Motives for khat use and abstinence in Yemen - a gender perspective

<p>Abstract</p> <p>Background</p> <p>Khat consumption is widespread in Yemeni society and causes problems both in economic development and public health. Preventive measures have been largely unsuccessful and the cultivation continues to proliferate. The gender-specific...

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Main Authors: Schneider Udo, te Wildt Bert, Hillemacher Thomas, al-Warith Hussein, Wedegaertner Felix, Bleich Stefan, Breitmeier Dirk
Format: Article
Language:English
Published: BMC 2010-11-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/10/735
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spelling doaj-78e7083cc9674b05835fbbf3d81e7f342020-11-24T21:04:38ZengBMCBMC Public Health1471-24582010-11-0110173510.1186/1471-2458-10-735Motives for khat use and abstinence in Yemen - a gender perspectiveSchneider Udote Wildt BertHillemacher Thomasal-Warith HusseinWedegaertner FelixBleich StefanBreitmeier Dirk<p>Abstract</p> <p>Background</p> <p>Khat consumption is widespread in Yemeni society and causes problems both in economic development and public health. Preventive measures have been largely unsuccessful and the cultivation continues to proliferate. The gender-specific motives for khat use and abstinence were studied to create a toe-hold for more specific interventions.</p> <p>Methods</p> <p>In a quota sample with equal numbers of males, females, abstainers and consumers, 320 subjects were interviewed on their specific opinions about khat and its impact on subjective and public health, and on social and community functioning. Strata were compared in their acceptance and denial of opinions. Notions that could predict abstinence status or gender were identified with multivariate logistic regression analysis.</p> <p>Results</p> <p>Male khat users had a strong identification with khat use, while females were more ambivalent. The notion that khat consumption is a bad habit (odds ratio (OR) 3.4; p < 0.001) and consumers are malnuorished (OR 2.2; p = 0.046) were associated with female gender among khat users. Among the females worries about health impact (OR 3.2; p = 0.040) and loss of esteem in the family (OR 3.1; p = 0.048) when using khat predicted abstinence. Male abstainers opposed khat users in the belief that khat is the cause of social problems (OR 5.1, p < 0.001). Logistic regression reached an accuracy of 75 and 73% for the prediction of abstinence and 71% for gender among consumers. (All models p < 0.001.)</p> <p>Conclusions</p> <p>Distinct beliefs allow a differentiation between males, females, khat users and abstainers when targeting preventive measures. In accordance to their specific values female khat users are most ambivalent towards their habit. Positive opinions scored lower than expected in the consumers. This finding creates a strong toe-hold for gender-specific public health interventions.</p> http://www.biomedcentral.com/1471-2458/10/735
collection DOAJ
language English
format Article
sources DOAJ
author Schneider Udo
te Wildt Bert
Hillemacher Thomas
al-Warith Hussein
Wedegaertner Felix
Bleich Stefan
Breitmeier Dirk
spellingShingle Schneider Udo
te Wildt Bert
Hillemacher Thomas
al-Warith Hussein
Wedegaertner Felix
Bleich Stefan
Breitmeier Dirk
Motives for khat use and abstinence in Yemen - a gender perspective
BMC Public Health
author_facet Schneider Udo
te Wildt Bert
Hillemacher Thomas
al-Warith Hussein
Wedegaertner Felix
Bleich Stefan
Breitmeier Dirk
author_sort Schneider Udo
title Motives for khat use and abstinence in Yemen - a gender perspective
title_short Motives for khat use and abstinence in Yemen - a gender perspective
title_full Motives for khat use and abstinence in Yemen - a gender perspective
title_fullStr Motives for khat use and abstinence in Yemen - a gender perspective
title_full_unstemmed Motives for khat use and abstinence in Yemen - a gender perspective
title_sort motives for khat use and abstinence in yemen - a gender perspective
publisher BMC
series BMC Public Health
issn 1471-2458
publishDate 2010-11-01
description <p>Abstract</p> <p>Background</p> <p>Khat consumption is widespread in Yemeni society and causes problems both in economic development and public health. Preventive measures have been largely unsuccessful and the cultivation continues to proliferate. The gender-specific motives for khat use and abstinence were studied to create a toe-hold for more specific interventions.</p> <p>Methods</p> <p>In a quota sample with equal numbers of males, females, abstainers and consumers, 320 subjects were interviewed on their specific opinions about khat and its impact on subjective and public health, and on social and community functioning. Strata were compared in their acceptance and denial of opinions. Notions that could predict abstinence status or gender were identified with multivariate logistic regression analysis.</p> <p>Results</p> <p>Male khat users had a strong identification with khat use, while females were more ambivalent. The notion that khat consumption is a bad habit (odds ratio (OR) 3.4; p < 0.001) and consumers are malnuorished (OR 2.2; p = 0.046) were associated with female gender among khat users. Among the females worries about health impact (OR 3.2; p = 0.040) and loss of esteem in the family (OR 3.1; p = 0.048) when using khat predicted abstinence. Male abstainers opposed khat users in the belief that khat is the cause of social problems (OR 5.1, p < 0.001). Logistic regression reached an accuracy of 75 and 73% for the prediction of abstinence and 71% for gender among consumers. (All models p < 0.001.)</p> <p>Conclusions</p> <p>Distinct beliefs allow a differentiation between males, females, khat users and abstainers when targeting preventive measures. In accordance to their specific values female khat users are most ambivalent towards their habit. Positive opinions scored lower than expected in the consumers. This finding creates a strong toe-hold for gender-specific public health interventions.</p>
url http://www.biomedcentral.com/1471-2458/10/735
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