ArticleBMJ open2022
Geographical variation and correlates of substance use among married men in Ethiopia: spatial and multilevel analysis from Ethiopian Demographic and Health Survey 2016.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Mental health conditions of young ethiopians who use substances: a cross-sectional study in West Arsi zone.BMC psychiatry · 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
- Alcohol and khat dual use among male adults in Ethiopia: A multilevel multinomial analysis.PloS one · 2023Article
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Authors and funding
4 authors.
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Abstract
objectiveThe use of substances has become one of the world's most serious public health and socioeconomic issues. Most nations in sub-Saharan Africa, including Ethiopia, are undergoing significant economic transitions, creating a favourable environment for socially destructive substance use. This study aimed to determine the geographical variation, prevalence and correlates of substance use among ever-married men in Ethiopia.
designA community-based cross-sectional survey was undertaken from 18 January 2016 to 27 June 2016. DATA SOURCE: Data were used from the 2016 Ethiopian Demographic and Health Survey (EDHS). DATA EXTRACTION AND ANALYSIS: Data from the 2016 EDHS was used, and a total of 7793 ever-married men were involved in the analysis. The spatial autocorrelation statistic (Global Moran's I) was used to determine whether substance use was dispersed, clustered or randomly distributed. A multilevel logistic regression model was used to identify the correlates with substance use, and statistical significance was declared at p<0.05 and 95% CI.
resultsOf all ever-married men, 72.5% (95% CI 71.5% to 73.4%) were currently using at least one of the three substances (alcohol, cigarettes and chat). The highest hotspot areas of substance use were observed in Ahmara and Tigray regions. The age (adjusted OR, AOR 1.80; 95% CI 1.32 to 2.45), educational status (AOR 0.64; 95% CI 0.51 to 0.82), occupation (AOR 1.36; 95% CI 1.05 to 1.76), watching television (AOR 1.50; 95% CI 1.25 to 1.81) and living in the city (AOR 2.25; 95% CI to 1.36 to 3.74) were individual and community-level correlates found to have a statistically significant association with substance use.
conclusionIn this study, nearly three-fourths of married men used one of the three substances. Given these findings, it is critical to reducing the problem by improving modifiable individual-level variables such as educational status and reducing substance advertising.
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