Fetene Misgie, Yigzaw Zeamanuel Anteneh, Wondiye Habtamu, Anteneh Rahel Mulatie, Yeshiwas Almaw Genet, Yirdaw Getasew, Mekonnen Berhanu Abebaw, Alemayehu Meron Asmamaw, Yenew Chalachew, Bayeh Gashaw Melkie, Enawgaw Anley Shiferaw, Ejigu Amare Genetu, Mekonen Habitamu, Kebede Abebaw Molla, Tsega Tilahun Degu, Yemata Getaneh Atikilt, Temesgen Abathun, Gebeyehu Asaye Alamneh, Tsega Sintayehu Simie, Ahmed Ahmed Fentaw
Departement of Nursing, Tibebe Ghion Comprehensive Specialized Hospital, Bahir Dar, Ethiopia.
Departement of Health Promotion and Behavioral Sciences, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
PLOS Glob Public Health. 2025 Jun 9;5(6):e0004525. doi: 10.1371/journal.pgph.0004525. eCollection 2025.
Over 10 million people chew Catha edulis worldwide. Evidence shows that the prevalence of Catha edulis chewing in Ethiopian university students ranged from 6.7% to 56.8%. This study was designed to assess the Catha edulis chewing cessation intention and its associated factors among university students. An institution-based cross-sectional study, using trans theoretical model, was conducted from November 1-30, 2022, among 419 Catha edulis chewers University students North West, Ethiopia. A stratified random sampling technique was used. A structured, pretested, and self-administered questionnaire was used to collect the data. Epi Data version 4.6 was used for data entry, and SPSS version 26 was used for analysis. Binary logistic regression analysis was performed. Adjusted odds ratios (ORs) with 95% confidence intervals (CIs) and p-values <0.05 in the multivariable model were used. Of the 419 study participants, 61.8% (95% CI, 55.8-67.8) of them had Catha edulis chewing cessation intentions within the next six months. Of these, one hundred forty-two (33.9%) were in the contemplation stage, and 117(27.9%) were in the preparation stage. High consciousness-raising [AOR = 4.58, (95% CI:2.43-8.66)], high self-reevaluation [AOR = 4.85 (95% CI:2.45-9.58)], high social liberation [AOR = 2.03, (95% CI:1.10-3.73)], positive decisional balance [AOR = 0.26, (95% CI:0.14- 0.47)], medium Catha edulis dependency [AOR = 0.25, (95% CI:0.07-0.84)], and high Catha edulis dependency [AOR = 0.35, (95% CI:0.19-0.63)] were significantly associated. The magnitude of Catha edulis chewing cessation intention was Low. High consciousness-raising, self-reevaluation, and social liberation were positively associated, while positive decisional balance and high Catha edulis dependency were negatively associated. Stage-based interventions should be implemented. Moreover, Programs targeted at increasing self-efficacy to combat chewing and preventive measures are needed by all stakeholders at different levels. Future research needs to look into the effects of khat on educational performance and quality of life among university students.
全球有超过1000万人咀嚼巧茶。证据表明，埃塞俄比亚大学生中咀嚼巧茶的患病率在6.7%至56.8%之间。本研究旨在评估大学生咀嚼巧茶的戒烟意愿及其相关因素。2022年11月1日至30日，在埃塞俄比亚西北部的419名咀嚼巧茶的大学生中，采用跨理论模型进行了一项基于机构的横断面研究。采用分层随机抽样技术。使用一份结构化、经过预测试且自我管理的问卷来收集数据。使用Epi Data 4.6版本进行数据录入，使用SPSS 26版本进行分析。进行二元逻辑回归分析。使用多变量模型中调整后的比值比（OR）、95%置信区间（CI）和p值<0.05。在419名研究参与者中，61.8%（95%CI，55.8 - 67.8）的人在未来六个月内有咀嚼巧茶的戒烟意愿。其中，142人（33.9%）处于思考阶段，117人（27.9%）处于准备阶段。高意识提升[AOR = 4.58，（95%CI：2.43 - 8.66）]、高自我重新评价[AOR = 4.85（95%CI：2.45 - 9.58）]、高社会解放[AOR = 2.03，（95%CI：1.10 - 3.73）]、积极的决策平衡[AOR = 0.26，（95%CI：0.14 - 0.47）]、中度巧茶依赖[AOR = 0.25，（95%CI：0.07 - 0.84）]和高度巧茶依赖[AOR = 0.35，（95%CI：0.19 - 0.63）]均显著相关。咀嚼巧茶的戒烟意愿程度较低。高意识提升、自我重新评价和社会解放呈正相关，而积极的决策平衡和高度巧茶依赖呈负相关。应实施基于阶段的干预措施。此外，不同层面的所有利益相关者都需要开展旨在提高对抗咀嚼的自我效能的项目以及预防措施。未来的研究需要探究巧茶对大学生学业成绩和生活质量的影响。
