Assessment of Substance Use and Risky Sexual Behaviour among Haramaya University Students, Ethiopia
Science Journal of Public Health
Volume 2, Issue 2, March 2014, Pages: 102-110
Received: Feb. 4, 2014;
Published: Mar. 10, 2014
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Andualem Derese, School of public health, HaromayaUniversity, Haromaya, Ethiopia
Assefa Seme, Addis Ababa University, Addis Ababa, Ethiopia
Chalachew Misganaw, Clinical Trial Department, Armauer Hansen Research Institute (AHRI), Addis Ababa, Ethiopia
Background: Substance abuse and problems arising from it are increasing all over the world, and currently together with HIV/AIDS epidemic, become one of the most threatening and challenging social and public health problems. University students are more vulnerable to wider sexual and reproductive health (SRH) and HIVAIDS problems due to new environment with poor protection, age and the need to explore life, peer pressure and absence of proactive programs. Objectives: This study assessed the prevalence of substance use and its association with risky sexual behavior among Haramaya University students. Methods: A cross-sectional survey was carried out among 764 randomly selected Haramaya University undergraduate students from December 2010 to January 2011 using self-administered questionnaire. Descriptive statistics was used to describe the study population and cross-tabulation was done to see the association between dependent and independent variables. Logistic regressions with 95% confidence intervals were calculated to determine independent predictors of risky sexual behavior. Result: Among 725 participants, 390 (53.8%) reported having used at least one substance in their lifetime. The most commonly used substance was alcohol (41.7%) followed by khat (30.3%), cigarette (11.3%) and illicit drugs (3.9%). Out of the total respondents, 243 (33.5%) of students had sexual experience. Among sexually active, 28(11.5%) had multiple sexual partners in the last three months and 29(16.3%) of males have sex with commercial sex workers. One hundred forty nine (61.6%) of sexually active students used condoms last time when they had sex. This figure decreases to 55.7% when we come to consistent condom users. Use of Khat, Alcohol and Cigarette was significantly and independently associated with risky sexual activities with AOR (95% CI) of 2.58 (1.58, 4.22), 2.46 (1.52, 3.98) and 2.22 (1.19, 4.14) respectively. Conclusion and Recommendations: The prevalence of substance use among Haramaya university students was high .Use of Khat, Alcohol and Cigarette was significantly associated with risky sexual activities. Awareness creation activity on importance of safer sex and consequences of substance together with taking the necessary disciplinary measure for those who break the rule and regulation set by the university is highly advisable.
Assessment of Substance Use and Risky Sexual Behaviour among Haramaya University Students, Ethiopia, Science Journal of Public Health.
Vol. 2, No. 2,
2014, pp. 102-110.
Foundation THJKF. Substance Use and Risky Sexual Activity: The Henry J. Kaiser Family Foundation2002.
Dawit A, Debela A, Dejene A, Abebe A, Mekonnen Y, Degefa A, et al. Is khat-chewing associated with HIV risk behaviour? A community-based study from Ethiopia. African Journal of AIDS Research2006;5(1):61-9.
Kebede Y. Cigarette smoking and Khat chewing among college students in North West Ethiopia. Ethiopian Journal of Health Development2002;16(1):9-17.
John-Lengba J, Ezeh A, Guiella G, Kumi-Kyereme A, Neema S. Alcohol, Drug Use, and Sexual-risk Behaviors among adolescents in four Sub-Saharan African countries. 2004.
UNFPA Ethiopia. Preventing HIV / AIDS. 2007; Available from: http://countryoffice.unfpa.org/ethiopia/2008/12/30/278/preventing_hivaids/.
World Health Organization. Reducing risks, promoting healthy life. Geneva2002.
Alice FY, Yu-Wen Chiu, Carolyn A, Min Qi Wang. STD/HIV-Related Sexual Risk Behaviors and Substance Use among U.S. Rural Adolescents. Journal of The National Medical Association2007;99(12):1386-94.
