers. A community based cross-sectional study was conducted from January to September 2013 among chewers of Bahir Dar city. A total of 422 male khat chewers were included in study, 422 respond to the questioners, giving a response rate of 100%. The study found that the mean age of participants with standard deviation was 30.31 ± 1.39 years old. Sixty two percent of participants reported oral health problems and started khat chewing at early age. Started khat chewing at early age was found to be statistically significantly associated with self rated oral health problem (AOR: 2.85, CI 95%:1.26-6.45). Frequent chewers were 7.58 times more likely to be affected by self rated oral health problem compared to those who chewed less frequently (AOR: 7.58,95%CI:3.53-16.27). Chewers who chewed more than or equal to 100gms of khat per session were 4.33 times more likely to be affected by oral health problem compared to those who chewed less amount (AOR: 4.33, 95%CI: 2.49-7.53). As for the time period spent for Khat session, those who spent more than 6 hours in a khat session were 7.25 times more likely to have elevated systolic blood pressure compared to those who spent less than 6 hours, (AOR :7.25; 95%CI: 4.03-13.05). It was also found that those who spent more than 6 hours in a khat session were almost 9 times more likely to have elevated diastolic blood pressure compared to who spent less than 6 hours (AOR:8.99,95%CI:4.85-16.66).The risk of elevated systolic blood pressure was more than 5.26 times more likely among male chewers who reported increase amount of khat chewing compared to who reported decrease the amount in last 12 months, (AOR:5.26:95% CI: 2.76-10.15) and the risk of elevated diastolic blood pressure was more than 7 times more likely among chewers who reported increase amount of khat chewing in the last 12 months (AOR:7.25,95%CI:3.66-14.38).
VL  - 2
IS  - 4
ER  -

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Author Information

Bizuayehu Walle Birhane

Medical physiology, Bahir Dar University, Bahir Dar, Ethiopia
Muluken Walle Birhane

Medical physiology, Bahir Dar University, Bahir Dar, Ethiopia
Kidest Reba Lebeta

Adult Nursing, Bahir Dar University, Bahir Dar, Ethiopia

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APA Style

Bizuayehu Walle Birhane, Muluken Walle Birhane, Kidest Reba Lebeta. (2014). Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia. American Journal of Biomedical and Life Sciences, 2(4), 89-97. https://doi.org/10.11648/j.ajbls.20140204.15

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ACS Style

Bizuayehu Walle Birhane; Muluken Walle Birhane; Kidest Reba Lebeta. Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia. Am. J. Biomed. Life Sci. 2014, 2(4), 89-97. doi: 10.11648/j.ajbls.20140204.15

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AMA Style

Bizuayehu Walle Birhane, Muluken Walle Birhane, Kidest Reba Lebeta. Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia. Am J Biomed Life Sci. 2014;2(4):89-97. doi: 10.11648/j.ajbls.20140204.15

Copy | Download

@article{10.11648/j.ajbls.20140204.15,
  author = {Bizuayehu Walle Birhane and Muluken Walle Birhane and Kidest Reba Lebeta},
  title = {Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {2},
  number = {4},
  pages = {89-97},
  doi = {10.11648/j.ajbls.20140204.15},
  url = {https://doi.org/10.11648/j.ajbls.20140204.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20140204.15},
  abstract = {Khat is found in the evergreen tree or large shrub, consists of whole fresh leaves and buds of a plant known as Catha edulis. It is an indigenous tree to Ethiopia, Kenya, and Yemen and more than 20 different compounds are fund in khat. Cathinone, which is the main active ingredient in Khat leave, is responsible for the pharmacological properties of Khat. Bahir Dar is a city that three percent of Ethiopia’s total production of khat is originated from. There is no community based study that has been done in Bahir Dar city to determine effects of khat chewing behaviours on self rated oral health status and risk on elevated blood pressure. Therefore, this study aimed to determine the effects of Khat chewing behaviors on oral health status and blood pressure on chewers. A community based cross-sectional study was conducted from January to September 2013 among chewers of Bahir Dar city. A total of 422 male khat chewers were included in study, 422 respond to the questioners, giving a response rate of 100%. The study found that the mean age of participants with standard deviation was 30.31 ± 1.39 years old. Sixty two percent of participants reported oral health problems and started khat chewing at early age. Started khat chewing at early age was found to be statistically significantly associated with self rated oral health problem (AOR: 2.85, CI 95%:1.26-6.45). Frequent chewers were 7.58 times more likely to be affected by self rated oral health problem compared to those who chewed less frequently (AOR: 7.58,95%CI:3.53-16.27). Chewers who chewed more than or equal to 100gms of khat per session were 4.33 times more likely to be affected by oral health problem compared to those who chewed less amount (AOR: 4.33, 95%CI: 2.49-7.53). As for the time period spent for Khat session, those who spent more than 6 hours in a khat session were 7.25 times more likely to have elevated systolic blood pressure compared to those who spent less than 6 hours, (AOR :7.25; 95%CI: 4.03-13.05). It was also found that those who spent more than 6 hours in a khat session were almost 9 times more likely to have elevated diastolic blood pressure compared to who spent less than 6 hours (AOR:8.99,95%CI:4.85-16.66).The risk of elevated systolic blood pressure was more than 5.26 times more likely among male chewers who reported increase amount of khat chewing compared to who reported decrease the amount in last 12 months, (AOR:5.26:95% CI: 2.76-10.15) and the risk of elevated diastolic blood pressure was more than 7 times more likely among chewers who reported increase amount of khat chewing in the last 12 months (AOR:7.25,95%CI:3.66-14.38).},
 year = {2014}
}

