ArticleBMJ open2020
Exploring the concept of problematic khat use in the Gurage community, South Central Ethiopia: a qualitative study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Criterion Validity of the Problematic Khat Use Screening Tool (PKUST-17) in Ethiopia.BJPsych open · 2025Article
- Machine learning algorithms to predict khat chewing practice and its predictors among men aged 15 to 59 in Ethiopia: further analysis of the 2011 and 2016 Ethiopian Demographic and Health Survey.Frontiers in public health · 2025Article
- Substance use among young people in the West Arsi Zone, Ethiopia: A cross-sectional study.PloS one · 2025Article
- From traditional to transactional: exploration of khat use in Ethiopia through an interpretative phenomenological analysis.BMC public health · 2024Article
- Generalized genetic liability to substance use disorders.The Journal of clinical investigation · 2024Review
- Exploring the perception of key stakeholders toward khat policy approaches in Ethiopia: a qualitative study.Harm reduction journal · 2023Article
- Khat chewing and its associated factors among pregnant women in Chiro district, eastern Ethiopia: a community-based study.Frontiers in psychiatry · 2023Article
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Authors and funding
6 authors.
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Abstract
objectiveThis study aimed to explore how problematic khat use is characterised in the Gurage community in South Central Ethiopia.
designQualitative study.
settingGurage community in South Central Ethiopia.
participantsWe conducted indepth interviews with 14 khat users and 5 non-khat users, and three focus group discussions with khat users.
methodsAll 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.
findingsWe 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).
conclusionThe 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.
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