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Erschienen in: Maternal and Child Health Journal 3/2008

01.05.2008

Khat (Catha edulis) Chewing during Pregnancy in Yemen: Findings from a National Population Survey

verfasst von: Marwan Khawaja, Mohannad Al-Nsour, Ghada Saad

Erschienen in: Maternal and Child Health Journal | Ausgabe 3/2008

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Abstract

Aims

This study examines the prevalence of khat chewing among women during pregnancy and some of the risk factors for this habit in Yemen.

Methods

Survey data on 7,343 ever-married women from the Yemen Demographic and Maternal and Health Survey (YDMHS), conducted in 1997 are used. Women who had a live birth during the 5 years preceding the survey were asked if they chewed khat during each of their pregnancies (=1) or not (=0). Associations between chewing khat and socio-demographic risk factors were assessed using odds ratios from binary logistic regression models.

Results

About 40.7% of women surveyed reported chewing khat while pregnant during the 5 years before the survey. Old age, no education, rural residence, living in mountainous regions, and low wealth were significant risk factors for chewing khat.

Conclusions

Khat chewing during pregnancy is highly prevalent in Yemen. Socio-economically disadvantaged women were more likely to chew khat than other women.
Literatur
1.
Zurück zum Zitat Burns, J. F. (1999). Khat-chewing Yemen told to break ancient habit. The New York Times. Burns, J. F. (1999). Khat-chewing Yemen told to break ancient habit. The New York Times.
2.
Zurück zum Zitat Hassan, N. A., Gunaid, A. A., Abdo-Rabbo, A. A., Abdel-Kader, Z. Y., Al-Mansoob, M. A., Awad, A. Y., & Murray-Lyon, I. M. (2000). The effect of qat chewing on blood pressure and heart rate in healthy volunteers. Tropical Doctor, 30, 107–108.PubMed Hassan, N. A., Gunaid, A. A., Abdo-Rabbo, A. A., Abdel-Kader, Z. Y., Al-Mansoob, M. A., Awad, A. Y., & Murray-Lyon, I. M. (2000). The effect of qat chewing on blood pressure and heart rate in healthy volunteers. Tropical Doctor, 30, 107–108.PubMed
4.
Zurück zum Zitat Odenwald, M., Neuner, F., Schauer, M., Elbert, T., Catani, C., Lingenfelder, B., Hinkel, H., Heinz, H., & Rockstroh, B. (2005). Khat use as a risk factor for psychotic disorders: a cross-sectional and case-control study in Somalia. BMC Medicine, 3, 5–15.PubMedCrossRef Odenwald, M., Neuner, F., Schauer, M., Elbert, T., Catani, C., Lingenfelder, B., Hinkel, H., Heinz, H., & Rockstroh, B. (2005). Khat use as a risk factor for psychotic disorders: a cross-sectional and case-control study in Somalia. BMC Medicine, 3, 5–15.PubMedCrossRef
5.
Zurück zum Zitat Aden, A., Dimba, E. A., Ndolo, U. M., & Chindia, M. L. (2006). Socio-economic effects of khat chewing in north eastern Kenya. East African Medical Journal, 83, 69–73.PubMed Aden, A., Dimba, E. A., Ndolo, U. M., & Chindia, M. L. (2006). Socio-economic effects of khat chewing in north eastern Kenya. East African Medical Journal, 83, 69–73.PubMed
6.
Zurück zum Zitat Alem, A., Kebede, D., & Kullgren, G. (1999). The prevalence and socio-demographic correlates of khat chewing in Butajira, Ethiopia. Acta Psychiatrica Scandinavica Supplementary, 397, 84–91.CrossRef Alem, A., Kebede, D., & Kullgren, G. (1999). The prevalence and socio-demographic correlates of khat chewing in Butajira, Ethiopia. Acta Psychiatrica Scandinavica Supplementary, 397, 84–91.CrossRef