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TY  - JOUR
T1  - Effects of Khat Chewing Behaviours on Health Outcomes among Male Khat Chewers in Bahir Dar, North West Ethiopia
AU  - Bizuayehu Walle Birhane
AU  - Muluken Walle Birhane
AU  - Kidest Reba Lebeta
Y1  - 2014/09/10
PY  - 2014
N1  - https://doi.org/10.11648/j.ajbls.20140204.15
DO  - 10.11648/j.ajbls.20140204.15
T2  - American Journal of Biomedical and Life Sciences
JF  - American Journal of Biomedical and Life Sciences
JO  - American Journal of Biomedical and Life Sciences
SP  - 89
EP  - 97
PB  - Science Publishing Group
SN  - 2330-880X
UR  - https://doi.org/10.11648/j.ajbls.20140204.15
AB  - Khat is found in the evergreen tree or large shrub, consists of whole fresh leaves and buds of a plant known as Catha edulis. It is an indigenous tree to Ethiopia, Kenya, and Yemen and more than 20 different compounds are fund in khat. Cathinone, which is the main active ingredient in Khat leave, is responsible for the pharmacological properties of Khat. Bahir Dar is a city that three percent of Ethiopia’s total production of khat is originated from. There is no community based study that has been done in Bahir Dar city to determine effects of khat chewing behaviours on self rated oral health status and risk on elevated blood pressure. Therefore, this study aimed to determine the effects of Khat chewing behaviors on oral health status and blood pressure on chewers. A community based cross-sectional study was conducted from January to September 2013 among chewers of Bahir Dar city. A total of 422 male khat chewers were included in study, 422 respond to the questioners, giving a response rate of 100%. The study found that the mean age of participants with standard deviation was 30.31 ± 1.39 years old. Sixty two percent of participants reported oral health problems and started khat chewing at early age. Started khat chewing at early age was found to be statistically significantly associated with self rated oral health problem (AOR: 2.85, CI 95%:1.26-6.45). Frequent chewers were 7.58 times more likely to be affected by self rated oral health problem compared to those who chewed less frequently (AOR: 7.58,95%CI:3.53-16.27). Chewers who chewed more than or equal to 100gms of khat per session were 4.33 times more likely to be affected by oral health problem compared to those who chewed less amount (AOR: 4.33, 95%CI: 2.49-7.53). As for the time period spent for Khat session, those who spent more than 6 hours in a khat session were 7.25 times more likely to have elevated systolic blood pressure compared to those who spent less than 6 hours, (AOR :7.25; 95%CI: 4.03-13.05). It was also found that those who spent more than 6 hours in a khat session were almost 9 times more likely to have elevated diastolic blood pressure compared to who spent less than 6 hours (AOR:8.99,95%CI:4.85-16.66).The risk of elevated systolic blood pressure was more than 5.26 times more likely among male chewers who reported increase amount of khat chewing compared to who reported decrease the amount in last 12 months, (AOR:5.26:95% CI: 2.76-10.15) and the risk of elevated diastolic blood pressure was more than 7 times more likely among chewers who reported increase amount of khat chewing in the last 12 months (AOR:7.25,95%CI:3.66-14.38).
VL  - 2
IS  - 4
ER  -

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