Trauma exposure and alcohol use disorder among prisoners in Jimma Zone correctional institution, Southwest Ethiopia: a cross-sectional study

Yitayih, Yimenu; Soboka, Matiwos; Tesfaye, Elias; Abera, Mubarek; Mamaru, Almaz; Adorjan, Kristina

doi:10.1186/s13104-019-4796-9

Cited by 5 publications

(7 citation statements)

References 22 publications

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“…On the other hand, our study showed a much higher prevalence compared to many of the previous reports from different parts of the world which reported prevalence rates ranging from 13.7 to 51.0% [16, 20, 31-33, 38, 40, 41, 43, 46, 47]. Our finding is also higher compared to a previous prison based studies in Ethiopia which reported a 34.0% [12], and 40.1% [53] prevalence for alcohol use and AUD, respectively. Our finding is also much higher compared to the results of a meta-analysis on the epidemiology of alcohol use in Ethiopia which reported a 24% pooled prevalence of current use [52].…”

Section: Discussioncontrasting

confidence: 75%

“…AUDIT is reported to be suitable for the prison population in non-English speaking communities [62]. The Amharic version of AUDIT was adapted and used in Ethiopia previously to assess AUD in many published works [53,[63][64][65][66]. This tool assesses a one-year prevalence of AUD.…”

Section: Assessment Of Alcohol Use Disordermentioning

confidence: 99%

“…However, AUD was not included in that study. Another study from the same setting also had reported a 40% prevalence for AUD among prisoners [53]. Those studies were conducted in an area which has a different context from Debre Berhan where alcohol production and use is said to be commoner.…”

Section: Introductionmentioning

confidence: 96%

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Alcohol use disorder among prisoners in Debre Berhan prison, Ethiopia: a cross-sectional study

Haile

Kebede

Limenhe

et al. 2020

Subst Abuse Treat Prev Policy

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Background: Several studies reported that history of alcohol use among prisoners is higher than the prevalence in the general population. Criminality is found to be associated with alcohol use disorder (AUD) in previous studies. In Ethiopia, there is limited information on the prevalence and associated factors of AUD among prisoners. Therefore, this study aimed to assess the prevalence and associated factors of AUD among prisoners of Debre Berhan Prison. Methods: A cross-sectional survey was conducted to assess history of AUD among prisoners at Debre Berhan Prison, before imprisonment. We selected 347 prisoners with a systematic sampling technique and interviewed using Alcohol Use Disorder Identification Test (AUDIT) to screen for AUD in May 2017. Data entry was done using Epi-Data version 3.1 software, and bivariate and multivariate analyses were done using Stata version 13 software. Crude and adjusted odds ratios, with 95% confidence intervals and p-values are reported. Results: About six out of ten prisoners (59.1%) had AUD before imprisonment. Factors associated with increased odds of AUD were perception that the current offence is related to using substances (AOR = 4.2; 95% CI = 2.3, 7.8), and family history of substance use (AOR = 8.7; 95% CI = 1.7, 44.9). Being married had lower odds of AUD compared to the unmarried (AOR = 0.5; 95% CI = 0.2, 0.9). Conclusion: We found that the prevalence of AUD 1 year before imprisonment in this population is high. AUD is found to be associated with a family history of substance use and perception that the current offence is related to using a substance. We recommend community-based study with different kind of study designs to see the relationship between AUD and crime for planning interventions.

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Section: Discussioncontrasting

confidence: 75%

Section: Assessment Of Alcohol Use Disordermentioning

confidence: 99%

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Alcohol use disorder among prisoners in Debre Berhan prison, Ethiopia: a cross-sectional study

Haile

Kebede

Limenhe

et al. 2020

Subst Abuse Treat Prev Policy

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“…29,30 The data presented in this paper were obtained from the study on psychopathy and associated factors among newly admitted prisoners in a correctional institution located in Bench Shako and West Omo zone correctional institution, Mizan Aman, Ethiopia. 27 Even though substance use disorder, association between alcohol and trauma, association between psychopathy and khat abuse, and psychopathy and associated factors among prisoners in Ethiopia were well established [31][32][33][34] up to date, the potential association between post-traumatic stress disorder and trauma exposure with problematic khat use among prisoners has not been investigated in our country Ethiopia, or elsewhere. Therefore, the aim of this study was to assess the association between life time trauma exposure and post-traumatic stress disorder with khat use disorder among newlyadmitted prisoners in Bench Shako and West Omo zone correctional institution, Mizan Aman, Ethiopia.…”

Section: Introductionmentioning

confidence: 96%

The Relationship Between Khat Use Disorder and Post-Traumatic Stress Disorder Among Prisoners with Life Time Trauma Exposure in Ethiopia: A Cross-Sectional Study