7.
Zurück zum Zitat Ihunwo, A. O., Kayanja, F. I., & Amadi-Ihunwo, U. B. (2004). Use and perception of the psychostimulant, khat (Catha edulis) among three occupational groups in south western Uganda. East African Medical Journal, 81, 468–473.PubMed Ihunwo, A. O., Kayanja, F. I., & Amadi-Ihunwo, U. B. (2004). Use and perception of the psychostimulant, khat (Catha edulis) among three occupational groups in south western Uganda. East African Medical Journal, 81, 468–473.PubMed
8.
Zurück zum Zitat Elmi, A. S. (1983). The chewing of khat in Somalia. Journal of Ethnopharmacology, 8, 163–176.PubMedCrossRef Elmi, A. S. (1983). The chewing of khat in Somalia. Journal of Ethnopharmacology, 8, 163–176.PubMedCrossRef
9.
Zurück zum Zitat Kuczkowski, K. M. (2005). Herbal ecstasy: Cardiovascular complications of khat chewing in pregnancy. Acta Anaesthesiologica Belgica, 56, 19–21.PubMed Kuczkowski, K. M. (2005). Herbal ecstasy: Cardiovascular complications of khat chewing in pregnancy. Acta Anaesthesiologica Belgica, 56, 19–21.PubMed
10.
Zurück zum Zitat Al-Motarreb, A., Braincon, S., Al-Jaber, N., Al-Adhi, B., Al-Jailani, F., Salak, M. S., & Broadley, K. J. (2005). Khat chewing is a risk factor for acute myocardial infarction: A case study. British Journal of Clinical Pharmacology, 59, 574–581.PubMedCrossRef Al-Motarreb, A., Braincon, S., Al-Jaber, N., Al-Adhi, B., Al-Jailani, F., Salak, M. S., & Broadley, K. J. (2005). Khat chewing is a risk factor for acute myocardial infarction: A case study. British Journal of Clinical Pharmacology, 59, 574–581.PubMedCrossRef
11.
Zurück zum Zitat Kassim, S., & Croucher, R. (2006). Khat chewing amongst UK resident male Yemeni adults: An exploratory study. International Dental Journal, 56, 97–101.PubMed Kassim, S., & Croucher, R. (2006). Khat chewing amongst UK resident male Yemeni adults: An exploratory study. International Dental Journal, 56, 97–101.PubMed
12.
Zurück zum Zitat Luqman, W., & Danowski, T. (1976). The use of Khat (Catha edulis) in Yemen social and medical observations. Annals of Internal Medicine, 85, 246–249.PubMed Luqman, W., & Danowski, T. (1976). The use of Khat (Catha edulis) in Yemen social and medical observations. Annals of Internal Medicine, 85, 246–249.PubMed
13.
Zurück zum Zitat Kandela, P. (2000). Women’s rights, a tourist boom, and the power of khat in Yemen. Lancet, 355, 1437.PubMedCrossRef Kandela, P. (2000). Women’s rights, a tourist boom, and the power of khat in Yemen. Lancet, 355, 1437.PubMedCrossRef
14.
Zurück zum Zitat Yemen Times. (2000). Pharmacological aspects of chewing the qat leaves part 2. Yemen Times; 10. available at: http://www.yementimes.com/00/iss35/health.htm. Retrieved on 10/31/2005. Yemen Times. (2000). Pharmacological aspects of chewing the qat leaves part 2. Yemen Times; 10. available at: http://​www.​yementimes.​com/​00/​iss35/​health.​htm.​ Retrieved on 10/31/2005.
15.
Zurück zum Zitat Kalix, P. (1987). Khat: Scientific knowledge and policy issues. British Journal of Addiction, 82, 47–53.PubMedCrossRef Kalix, P. (1987). Khat: Scientific knowledge and policy issues. British Journal of Addiction, 82, 47–53.PubMedCrossRef
16.
Zurück zum Zitat Hassan, N. A., Gunaid, A. A., El-Khally, F. M., & Murray-Lyon, I. M. (2002). The effect of chewing khat leaves on human mood. Saudi Medical Journal, 23, 850–853.PubMed Hassan, N. A., Gunaid, A. A., El-Khally, F. M., & Murray-Lyon, I. M. (2002). The effect of chewing khat leaves on human mood. Saudi Medical Journal, 23, 850–853.PubMed
