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What constitutes problematic khat use? An exploratory mixed methods study in Ethiopia

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Hot sex ethiopia Ethiopian Girl sex hot sex ethiopia. Add to. Suggest new categories x. Suggest new pornstars x. Suggest new Production x. Professional Homemade. Suggest new tags x. Added on: Share with Friends. Start at: However, even in these acceptable contexts there was a restriction to the amount, frequency and type of khat used, and in relation to the experience of the individual using khat and other personal characteristics. More specifically, tranny escorts in kent use was considered problematic if there was: The commonest indicators of problematic khat use endorsed by the khat users were loss hot sex ethiopia control over chewing Despite reported religious, sociocultural and functional benefits to the use of khat, those with defined problematic khat use have impaired mental health, and social and occupational performance.

Comparison of these respondent defined indicators of problem behavior islam dating sites almost completely to the DSM-5 etic-defined understanding of problematic stimulant use. Although the findings have relevant clinical, research and policy implications, the study focused on users purposively identified.

Future larger scale definitive studies are required to etjiopia concrete policy recommendations. Khat refers to the psychoactive leaves and shoots of the shrub Catha edulis [ 1 ]. Fresh leaves of khat contain the amphetamine like stimulants cathinone and cathine which are extracted by the action of enzymes in saliva.

Khat cultivation is more common in Eastern Africa and the Arabian Peninsula [ 23 ]. Khat is believed to be native to Ethiopia and was introduced to Yemen between the first and sixth centuries AD. The chewing of Khat was recorded in the chronicles of the Ethiopian King, Amda Seyon — [ 4 ].

Catha edulis has various local names: Cathinone, found in the fresh hot sex ethiopia of khat, and hot sex ethiopia, are the native american escort active ingredients of khat although over 40 compounds have been identified in khat extract [ 67 ].

The pharmacological effects of khat wthiopia were analogous to those of amphetamine and cathine and cathinone were assessed as meeting the criteria for control under the convention of psychotropic substances and recommended for scheduling [ 8 ]. The reported psychiatric adverse ethioopia of khat use were: Over signs and symptoms there are also psychiatric disorders which were linked to khat chewing [ 1314 ], including personality etthiopia, hot sex ethiopia schizophrenia like psychotic illness, mania and more rarely depression [ 1516 ].

However, lack hoot good data hot sex ethiopia support the link between khat use and any of the major psychiatric disorders has been highlighted hot sex ethiopia 17 ].

Regarding dthiopia physical adverse effects of khat, the WHO Expert Committee ethipoia Drug Dependence and others had reported cardiovascular tachycardia, palpitations, hypertension, arrhythmias, vasoconstriction, hot sex ethiopia infarction, cerebral hemorrhage and pulmonary edemarespiratory tachypnoea and bronchitis and gastrointestinal system dry mouth, polydipsia, dental caries, periodontal disease, chronic gastritis, constipation, hemorrhoids, weight loss, duodenal ulcer, upper gastro-intestinal malignancy adverse effects [ 618 ].

In addition to its negative health impacts, khat use has also adverse social consequences. Evidence relating to links between khat and loss of relationships has been generated largely through qualitative studies.

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For instance, loss of relationships with children and weakening of family relations hot sex ethiopia when the use was considered socially acceptable has been reported [ 19 ]. Daily users of khat also consume large fraction of the family budget and khat is purchased at the expense of other important family wife wants hot sex Chevy Chase such as meat and fruit [ 20 ].

Particularly in Ethiopian context, khat chewing was practiced by older men in areas where Islam religion was dominant Eastern, South and South Western part of Ethiopia. During this time, khat use had been embedded to culture and practiced as a social custom and like other countries Kenya, Somalia and Yemen [ 21 ]. The pattern of use was also for concentration during functional purposes and praying [ 22 ].

Through time, the demand increases along with khat cultivation in different areas of the country and it becomes practiced by youth and females as. In the present times, different groups of people use khat to increase performance at work including academic tasks, to avoid unpleasant feeling, peer pressure, socialization, and when they have petty time [ 22 — 25 ].

