University Students’ intention to quit substace abuse in Ethiopian: Application of Theory of Planned Behavior

A. T. Gizaw,Misgun Shewangizaw Mekuria,Getachew Kiros Abraha,Hailemariam Weldemariam,L. Gebretsadik

Published 2020 in Unknown venue

ABSTRACT

Background Currently, substance abuse is one of the most burning public health problems in Ethiopia. However, the magnitude of substance abuse and intention to quit is not yet properly studied, Therefore, this study aims to assess University students’ intention to quit substace abuse in Ethiopian:Application of Theory of Planned Behavior (TPB) Methods Institution based cross-sectional study was conducted using self-administered questioners. A stratified sampling technique was used to select the study participants. Descriptive statistics were computed and a multivariate logistic regression model was fitted. A p-value of less than 0.05 was used to declare statistical significance. Result From a total of 392 respondents, 175 (44.6%) were fulfilled the criteria of psychoactive substance abuse (CAGE ≥ 2). Socio-demographic variables such as male respondents (Adjusted Odds Ratio (AOR) =2.34, 95% confidence interval, CI [1.22, 4.51]; P=0.000), Respondents among age category of 25-29 years (Adjusted Odds Ratio(AOR)=21.93, 95% confidence interval CI[16.19; 33.11]; P=0.000) and students with five and above years of study (Adjusted Odds Ratio (AOR)=5.71, 95% confidence interval, CI[2.41-13.52]; P=0.000) had significant association with the psychoactive substance abuse. Theory of Planned Behavior constructs such as positive attitude (Adjusted Odds Ratio[AOR]=1.81,95% confidence interval, CI[1.11,2.96]; P =0.018),supportive Subjective Norm (Adjusted Odds Ratio[AOR]=2.05, 95% confidence interval, CI[1.26,3.47]; P =0.004) and positive Perceived Behavioral Control (Adjusted Odds Ratio [AOR]=6.16, 95% confidence interval, CI[3.75,10.14]; P =0.000) had significant association with quitting psychoactive substance abuse. Conclusion This study illustrated that intention to quit psychoactive substance abuse was predicted by a positive attitude, supportive subjective norm, and positive perceived behavioral control. Therefore, applying health communication strategies focusing on attitude, subjective norm and perceived behavioral control by segmenting students based on sex, age and years of studies are important to bring desired behavioral changes.

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