17.
Zurück zum Zitat Kalix, P. (1992). Cathinone, a natural amphetamine. Pharmacology & Toxicology, 70, 77–86.CrossRef Kalix, P. (1992). Cathinone, a natural amphetamine. Pharmacology & Toxicology, 70, 77–86.CrossRef
18.
Zurück zum Zitat Anonymous. (2003). The toxicological potential of khat. Journal of Ethnopharmacology, 87, 1–2.CrossRef Anonymous. (2003). The toxicological potential of khat. Journal of Ethnopharmacology, 87, 1–2.CrossRef
19.
Zurück zum Zitat Mion, G., Oberti, M., & Ali, A. W. (1998). [Hypertensive effects of qat]. Medicine Tropical, 58, 266–268. Mion, G., Oberti, M., & Ali, A. W. (1998). [Hypertensive effects of qat]. Medicine Tropical, 58, 266–268.
20.
Zurück zum Zitat Date, J., Tanida, N., & Hobara, T. (2004). Qat chewing and pesticides: A study of adverse health effects in people of the mountainous areas of Yemen. International Journal of Environmental Health Research, 14, 405–414.PubMedCrossRef Date, J., Tanida, N., & Hobara, T. (2004). Qat chewing and pesticides: A study of adverse health effects in people of the mountainous areas of Yemen. International Journal of Environmental Health Research, 14, 405–414.PubMedCrossRef
21.
Zurück zum Zitat Mwenda, J. M., Arimi, M. M., Kyama, M. C., & Langat, D. K. (2003). Effect of khat (Catha edulis) consumption on reproductive function: A review. East African Medical Journal, 80, 318–323. Mwenda, J. M., Arimi, M. M., Kyama, M. C., & Langat, D. K. (2003). Effect of khat (Catha edulis) consumption on reproductive function: A review. East African Medical Journal, 80, 318–323.
22.
Zurück zum Zitat Abdul Ghani, N., Eriksson, M., Kristiansson. B., & Qirbi, A. (1987). The influence of khat-chewing on birth-weight in full-term infants. Social Science & Medicine, 24, 625–627.CrossRef Abdul Ghani, N., Eriksson, M., Kristiansson. B., & Qirbi, A. (1987). The influence of khat-chewing on birth-weight in full-term infants. Social Science & Medicine, 24, 625–627.CrossRef
23.
Zurück zum Zitat Eriksson, M., Ghani, N. A., & Kristiansson, B. (1991). Khat-chewing during pregnancy-effect upon the off-spring and some characteristics of the chewers. East African Medicl Journal, 68, 106–111. Eriksson, M., Ghani, N. A., & Kristiansson, B. (1991). Khat-chewing during pregnancy-effect upon the off-spring and some characteristics of the chewers. East African Medicl Journal, 68, 106–111.
24.
Zurück zum Zitat Central Statistical Organization (CSO) [Yemen] and Macro International Inc. (MI). (1998). Yemen Demographic and Maternal and Health Survey 1997. Calverton, Maryland: CSO and MI. Central Statistical Organization (CSO) [Yemen] and Macro International Inc. (MI). (1998). Yemen Demographic and Maternal and Health Survey 1997. Calverton, Maryland: CSO and MI.
25.
Zurück zum Zitat Timæus, I., & Lush, L. (1995). Intra-urban differentials in child health. Health Transition Review, 5, 163–190. Timæus, I., & Lush, L. (1995). Intra-urban differentials in child health. Health Transition Review, 5, 163–190.
26.
Zurück zum Zitat StataCorp. (2004). Stata 8.2 for MS Windows. Texas: Stata Corporation. StataCorp. (2004). Stata 8.2 for MS Windows. Texas: Stata Corporation.
27.