Abdul Basir M. Factors influencing HIV/AIDS risk behavior among freshman students in Afghan Universities. 2008.
Graves K. Risky sexual behavior and alcohol use among young adults: Results from a national survey. American Journal of Health Promotion1995;10.
Kalina O, Gerckova MA, Jurcuska P, Orosova O, Van Dijk J, Reijneveld S. Psychological and behavioural factors associated with sexual risk behaviour among Slovak students. BMC Public Health2009;9(15).
Alem A, Kebede D, Kullgren G. The prevalence and socio-demographic correlates of khat chewing in Butajira, Ethiopia. Acta Psychiatrica Scand1999;100:84-91.
Abebe D, Debella A, Dejene A, Degefa A, Abebe A, Urga K, et al. Khat chewing habit as a possible risk behaviour for HIV infection: A case-control study. Ethiopian Journal of Health Development2005;19(3):174-81.
Kebede D, Alem A, Mitike G, Enquselassie F, Berhane F, Abebe Y, et al. Khat and alcohol use and risky sex behaviour among in-school and out-of-school youth in Ethiopia. BMC Public Health2005;5:109.
Yaw Amoateng A, Kalule-Sabiti I, Narayanan P. Substance use and sexual behavior among African adolescents in the North West province of South Africa African Journal of Drug & Alcohol Studies2007;6(1):27-37.
Seme A, Haile Mariam D, Worku A. The association between substance abuse and HIV infection infection among people visiting HIV councelling and testing centers in Addis Ababa, Ethiopia. Ethiopian Journal of Health Development2005;19(2):116-25.
Gálvez-Buccollini J, DeLea S, Herrera P, Gilman R, Paz-Soldan V. Sexual behavior and drug consumption among young adults in a shantytown in Lima, Peru. BMC Public Health2009;9(23).
Fekadu A, Alem A, Hanlon C. Alcohol and Drug Abuse in Ethiopia: Past, Present and Future. African Journal of Drug & Alcohol Studies2007;6(1):39-53.
Zein A. Polydrug abuse among Ethiopian University students with particular ref. to khat (catha edulis). american Journal of Tropical Medicine & Hygiene1988;91:1-5.
Haramaya University Registrar. 2010.
Atwoli L, A Mungla P, N Ndung'u M, C Kinoti K, Ogot E. Prevalence of substance use among college students in Eldoret, western Kenya. BMC Psychiatry2011;11(34).
Oshodi O, Aina O, Onjole A. Substance use among secondary school students in an urban setting in Nigeria: prevalence and associated factors. African Journal of Psychiatry2010;13:52-7.
Gelaw Y, Haile-Amlak A. Khat chewing and its socio-demographic correlates among the staff of Jimma University. Ethiopian Journal of Health Development2004;18(3):179-84.
Meressa K, Mossie A, Gelaw Y. Effect of substance use on academic achievement of Health Officer and medical students of Jimma University, SouthWest Ethiopia. Ethiop Journal of Health Sciences2009;19(3):155-63.
Ageely H. Prevalence of Khat chewing in college and secondary (high) school students of Jazan region, Saudi Arabia. Harm Reduction Journal2009;6(11).
Regasa N, Kedir S. Attitudes and practices on HIV preventions among students of higher education institutions in Ethiopia: The case of Addis Ababa University. International Research Journals2011;2(2).
Alemu H. Assessment of factors contributing to voluntary counselling and testing (VCT) utilization among youth in Dire Dawa Administrative Council. MPH thesis presented to the School Of Graduate Studies Of Addis Ababa Universty2008.
Ethiopia Demographic and Health Survey: CSA, A.A Ethiopia2005.
Fitaw Y, Worku A. High-risk sexual behavior and pattern of condom utilization of the Gondar Collage of Medical Sciences (GCMS) Students, North-west Ethiopia. Ethiopian Journal of Health Development2002;16(3):335-8.