Addis Ababa Medical and Business College, Addis Ababa, Ethiopia.
Department of Sociology and Social Work, College of Social Sciences and Humanity, Arsi University, Arsi, Ethiopia.
Environ Health Prev Med. 2021 Nov 19;26(1):110. doi: 10.1186/s12199-021-01032-1.
Substance abuse is a worldwide problem that primarily affects adolescents, resulting in chronic health complications as well as psychosocial challenges and economic losses. However, the magnitude of the problem and the factors that contribute to it are not well studied in Ethiopia, particularly in the study area. As a result, this study was carried out to determine the prevalence and associated factors of substance use among preparatory school students in the Kolfe-Keraniyo sub-city of Addis Ababa, Ethiopia.
An institution-based cross-sectional study of 383 randomly selected preparatory school students in the Kolfe-Keraniyo sub-city was conducted. The data were gathered using a pretested self-administered structured questionnaire. Multivariable binary logistic regression analysis was employed to identify factors associated with substance use based on the adjusted odds ratio (AOR) and 95% confidence interval (CI) with p values less than 0.05.
This study revealed that the lifetime prevalence of substance use among preparatory students in Kolfe-Keraniyo sub-city, Addis Ababa, Ethiopia, was 26.5% (95% CI, 22.2, 30.7%). Specifically, 16% drunk alcohol, 9.6% smoked cigarette, and 9.4% chewed khat. The 16.3% were current users, of which 8.3% were drinkers, 6.4% were smokers, and 5.9% were khat chewers. Substance use was significantly associated with being male (AOR, 3.3; 95% CI, 1.284, 8.613), having alcohol drinking family member (AOR, 4.0; 95% CI, 1.704, 9.196), having khat chewing family member (AOR, 2.87; 95% CI, 1.161, 7.070), poor school substance use controlling rule (AOR, 6.64; 95% CI, 1.863, 23.687), availability of substance retailing shops in residential areas (AOR, 2.9; CI, 1.303, 6.606), strong relationship with parents (AOR, 0.005; 95% CI, 0.001, 0.026), and being member of school mini-media (AOR, 0.177; 95% CI, 0.048, 0.657).
According to the findings of this study, one-quarter of the study participants were substance users. Alcohol, khat, and cigarettes were all commonly used substances. Gender, parent-child relationship, family member substance use history, school substance use controlling rules, school mini-media and pro-social involvement, and the availability of substance retailing shops were all strongly associated with substance use. Strengthening school rules on substance use, controlling substance retailing shops near schools and residential areas, and providing students with health education are all strategies for reducing substance use among students.
物质滥用是一个全球性问题，主要影响青少年，导致慢性健康并发症以及心理社会挑战和经济损失。然而，问题的严重程度和导致问题的因素在埃塞俄比亚，特别是在研究地区并没有得到很好的研究。因此，本研究旨在确定亚的斯亚贝巴科尔法-克里尼奥分区预科学校学生物质使用的流行率和相关因素。
在科尔法-克里尼奥分区进行了一项基于机构的 383 名预科学生的横断面研究。使用预先测试的自我管理结构式问卷收集数据。多变量二元逻辑回归分析用于根据调整后的优势比 (AOR) 和 95%置信区间 (CI) 确定与物质使用相关的因素，p 值小于 0.05。
这项研究表明，埃塞俄比亚亚的斯亚贝巴科尔法-克里尼奥分区预科学生终生物质使用的流行率为 26.5%（95%CI，22.2，30.7%）。具体来说，16%的人饮酒，9.6%的人吸烟，9.4%的人嚼恰特草。16.3%是当前使用者，其中 8.3%是饮酒者，6.4%是吸烟者，5.9%是嚼恰特草者。物质使用与男性（AOR，3.3；95%CI，1.284，8.613）、有饮酒家庭成员（AOR，4.0；95%CI，1.704，9.196）、有嚼恰特草家庭成员（AOR，2.87；95%CI，1.161，7.070）、学校物质使用控制规则差（AOR，6.64；95%CI，1.863，23.687）、居住地有物质零售商店（AOR，2.9；CI，1.303，6.606）、与父母关系密切（AOR，0.005；95%CI，0.001，0.026）和是学校微型媒体成员（AOR，0.177；95%CI，0.048，0.657）有关。
根据这项研究的结果，四分之一的研究参与者是物质使用者。酒精、恰特草和香烟都是常用的物质。性别、亲子关系、家庭成员物质使用史、学校物质使用控制规则、学校微型媒体和亲社会参与以及物质零售商店的供应与物质使用密切相关。加强学校的物质使用规则，控制学校和居民区附近的物质零售商店，并为学生提供健康教育，这些都是减少学生物质使用的策略。