Zurück zum Zitat Regional Committee for the Eastern Mediterranean. (1961). Khat (Catha edulis Forskal) a preliminary study. Regional Office for the Eastern Mediterranean, World Health Organization. Regional Committee for the Eastern Mediterranean. (1961). Khat (Catha edulis Forskal) a preliminary study. Regional Office for the Eastern Mediterranean, World Health Organization.
28.
Zurück zum Zitat Bin Sallam, M. (2004). Qat: 22 million working hours wasted every day. Yemen Times 13(785). Bin Sallam, M. (2004). Qat: 22 million working hours wasted every day. Yemen Times 13(785).
29.
Zurück zum Zitat Crenshaw, M. J. (2004). Khat a potential concern for law enforcement. FBI Law Enforcement Bulletin, 73 (8). Crenshaw, M. J. (2004). Khat a potential concern for law enforcement. FBI Law Enforcement Bulletin, 73 (8).
30.
Zurück zum Zitat Population Reference Bureau. (2005). World population data sheet. Population Reference Bureau 2005. Population Reference Bureau. (2005). World population data sheet. Population Reference Bureau 2005.
31.
Zurück zum Zitat Al-Hebshi, N. (2005). Khat (Catha edulis) an updated review. Addiction Biology, 10, 299–307.PubMedCrossRef Al-Hebshi, N. (2005). Khat (Catha edulis) an updated review. Addiction Biology, 10, 299–307.PubMedCrossRef
32.
Zurück zum Zitat Ayana, A. M., & Mekonon, Z. (2004). Khat (Catha edulis Forsk) chewing, sociodemographic description and its effect on academic performance, Jimma University students 2002. Ethiopian Medical Journal, 42, 125–136.PubMed Ayana, A. M., & Mekonon, Z. (2004). Khat (Catha edulis Forsk) chewing, sociodemographic description and its effect on academic performance, Jimma University students 2002. Ethiopian Medical Journal, 42, 125–136.PubMed
33.
Zurück zum Zitat Baron, D. N. (1999). The qat party. British Medical Journal, 319, 500.PubMed Baron, D. N. (1999). The qat party. British Medical Journal, 319, 500.PubMed
34.
Zurück zum Zitat Whitekaer, B. (1999). Qat chewing spreading rapidly in Yemen. Middle East Int, 18 June. Whitekaer, B. (1999). Qat chewing spreading rapidly in Yemen. Middle East Int, 18 June.
35.
Zurück zum Zitat Yemen Times. (2006). The qat phenomenon and ideas to stop its use. Yemen Times; 9 March, available at: http://www.yementimes.com/00/iss35/health.htm. Retrieved on 02/20/2007. Yemen Times. (2006). The qat phenomenon and ideas to stop its use. Yemen Times; 9 March, available at: http://​www.​yementimes.​com/​00/​iss35/​health.​htm.​ Retrieved on 02/20/2007.
36.
Zurück zum Zitat Kennedy, J. G. (1987). The flower of paradise: The institutionalized use of the drug qat in Northern Yemen. Dordrecht, Holland: D. Reidel Publishing Company. Kennedy, J. G. (1987). The flower of paradise: The institutionalized use of the drug qat in Northern Yemen. Dordrecht, Holland: D. Reidel Publishing Company.
37.
Zurück zum Zitat Koori DrugInfo. (2005). Khat. Australian Drug Foundation. Available at: <http://www.kooridrug info.adf.org.au/fact_sheets/drugfacts/khat.html>. Retrieved on 31/10/2005. Koori DrugInfo. (2005). Khat. Australian Drug Foundation. Available at: <http://​www.​kooridrug info.adf.org.au/fact_sheets/drugfacts/khat.html>. Retrieved on 31/10/2005.
Metadaten
Titel
Khat (Catha edulis) Chewing during Pregnancy in Yemen: Findings from a National Population Survey
verfasst von
Marwan Khawaja
Mohannad Al-Nsour
Ghada Saad
Publikationsdatum
01.05.2008
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 3/2008
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-007-0231-2

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