Intention to Khat Chewing Among Youths in Raya Azebo District , Southern Tigray, Ethiopia.

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Addis Abeba University


Background: Recently, Khat chewing has become a common practice worldwide. It causes and predisposes a significant physical and mental health, and social-economic crisis. However, behavioral intention to khat chewing is not well studied yet in Ethiopia. Objectives: To assess intention to khat chewing among youths in Raya-Azebo district, Southern Tigray, Ethiopia, 2019. Methods: A community-based cross-sectional quantitative study among randomly selected 627 youths in Raya Azebo district, Northern Ethiopia was conducted in 2019. Data were collected using a pre-tested structured interviewer-administered questionnaire. Epi Data version 4.4.2 was used for data entry then exported to SPSS version 25 for data analysis. A multivariable linear regression model was used to predict the contribution of independent variables and identify variables strongly associated with intention to khat chewing among youths. The goodness of fit model was checked and P-value ≤ 0.05 was used to declare statistical significance. Results: The response rate of the study was 97.82%. A considerable proportion, 192 (30.62%) of youths had an intention to chew khat in the next 6 months. The direct components of theory of planned behavior (TPB) were predicted by their respective indirect components. The component of TPB independently explained the variance in intention to khat chewing by 83.0%. TPB constructs and Socio-demographic, Knowledge, and past behavioral experience variables explained the variance in intention to khat chewing by 83.20%. The strongest predictors of intention to khat chewing were attitude (β= 0.350, P<0.001), subjective norm (β= 0.297, P<0.001), and perceived behavioural control (PBC) (β= 0.150, P= 0.01). Conclusions: Behavioral intention to khat chewing was a function of attitude, subjective norm and perceived behavioral control towards khat chewing. The behavioral intention was primarily under attitudinal influences. Conducting prospective study and construct validity of the tool is better. Strategies to empower youths to change a positive attitude of khat chewing, programs targeted on resisting social pressures and increasing self-efficacy to combat chewing are needed.



Khat; Khat chewing; Youths; Intention; TPB; Raya Azebo district; Ethiopia;