Drugs (Alcohol/Khat) Use Stimulants and as Risk Factor for HIV/AIDS Infection, Among Provider Initiated Counselling and Testing (PICT) Visitors in Gore Town, Oromia, Ethiopia
Science Journal of Public Health
Volume 3, Issue 5, September 2015, Pages: 643-649
Received: Jan. 19, 2015;
Accepted: Feb. 6, 2015;
Published: Jul. 10, 2015
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Tesfalem Atnafu Waldegabrel, Department of Biology, Mettu University, Mettu, Ethiopia
Ayelign Melesse Wubetie, Department of Biology, Mettu University, Mettu, Ethiopia
Background: HIV/AIDS infection is currently a major challenge for the world especially for the developing nations. Different scholars reported that infection prevalence is higher among substance abusers. Methods: Cross-sectional study was conducted at Gore Health Center, Ethiopia. A total of 256 samples collected from patients visiting PICT center for HIV/AIDS test. The data were gathered through interview with the respondents and the HIV test results were recorded in the laboratory through investigating the blood sample of respondents at PICT. The data were analyzed using SPSS version 20. Intake of alcohol and Khat showed a significant association with HIV infection. Results: This study output implicates triples chance of infection among the Khat [OR & (95%CI) 3.512 (1.695, 7.278)] and alcohol [OR & (95% CI) = 3.285 (1.576, 6.847)] and six times both users [OR & (95% CI) = 6.615 (3.096, 14.134)] over those of control groups. Sex analysis depicts females were found 2 times males likely for HIV infection [OR (95% CI) =2.03 (0.603, 2.515)]. None educated were 1.94 times [OR (95% CI) = 1.944] as compared with secondary and above educational level. Conclusion: Substance abuse (khat and alcohol) found as major risk factor exposing for HIV/AIDS infection. Peer and social pressure is critical way that indulges people’s for addicted use of alcohol and khat. In most cases khat use accompanied by alcohol that triggers chain of addictions and harmful consequences. Recommendation: Develop abusing drug use models (measures, control, demand and supply reduction, and creating awareness) for addressing effective prevention and control mechanisms.
Tesfalem Atnafu Waldegabrel,
Ayelign Melesse Wubetie,
Drugs (Alcohol/Khat) Use Stimulants and as Risk Factor for HIV/AIDS Infection, Among Provider Initiated Counselling and Testing (PICT) Visitors in Gore Town, Oromia, Ethiopia, Science Journal of Public Health.
Vol. 3, No. 5,
2015, pp. 643-649.
UNAIDS/WHO, AIDS epidemic update, December 2007. Geneva, Switzerland, 2007.
MOH, AIDS in Ethiopia. Disease Prevention and Control Department, Ministry of Health, third Edition, November 2000.
Federal HIV/AIDS prevention and control office, federal ministry of Health. Single Point HIV prevalence Estimate. Addis Ababa, Ethiopia. 2007:8-17.
Kalix P. Khat: scientific knowledge and policy issues. Br J Addict 1987; 82: 47-53.
NasirTajureWabe. Chemistry, Pharmacology, and Toxicology of Khat (Catha Edulis Forsk): A Review. Addict & Health, Summer & Autumn. 2011; 3: 3-4.
Nencin IP, Grasssi MC, Botan AA, Asseyr AF, Paoli E. Khat chewing spread to the Somali community in Rome. Drug Alcohol Depend. 1988; 23: 255-258.
Halbach H. Medical aspects of the chewing of Khat leaves. Bulletin of the World Health Organization. 1972; 47: 21–9. 2.
Kalix P: The pharmacology of Khat. Gen Pharmacol. 1984, 15:179-187.
Michael, O. Chronic khat use and psychotic dis-orders: A review of the literature and future prospects. Konstanzer Online-Publikations-System (KOPS). 2007.
Bizuayehu Walle Birhane, Muluken Walle Birhane. The Effect of Khat (Catha edulis) Chewing on Blood Pressure among Male Adult Chewers, Bahir Dar, North West Ethiopia. Science Journal of Public Health.2014; 2(5): 461-468.
Hussein, M. and Ageely, A. Health and socio-economic hazards associated with khat consumption. Journal of Family Community Medicine. 2008; 15: 3-11.
Marelign Tilahun Malaju, Gistane Ayele Asale. Association of Khat and Alcohol Use with HIV Infection among Youths in Southern Ethiopia: A Case Control Study. Science Journal of Public Health. 2013; 1(2):97-101.
Al-Motareb A, Baker K, Broadley KJ: Khat: Pharmacological and medical aspects and its social use in Yemen, A review article. Phytotherapy Research. 2002; 16:403-413.
Deressa and Azazh. Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia. BMC Public Health. 2011; 11:660.
Dawit Abebe, Asfaw Debella, Amare Dejene, Ambaye Degefa, Almaz Abebe, Kelbessa Urga, Lemma Ketema. Khat chewing habit as a possible risk behavior for HIV infection. Ethiop.J.Health Dev. 2005; 19(3):174-181.