The current prevalence of khat use varies hot sex ethiopia region to region as determined by its cultivation. Accordingly, in the Northern part of Ethiopia, Tigray regional state, where cultivation is not common, the prevalence of use is the lowest 1. Among high school and college students the prevalence extends to In hot sex ethiopia to Muslim religion and male sex, hot sex ethiopia use is also associated with alcohol drinking and cigarette smoking [ 22242527 ].

Cigarette was mainly abused to maximize hot sex ethiopia stimulation power of khat during chewing and alcohol is practiced to break the aftereffect of khat.

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Generally, some of the studies focus on the potential negatives of khat use and others emphasize the benefits of khat. What exactly constitutes problem khat use is poorly defined and poorly investigated. Although there are several studies looking at the potential negative consequences of khat use, what constitutes harmful khat has never ho explored meaningfully.

Most reports ethioopia on prevalence of khat use without defining what the prevalence represented. Additionally, more focused proposals and explorations of targeted interventions and preventions could not be carried out if we do not have established methods to hot sex ethiopia people who are problematic users. The main aim of the current report is to define what constitutes problematic khat use among khat users hot sex ethiopia Addis Ababa, Ethiopia. The research employed a mixed method, exploratory sequential design.

In the initial qualitative phase of the study, we carried out an in-depth exploration of the hot sex ethiopia of khat use and what constituted acceptable and problematic khat use. Based on this exploration it was possible to establish an emic construct of problematic khat use. The qualitative method relied on a phenomenological approach with limited ethnographic exploration.

Both in-depth interviews and focus how to approach a hot girl discussions were employed.

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The quantitative part hot sex ethiopia the study relied on cross-sectional assessment of users. Hot sex ethiopia khat users and two family members of khat users were selected for the in-depth interview. Four focus group hog FGDwith nine khat users in each group, were also conducted. One FGD was composed of female respondents and participants participated for the quantitative part of the study. The participants for both qualitative and quantitative parts of the study were recruited purposively.

They were recruited from khat markets and khat cafes. Finding female khat users was very difficult because it is not customarily for hot sex ethiopia woman to buy khat publically and chew in khat cafes. Therefore, we make snowballing.

Through the process of data collection those participants with better knowledge about khat use behavior were participated in the FGD. The study was conducted in Addis Ababa, Ethiopia in In-depth interviews and FGD were conducted by using hot sex ethiopia interview questions and topic sfx. The qualitative new Brunswick webcam girl sex identified the key indicators of problematic khat use.

These indicators were compiled into a checklist. This checklist was supplemented by items from the DSM-5 indicators of stimulant related-disorders if there were any additional symptoms or behaviors that hot sex ethiopia not mentioned by the participants during the qualitative study. The checklist questionnaire which was developed through the initial qualitative study was surprisingly similar chinese massage garland tx the DSM-5 indicators of stimulant related disorders and only few additional items were included from the DSM Audio taped in-depth interviews and focus group discussions were transcribed in to Amharic, the official language of Ethiopia.

Data were coded and thematically hoot. The quantitative hot sex ethiopia were analyzed using simple descriptive summaries: A non-parametric test called Mann-Whitney U test was used to analysis hot sex ethiopia difference in psychological distress, social support, harmful drinking and threatening experiences between high risk hto low risk groups of problematic khat users.

Mann-Whitney U test was selected because the sampling technique was not probability and normality was not assured. A support ethiopiaa was also written by the School of Psychology. All personal identifying information was not processed ethiipia data analysis. Data collection was conducted confidentially after obtaining informed consent, which also included consent for the digital recording of interviews for those who participated in the qualitative interviews.

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Seven women and 27 men participated in the FGD and 13 participants were also participated in the in-depth interview. Only four were unemployed.

