Mihretu Awoke, Fekadu Abebaw, Habtamu Kassahun, Nhunzvi Clement, Norton Sam, Teferra Solomon
Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Department of Social Sciences, College of Natural and Social Sciences, Addis Ababa Science and Technology University, Addis Ababa, Ethiopia.
BMJ Open. 2020 Oct 12;10(10):e037907. doi: 10.1136/bmjopen-2020-037907.
This study aimed to explore how problematic khat use is characterised in the Gurage community in South Central Ethiopia.
Qualitative study.
Gurage community in South Central Ethiopia.
We conducted indepth interviews with 14 khat users and 5 non-khat users, and three focus group discussions with khat users.
All participants were selected purposively based on their exposure to khat or khat use. We used an interview guide to explore the perceptions of participants about khat use and problematic khat use. We analysed the data thematically using OpenCode V.4.03 software. We used iterative data collection and analysis, triangulation of methods, and respondent validation to ensure scientific rigour.
We identified three major themes: sociocultural khat use, khat suse (khat addiction) and negative consequences of khat use. Sociocultural khat use included a broad range of contexts and patterns, including use of khat for functional, social, cultural and religious reasons. Khat addiction was mainly explained in terms of associated khat withdrawal experiences, including harara/craving and inability to quit. We identified mental health, sexual life, physical health, social and financial negative consequences of khat use. The local idiom jezba was used to label a subgroup of individuals with khat suse (khat addiction).
The study has identified what constitutes normative and problematic khat use in the Gurage community in South Central Ethiopia. Problematic khat use is a broad concept which includes frequency, reasons, contexts, negative consequences and addiction to khat. Insights generated can be used to inform future studies on the development of tools to measure problematic khat use.
本研究旨在探讨埃塞俄比亚中南部古拉格社区中恰特草使用问题的特征。
定性研究。
埃塞俄比亚中南部的古拉格社区。
我们对14名恰特草使用者和5名非恰特草使用者进行了深入访谈，并与恰特草使用者进行了3次焦点小组讨论。
所有参与者均根据其对恰特草的接触情况或使用情况有目的地进行选择。我们使用访谈指南来探究参与者对恰特草使用及恰特草使用问题的看法。我们使用OpenCode V.4.03软件对数据进行主题分析。我们采用迭代式数据收集与分析、方法三角互证以及受访者验证来确保科学严谨性。
我们确定了三个主要主题：社会文化层面的恰特草使用、恰特草使用（恰特草成瘾）以及恰特草使用的负面后果。社会文化层面的恰特草使用包括广泛的背景和模式，包括因功能、社交、文化和宗教原因使用恰特草。恰特草成瘾主要从相关的恰特草戒断经历方面进行解释，包括哈拉拉/渴望和无法戒除。我们确定了恰特草使用在心理健康、性生活、身体健康、社会和经济方面的负面后果。当地习语jezba被用来指代有恰特草使用（恰特草成瘾）问题的一个亚群体。
该研究确定了埃塞俄比亚中南部古拉格社区中恰特草正常使用和问题使用的构成要素。恰特草问题使用是一个宽泛的概念，包括使用频率、原因、背景、负面后果以及恰特草成瘾。所得见解可用于为未来关于开发测量恰特草问题使用工具的研究提供信息。