Bongard S, Absi M, Khalil N and Habori M. Khat Use and Trait Anger: Effects on Affect Regulation during an acute Stressful Challenge, Research Report University of Minnesota, Eur. Addict Res.2011; 17:285–291.
Ethiopia Demographic and Health Survey (EDHS): Central Statistical Agency (CSA) Addis Ababa, Ethiopia and ICF Macro Calverton, Maryland, U.S.A. March 2012. 2011.
WHO: Global Status Report on Alcohol. Geneva, WHO, Substance Abuse Department. 1999.
Rehm, J., Rehn, N., Room, R., Monteiro, M., Gmel, G., Jernigan, D., Frickil, U. Alcohol as a risk factor for global burden of disease. European Addiction Research. 2003; 9:157-164.
Tefera TL, Kirsten JK, Perret S. Market Incentives, Farmers’ Response and A Policy Dilemma: A Case Study of Khat Production in the Eastern Ethiopian Highlands. Agrekon. 2003; 42 (3):213–27.
Lemessa, D. Khat (Catha edulis): Botany, Distribution, Cultivation, Usage and Economics in Ethiopia. UN-Emergencies Unit for Ethiopia Addis Ababa. 2001.
TayeHailuFeyisa, J.B.A. Khat expansion in the Ethiopian highlands: Effects on the farming system in Habro district. Mountain Research and Development. 2003; 23:185-189.
BerhanuMegerssa, AregashEsayas, Alyi Mohamed. Socio-Economic Impact of Khat in Mana District, Jimma Zone, South Western Ethiopia Journal of Agriculture and Food Sciences. ISSN: 2346-7002. 2014; 2(2): 21-32
Marelign Tilahun Malaju, Gistane Ayele Asale. Association of Khat and Alcohol Use with HIV Infection among Youths in Southern Ethiopia: A Case Control Study. Science Journal of Public Health. 2013; 1(2): 97-101.
Assefa S., Damen H, Alemayehu W. The association between substance abuse and HIV infection among people visiting HIV counseling and testing center in Addis Ababa, Ethiopia. Journal of health development. 2005; 19(2):116-125
Kebede Deribe Kassaye, Wassie Lingerh, Yismaw Dejene. Determinants and outcomes of disclosing HIV-sero positive status to sexual partners among women in Mettu and Gore towns, Illubabor Zone southwest Ethiopia. Ethiop.J. Health Dev. 2005; 19(2):126-130
Hargreaves J.R. and Glynn J. R. Educational attainment and HIV-1 infection in developing countries: a systematic review. Tropical Medicine and International Health 2002; 7(6): 489–498.
Adebayo S. B., Olukolade R. I., Idogho O. , Anyanti J., Ankomah1A. (2013). Marital Status and HIV Prevalence in Nigeria: Implications for Effective Prevention Programs for Women. Advances in Infectious Diseases 3: 210-218.
Christian Isichei, Pamela Brown, Mercy Isichei, Jean Njab, Tinuade Oyebode, Prosper Okonkwo. HIV Prevalence and Associated Risk Factors among Rural Pregnant Women in North Central Nigeria. American Journal of Heath Research. 2015; 3(1): 18-23.
Hibret Alemu, Damen Haile Mariam, Kassahun Abate Belay, and Gail Davey. Factors Predisposing Out-of-School Youths to HIV/AIDS-related Risky Sexual Behaviour in Northwest Ethiopia. J HEALTH POPUL NUTR. 2007; 25(3):344-350
Fekadu Mazengia and Alemayehu Worku. Age at sexual initiation and factors associated with it among youths in North East Ethiopia. Ethiop. J. Health Dev. 2009; 23(2):154-162
Yeshalem Mulugeta. Khat Chewing and Its Associated Factor among College Students in Bahir Dar Town, Ethiopia. Science Journal of Public Health. 2013; 1(5): 209-214.
Arnett JJ. The developmental context of substance use in emerging adulthood. J Drug Issues. 2005; 35: 235–254.
Assefa Seme, Damen Haile Mariam, Alemayehu Worku. The association between substance abuse and HIV infection among people visiting HIV counseling and testing centers in Addis Ababa, Ethiopia. Ethiop.J.Health Dev. 2005; 19(2): 116-125
Fisher JC, Bang H, Kapiga SH. The association between HIV infection and alcohol use: a systematic review and Meta-analysis of African studies. Global health Science Literature digest. 2007; 34(11):856-63
Derege K, Ataly A, Getnet M, Fikre E, Frehiwot B. Khat and alcohol use and risky sexual behavior among in school and out of school youth in Ethiopia. BMC Public Health. 2005;5:109
Simoni JM, Sehgal S, Walters KL. Triangle of risk: urban American Indian women’s sexual trauma, injection drug use, and HIV sexual risk behaviors. AIDS Behav. 2004; 8:33–45.
WHO. Alcohol use and sexual risk behavior. A qualitative study in eight cross cultural countries, Geneva, Switzerland. 2005.
Fantahun Ayenew. Alcohol and Khat use as risk factors for HIV infection. J Addict Res Ther. 2013, 4:4
USAID, USAID Health: HIV/AIDS, Global AIDS 101. December 29, 2009.