Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia

Background: Substance misuse is a public health concern among University students. Understanding the critical times and places for substance misuse among University students helps to inform effective preventive strategies. However, there is a dearth of studies in Ethiopian Universities on this topic...

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Main Authors: Znabu Hadush Kahsay, Azeb Gebresilassie Tesema, Ferehiwot Hailemariam Tesfa, Bisrat Tewelde Gebretsadkan, Welday Hagos Gebretsadik, Maree L. Hackett
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Challenges
Subjects:
Online Access:https://www.mdpi.com/2078-1547/13/2/54
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author Znabu Hadush Kahsay
Azeb Gebresilassie Tesema
Ferehiwot Hailemariam Tesfa
Bisrat Tewelde Gebretsadkan
Welday Hagos Gebretsadik
Maree L. Hackett
author_facet Znabu Hadush Kahsay
Azeb Gebresilassie Tesema
Ferehiwot Hailemariam Tesfa
Bisrat Tewelde Gebretsadkan
Welday Hagos Gebretsadik
Maree L. Hackett
author_sort Znabu Hadush Kahsay
collection DOAJ
description Background: Substance misuse is a public health concern among University students. Understanding the critical times and places for substance misuse among University students helps to inform effective preventive strategies. However, there is a dearth of studies in Ethiopian Universities on this topic. Here, we aimed to explore the patterns of psychoactive substance misuse, specifically about time and places, among undergraduate students at Mekelle University. Subject and Methods: An explorative qualitative study design was conducted in 2017. Five focus-group discussions among substance user students followed by eleven in-depth interviews with the user and non-user students, proctors, and a bar owners were conducted. In addition, four key informant researchers were involved. Participants were purposefully selected. The data were audio taped, transcribed verbatim and imported into Atlas.ti qualitative data analysis software version 7.5 for coding and analysis. Data were analyzed inductively to capture the emerging themes. Results: Our study showed that students consume alcohol in the evenings, on weekend days, holidays, after exams and at celebrations; smoke cigarettes after waking in the morning and after eating lunch. Concurrent substance use like smoking cigarettes, chewing Khat and drinking alcohol was evident. Khat chewing was reported mainly around noon, in the afternoon and on weekends. Substance use generally peaks at weekends, at the start and end of academic semesters, and when graduation approaches. However, students who become addicted may continue using substances. Students easily accessed and used substances around and inside the gates of the campuses. Conclusion: Event-specific celebrations are linked with substance misuse among University students. The ease with which students can access substances around the campuses increases the likelihood of substance misuse. Proactive interventions that include the provision of alcohol-free recreational alternatives to events on campus, high-risk substance misuse surveillance, tobacco cessation interventions, and promoting plain packaging are recommended.
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spelling doaj.art-ec089ec34392402cbf32c4ebba5a4b6e2023-11-24T13:57:44ZengMDPI AGChallenges2078-15472022-10-011325410.3390/challe13020054Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, EthiopiaZnabu Hadush Kahsay0Azeb Gebresilassie Tesema1Ferehiwot Hailemariam Tesfa2Bisrat Tewelde Gebretsadkan3Welday Hagos Gebretsadik4Maree L. Hackett5Health Promotion Unit, School of Public Health, Mekelle University, Mek’ele 1871, EthiopiaHealth Promotion Unit, School of Public Health, Mekelle University, Mek’ele 1871, EthiopiaHealth Promotion Unit, School of Public Health, Mekelle University, Mek’ele 1871, EthiopiaHealth Promotion Unit, School of Public Health, Mekelle University, Mek’ele 1871, EthiopiaPsychiatry Department, School of Medicine, Mekelle University, Mek’ele 1871, EthiopiaThe George Institute for Global Health, University of New South Wales, Newtown, NSW 2042, AustraliaBackground: Substance misuse is a public health concern among University students. Understanding the critical times and places for substance misuse among University students helps to inform effective preventive strategies. However, there is a dearth of studies in Ethiopian Universities on this topic. Here, we aimed to explore the patterns of psychoactive substance misuse, specifically about time and places, among undergraduate students at Mekelle University. Subject and Methods: An explorative qualitative study design was conducted in 2017. Five focus-group discussions among substance user students followed by eleven in-depth interviews with the user and non-user students, proctors, and a bar owners were conducted. In addition, four key informant researchers were involved. Participants were purposefully selected. The data were audio taped, transcribed verbatim and imported into Atlas.ti qualitative data analysis software version 7.5 for coding and analysis. Data were analyzed inductively to capture the emerging themes. Results: Our study showed that students consume alcohol in the evenings, on weekend days, holidays, after exams and at celebrations; smoke cigarettes after waking in the morning and after eating lunch. Concurrent substance use like smoking cigarettes, chewing Khat and drinking alcohol was evident. Khat chewing was reported mainly around noon, in the afternoon and on weekends. Substance use generally peaks at weekends, at the start and end of academic semesters, and when graduation approaches. However, students who become addicted may continue using substances. Students easily accessed and used substances around and inside the gates of the campuses. Conclusion: Event-specific celebrations are linked with substance misuse among University students. The ease with which students can access substances around the campuses increases the likelihood of substance misuse. Proactive interventions that include the provision of alcohol-free recreational alternatives to events on campus, high-risk substance misuse surveillance, tobacco cessation interventions, and promoting plain packaging are recommended.https://www.mdpi.com/2078-1547/13/2/54substance misuseevent specific drinkingMekelle UniversityEthiopia
spellingShingle Znabu Hadush Kahsay
Azeb Gebresilassie Tesema
Ferehiwot Hailemariam Tesfa
Bisrat Tewelde Gebretsadkan
Welday Hagos Gebretsadik
Maree L. Hackett
Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia
Challenges
substance misuse
event specific drinking
Mekelle University
Ethiopia
title Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia
title_full Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia
title_fullStr Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia
title_full_unstemmed Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia
title_short Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia
title_sort patterns of psychoactive substance misuse in undergraduate university students the case of mekelle university ethiopia
topic substance misuse
event specific drinking
Mekelle University
Ethiopia
url https://www.mdpi.com/2078-1547/13/2/54
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