Abstract

Background: Khat (Catha edulis) chewing is becoming a significant public health problem, and it becomes a common practice among high school, college, and university students.
Objective: This study was conducted to assess the prevalence and determinants of khat chewing among Gondar University students in Northwest Ethiopia.
Materials and Methods: The study was conducted among 872 randomly selected students in April 2014. A structured self- administered questionnaire was used to collect the data. Descriptive statistics and logistic regression were performed to examine the prevalence and predictors of current use of khat.
Results: The lifetime and current prevalence of khat chewing among respondents was 17.9% (95% CI: 15.3–20.5) and 13.6% (95% CI: 11.4–15.9), respectively. Mental distress (adjusted odds ratio (AOR): 1.66 (95% CI: 1.05–2.61)), having friends who chewed khat (AOR: 3.9 (95% CI: 1.65–5.21)), cigarette smoking (AOR: 18 (95% CI: 9.5–18)), increased classwork load (AOR: 1.9 (95% CI: 1.12–3.2)), and religious practice (AOR: 0.4 (95% CI: 0.24–0.71)) were found to be independent predictors of chewing. Conclusion: The current prevalence of khat chewing was found to be high. Actions targeting those determinants are essential to effectively reduce khat use among university students.