| Polysubstance use behavior among the male population in Ethiopia: Findings from the 2016 Ethiopia Demographic and Health Survey |
| Authors: |
Eshetu Girma, Tesfahun Mulatu, and Bezawit Ketema |
| Source: |
Ethiopian Journal of Health Development, 34(3) |
| Topic(s): |
Alcohol consumption
Men's health
|
| Country: |
Africa
Ethiopia
|
| Published: |
AUG 2020 |
| Abstract: |
Background:
Substance
use
is predominantly
ass
o
ciated with
male
behavior and
is
becoming one of the
major
public health
challenges
across the globe, including
in Ethiopia.
The purpose of this study
was
to estimate the
magnitude and predictors of polysubstance use behavior
among males
in Ethiopia
.
Met
h
ods:
Data
were
extracted
from the 2016 Ethiopia Demog
raphic and Health Survey (EDHS).
From a total of
12,688 male participants in the EDHS, a sample
was extracted
of
7,
931
males
who
used
at least one
substance
(
alcohol, khat or tobacco
)
during the time of
the survey.
Those who used more than one substance were considered
as polysubstance users, which was the outcome of interest. Descriptive
statistics
was computed and displayed with
tables and graph.
L
ogistic regression
was
carried out
to identify predicto
r
s of polysubstance use
,
and statistical
significance
was declared at
a
95%
confidence level
.
Results:
Of the
total
sam
ple
of
12,688
males
in
the
2016 EDHS
, 7,931 (62.5%)
we
re currently using at
least one
substance. R
egion
al
distribution of current substa
n
ce users show
s
that Amhara (18.5%), Tigray (14.2%) and
Oromia (12.8%) ha
ve
the highest percentage of
substance users
,
respectively
.
Among the current any substance
users, 15.0%
use
cigarette
s
daily or
on
som
e
days
–
74.7
%
of these
a
re daily
users. Ninetee
n
per
cent
of current
male
substance users in Eth
iopia
a
re polysubstance users.
The main substances consumed
a
re
alcohol
only
(53.1%)
,
follo
wed by
k
hat
only (25.9%).
Polysubstance use behavior
can be
predicted by residence
(
urban
residence
:
OR:
1.78; CI: 1
.
35, 2.34
)
,
educational status
(secondary education
:
OR: 1.50; CI: 1.19, 1.89)
and
marital status (no longer living together
:
OR: 2.85; CI: 1.58, 5.15). Region,
religion, wealth status, age, family size
and media exposure
a
re other
factors
significantly as
s
ociated with polysubstance use behavior
.
Conclusion
s
:
Polysubstance use behavior among males
is
widespread
in
all regions of the country
. S
ocio
-
demogra
phic
factors
and access to media
are
predictors of poly
substance use. Therefore,
in addition to law
enf
o
rcement
such as prohibition of advertising
,
there is a need to investigate underlying
genetic,
structural, policy
and behavioral determinants
of
polysubstance use
so that holistic interventions
can
be designed
to
target multiple
substance
use
simultaneous
l
y.
[
Ethiop. J. Health Dev.
2020; 34(
3
):
000
-
000
]
Key words
:
A
lcohol,
c
igarette
s
, EDHS,
Ethiopia,
khat,
males,
polysubstance
use, substance use |
| Web: |
https://ejhd.org/index.php/ejhd/article/view/3056/1454 |
|