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首页> 外文期刊>BMC Public Health >Magnitude of Khat use and associated factors among women attending antenatal care in Gedeo zone health centers, southern Ethiopia: a facility based cross sectional study
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Magnitude of Khat use and associated factors among women attending antenatal care in Gedeo zone health centers, southern Ethiopia: a facility based cross sectional study

机译：KHAT使用的幅度和关联因素在埃塞俄比亚南部Gedeo区卫生中心出席产前产物的妇女：基于设施的横断面研究

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BACKGROUND:Khat (Catha edulis) is a fresh green leave commonly chewed for recreational purpose and its euphoric effect as a result of dopamine activities stimulation effect of Khat. Women may use Khat during their pregnancy to tolerate their pregnancy related distress. Khat has biological, social or psychological complications; adverse pregnancy outcomes and negatively affects the health of the mother and the fetus. However, magnitude, pattern and associated factors of Khat use are not well addressed among pregnant women in Ethiopia. The aim of this study was to address this gap by assessing the magnitude and associated factors of Khat use among women attending antenatal care service at Gedeo zone rural health centers.METHODS:This was a facility based cross-sectional study conducted at rural health centers in Gedeo zone from June 1supst/sup?to August?1supst/sup, 2017. The data were collected through structured interview using an interview guide developed from different literatures. A total of 718 pregnant women attending antenatal care service participated in the study using multi stage sampling technique. Bivariable and multivariable analysis were used to identify associated factors of Khat use among women during their current pregnancy period. In the multivariable analysis, variables with P-Values of less than 0.05 were considered as statistically significant correlates of Khat use. The strength of the association was also measured with adjusted odds ratio at a corresponding 95% confidence interval.RESULTS:The lifetime and current prevalence of khat use among pregnant women were 11.0% (95%CI: 8.8-13.2) and 9.9% (95% CI: 7.7-12), respectively. The odds of being khat user was higher among those who had khat user partner [AOR?=?3.450, 95% C.I (1.907-6.244)], respondents with alcohol use behavior [AOR?=?3.235, 95% C.I (1.573-6.659)] and mental distress [AOR?=?3.575, 95% C.I (2.067-6.189)].CONCLUSION:Significant proportions of pregnant women were experiencing khat chewing during pregnancy. Having khat user partner, alcohol use behavior and metal distress were significantly associated with khat use of pregnant women. This demonstrates a need to integrate the prevention, early identification and intervention of Khat use as a component of treatment modality for pregnant women during their antenatal visit.
机译：背景：Khat（Catha Edulis）是一种新鲜的绿色休假，通常咀嚼娱乐目的，其欣喜法效应是Khat的多巴胺活动刺激作用。妇女在怀孕期间可能会使用Khat，以容忍其怀孕相关的痛苦。 Khat有生物，社会或心理并发症;不良妊娠结果，对母亲和胎儿的健康产生负面影响。然而，Khat使用的幅度，模式和相关因素在埃塞俄比亚的孕妇中并不好。本研究的目的是通过评估参加Gedeo区农村卫生中心的妇女使用妇女的妇女使用的Khat使用的幅度和相关因素来解决这一差距。方法：这是在农村卫生中心进行的基于设施的横断面研究Gedeo区从6月1日 st ？到八月？1 st ，2017.通过使用不同文献开发的面试指南通过结构化面试收集数据。共有718名孕妇出席产前护理服务使用多级采样技术参与了该研究。可生效和多变量分析用于识别当前妊娠期妇女中khat使用的相关因素。在多变量分析中，P值小于0.05的变量被认为是Khat使用的统计学上显着的相关性。该关联的强度也以相应的95％的置信区间测量的调整后的赔率比测量。结果：孕妇中的KHAT使用的寿命和目前患病率为11.0％（95％CI：8.8-13.2）和9.9％（95 ％CI：7.7-12）分别。 Khat用户的可能性更高，其中khat用户伴侣的人[aor？3.450,95％ci（1.907-6.244）]，受酒精使用行为的受访者[aor吗？=？3.235,95％ci（1.573- 6.659）]和精神窘迫[AOR吗？3.575,95％CI（2.067-6.189）]。结论：孕妇的大量比例在怀孕期间经历了Khat咀嚼。拥有Khat用户伴侣，酒精使用行为和金属窘迫与Khat使用孕妇显着相关。这证明了需要将Khat使用的预防，早期鉴定和干预作为孕妇在产前妇女的治疗方式的组成部分中整合。

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