Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior

BackgroundKhat chewing has become a global phenomenon, resulting in significant physical and mental health issues as well as socioeconomic crises. However, evidence is scarce on Ethiopian youths’ behavioral intentions toward khat chewing, particularly in the Raya-Azebo district of the southern zone...

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Main Authors: Abadi Hailay Atsbaha, Adugnaw Berhane Mekonnen, Bezawit Ketema, Tigist Haile Gebrehiwot, Hirut Teame Gebru, Embay Amare Alemseged, Yonas Angaw, Haftay Gebremedhin, Fre Gebremeskel, Hagos Degefa Hidru, Zenawi Hagos Gufue
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1417874/full
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author Abadi Hailay Atsbaha
Adugnaw Berhane Mekonnen
Bezawit Ketema
Tigist Haile Gebrehiwot
Hirut Teame Gebru
Embay Amare Alemseged
Yonas Angaw
Haftay Gebremedhin
Fre Gebremeskel
Hagos Degefa Hidru
Zenawi Hagos Gufue
author_facet Abadi Hailay Atsbaha
Adugnaw Berhane Mekonnen
Bezawit Ketema
Tigist Haile Gebrehiwot
Hirut Teame Gebru
Embay Amare Alemseged
Yonas Angaw
Haftay Gebremedhin
Fre Gebremeskel
Hagos Degefa Hidru
Zenawi Hagos Gufue
author_sort Abadi Hailay Atsbaha
collection DOAJ
description BackgroundKhat chewing has become a global phenomenon, resulting in significant physical and mental health issues as well as socioeconomic crises. However, evidence is scarce on Ethiopian youths’ behavioral intentions toward khat chewing, particularly in the Raya-Azebo district of the southern zone of the Tigray region. As a result, this study aimed to assess the intention to chew among youths in Raya-Azebo district, Southern Tigray, Ethiopia.MethodsA community-based cross-sectional survey was conducted among 627 youths in northern Ethiopia’s Raya-Azebo district. Data were collected using a structured, interviewer-administered questionnaire. A multivariable linear regression model was used to predict the contribution of independent variables and identify variables strongly associated with chewing among youths.ResultsA considerable proportion, 192 (30.62%) of youths, had the intention to chew khat in the next 6 months. The component of the theory of planned behavior independently explained the variance in intention to chew by 83%. The strongest predictors of intention to chew were attitude (β = 0.35, p < 0.001), subjective norm (β = 0.297, p < 0.001), and perceived behavioral control (β = 0.15, p = 0.01).ConclusionBehavioral intention toward khat chewing was a function of attitude, subjective norm, and perceived behavioral control toward khat chewing. Strategies to empower youths to change a positive attitude toward khat chewing, programs targeted at resisting social pressures, and increasing self-efficacy to combat chewing are needed.
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spelling doaj-art-98960a22584e41789aadf497a6614ea82025-01-07T06:49:09ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14178741417874Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behaviorAbadi Hailay Atsbaha0Adugnaw Berhane Mekonnen1Bezawit Ketema2Tigist Haile Gebrehiwot3Hirut Teame Gebru4Embay Amare Alemseged5Yonas Angaw6Haftay Gebremedhin7Fre Gebremeskel8Hagos Degefa Hidru9Zenawi Hagos Gufue10Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, EthiopiaBackgroundKhat chewing has become a global phenomenon, resulting in significant physical and mental health issues as well as socioeconomic crises. However, evidence is scarce on Ethiopian youths’ behavioral intentions toward khat chewing, particularly in the Raya-Azebo district of the southern zone of the Tigray region. As a result, this study aimed to assess the intention to chew among youths in Raya-Azebo district, Southern Tigray, Ethiopia.MethodsA community-based cross-sectional survey was conducted among 627 youths in northern Ethiopia’s Raya-Azebo district. Data were collected using a structured, interviewer-administered questionnaire. A multivariable linear regression model was used to predict the contribution of independent variables and identify variables strongly associated with chewing among youths.ResultsA considerable proportion, 192 (30.62%) of youths, had the intention to chew khat in the next 6 months. The component of the theory of planned behavior independently explained the variance in intention to chew by 83%. The strongest predictors of intention to chew were attitude (β = 0.35, p < 0.001), subjective norm (β = 0.297, p < 0.001), and perceived behavioral control (β = 0.15, p = 0.01).ConclusionBehavioral intention toward khat chewing was a function of attitude, subjective norm, and perceived behavioral control toward khat chewing. Strategies to empower youths to change a positive attitude toward khat chewing, programs targeted at resisting social pressures, and increasing self-efficacy to combat chewing are needed.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1417874/fullkhatkhat chewingyouthsintentiontheory of planned behaviorRaya Azebo
spellingShingle Abadi Hailay Atsbaha
Adugnaw Berhane Mekonnen
Bezawit Ketema
Tigist Haile Gebrehiwot
Hirut Teame Gebru
Embay Amare Alemseged
Yonas Angaw
Haftay Gebremedhin
Fre Gebremeskel
Hagos Degefa Hidru
Zenawi Hagos Gufue
Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior
Frontiers in Public Health
khat
khat chewing
youths
intention
theory of planned behavior
Raya Azebo
title Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior
title_full Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior
title_fullStr Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior
title_full_unstemmed Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior
title_short Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior
title_sort intention to khat chewing among youths in raya azebo district southern zone of tigray ethiopia application of the theory of planned behavior
topic khat
khat chewing
youths
intention
theory of planned behavior
Raya Azebo
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1417874/full
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