Wolde¹

2021

NDT

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Background Problematic khat use is an emerging health problem worldwide. Trauma experience, crime, and substance misuse is closely related. However, there is lack of evidence whether post-traumatic stress disorder (PTSD) and life time trauma exposure has a relationship with problematic khat use among prisoners in our country Ethiopia, or elsewhere. Therefore, this study assessed the relationship between PTSD and life time trauma exposure with khat use disorder among newly admitted prisoners in Bench Shako and West Omo zone correctional institution, Mizan Aman, Ethiopia. Methods A cross-sectional study was conducted among 411 (N=422) prisoners from April 20 to July 19, 2019, by using a consecutive sampling technique. Trauma exposure and post-traumatic stress disorder were assessed with a life event check list and Post-traumatic stress disorder – civilian version (PCL-C), respectively. The WHO ASSIST tool was used to assess khat, alcohol, and tobacco use disorder. Antisocial personality disorder, criminal, and clinical history were also assessed. The data were entered into Epi-data version 3.1 and then exported to Statistical Package for Social Science version 21. A logistic regression model was used and variables with a p -value less than 0.05 in the final fitting model were stated as independent predictors of PTSD. Results Nearly one out of four prisoners exposed to life time trauma exposure developed PTSD, and the prevalence of khat use disorder among prisoners with life time trauma exposure and PTSD was 45% and 85%, respectively. Prisoners with khat use disorder had more than 5 times higher odds of association with PTSD than their counterparts (AOR=5.3, 95% CI=2.4–11.8). In addition, antisocial personality disorder (AOR=2.8, 95% CI=1.6–5.5), criminal recidivism (AOR=2.5, 95% CI=1.5–4.3), and being a driver (AOR=2, 95% CI=1.2–3.3) were positively associated with PTSD. Conclusion Khat use disorder was higher among prisoners with life time trauma exposure and PTSD, and khat use disorder was positively associated with PTSD.

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“…Several studies found increased rates of depression, posttraumatic stress disorder (PTSD), or common mental disorders (CMD) among khat users [e.g., ( 17 – 19 )]. Studies with representative samples from Jimma town revealed a prevalence of CMD among the general population of between 25.8 and 33.6% ( 20 , 21 ) and among medical students of 35.2% ( 16 ); in all three studies, CMD was positively associated with khat use.…”

Section: Introductionmentioning

confidence: 99%

Khat Use Patterns, Associated Features, and Psychological Problems in a Khat-Treatment-Seeking Student Sample of Jimma University, Southwestern Ethiopia

Hassen

Soboka

Widmann

et al. 2021

Front. Public Health

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Background: Khat (Catha edulis) is a traditionally used substance in African and Arab countries that contains the amphetamine-like alkaloid cathinone. Khat use among Ethiopian students is a growing concern. This study aims to describe khat use, psychological problems, and motivation to change and to determine associated factors of khat use among students from Jimma University seeking psychological assistance.Methods: In a cross-sectional study, a sample of 717 students from Jimma University, southwestern Ethiopia, who seek assistance to reduce khat use were recruited. The study used Amharic and Afaan Oromoo language versions of common psychological instruments and employed them as part of a comprehensive tablet computer-delivered self-report assessment battery, comprising the SRQ-20, the PCL-5, the LEC-5, the AUDIT, and the SOCRATES-khat. In addition, socio-demographic, economic variables, and functioning problems due to severe mental disorders were assessed. The analysis relied on the data of the 575 included participants and used clinical cut-off values to describe this treatment-seeking sample and hierarchical regression models to determine variables associated with khat use.Results: The sample showed high khat use in the past month (M = 31.55 bundles, SD = 28.53, on M = 15.11 days, SD = 8.54); 17.0% showed highly problematic use. The sample was extremely burdened with comorbid psychiatric problems: 21.6% reported functioning problems due to past mental disorders, 60.2% scored above the cut-off for current common mental disorders, 37.9% screened positive for PTSD, and 47.1% reported hazardous alcohol use. Small to medium intercorrelations between variables were detected, and in hierarchical regression models, higher motivation to change khat use was associated with higher use of the substance.Conclusions: This study clearly shows the need to develop research instruments, screening methods, and assistance services for khat-using students at Jimma University. Study participants' high mental health burden shows the need for targeted intervention programs that go beyond brief interventions for khat use. Furthermore, the study highlights challenges for implementing such services: the barriers to utilization for females and khat users without comorbid mental health problems.

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Trauma exposure and alcohol use disorder among prisoners in Jimma Zone correctional institution, Southwest Ethiopia: a cross-sectional study

Cited by 5 publications

References 22 publications

Alcohol use disorder among prisoners in Debre Berhan prison, Ethiopia: a cross-sectional study

Alcohol use disorder among prisoners in Debre Berhan prison, Ethiopia: a cross-sectional study

The Relationship Between Khat Use Disorder and Post-Traumatic Stress Disorder Among Prisoners with Life Time Trauma Exposure in Ethiopia: A Cross-Sectional Study

Khat Use Patterns, Associated Features, and Psychological Problems in a Khat-Treatment-Seeking Student Sample of Jimma University, Southwestern Ethiopia

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