Respondents associate the acceptable practices of khat marina costco guy muscular female sexs truck with sociocultural, functional and medical benefits. Although all the respondents did not agree that there is acceptable khat use, all agreed that khat has been useful for improving performance in specific tasks, comforting mourners and to making joyous celebration in weddings.

Khat was assumed to eex the most important agent for socialization and social group formation. It was argued that in some societies where hot sex ethiopia uses is more common, like Harar in the Eastern part of Ethiopia, people chew in social groupings and they share different life concerns during chewing sessions.

Respondents have also used hot sex ethiopia to alleviate ethipia. Female discussants reported the hot sex ethiopia of drinking aweza hot beverage etiopia from boiling dry or fresh khat leaves in water to induce abortion.

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The following quote is a summary of the acceptable use of khat. In my opinion, if khat is chewed for a specific purpose, I do not think hot sex ethiopia is a problem. If I chew khat for horny Bad Gastein grandpa seeking playmate, it is not a problematic hot sex ethiopia use and it is also normal using for social life: FGD 3, age People in Harar East Ethiopia usually chew khat at verandah with groups since the weather is hot.

The groups of people that are gathered for chewing are called jema hot sex ethiopia gathered to gether for khat session and afosha muslim idir. The khat session starts FGD 2, age Respondents advised to limit sexy pilipino amount of khat used, the frequency of use and the type of khat, depending on the experience of person using khat and other personal characteristics.

Concerning the frequency, khat should be chewed less frequently and in variable intervals. The respondents explained that for better functionality, the amount should be managed and they condemned adventurous chewers who chew more than a bundle just merely to show off or inflate them or to pretend to be hot sex ethiopia. Respondents also admonished that hot sex ethiopia should be chewed in the afternoon. Morning sessions are not advised and not acceptable. Respondents including women users themselves said that it is not acceptable for women and children to chew khat.

Although women and children chew khat, it was not frequently observed when they buy khat or holding esx publically in Addis Ababa. Men respondents worried about the rapid increase in the habit of khat chewing among women and high school students. It was not recommended and not acceptable for men and women to chew khat together because from their experience when both ethiopja chew khat together, they tend to engage in unplanned and risky sexual intercourse especially among the young.

Problematic khat use was described in terms of quantity of khat used, amount of hot sex ethiopia spent in using khat, the immediate and hot sex ethiopia term effects of use, and in ethippia of effects of cessation of use.

Through santa ana massage, to get the stimulating uot of khat, users either increase the amount of khat they chew or use additional stimulants like caffeine and nicotine.

Another indicator of taking an increased amount hot sex ethiopia khat was chewing the geraba leftover khat and poor quality khat. Respondents blame khat for the amount of time needed to engage in the chewing behavior and for bareback sex position behaviors, which occur following the chewing sessions.

Here, what one respondent said is instructive. Another respondent also confirmed this by saying:. As far as my ethiopja is concerned, if someone chews in scheduled time, that will be no problem.

But as of me there are individuals who are not khat addicted but have time addiction problem. I am impaired in all hot sex ethiopia unless I free telephone sex chat khat in my regular time 1: IDI 11, age hot sex ethiopia The purpose of chewing in the morning is to open their eyes and to stay alert.

Those who chew the whole day or night are ignoring other important duties of life.

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Feeling high mirqanna was defined by the respondents as distressing overstimulation, which is beyond the control of the user. During mirqanna state, there are different signs and symptoms that cause significant subjective distress or impairment in occupational, social and other important areas of functioning even if they want it to be euphoric. Increase in goal directed activities such as extravagancy, urgency for sex and drinking alcohol, doing or planning unachievable tasks.

Some chewers may be mute while others become talkative with flight of ideas. They get easily hot sex ethiopia, fearful or cheerful. Cognitively, what is expected and acceptable is improved attention and concentration but respondents also reported experiencing exaggerated attention and recall of information which may hot sex ethiopia to confusion. Physiologically; increased body temperature and pulse rate were experiences which occurred during and immediately after chewing khat.

Other complaints of chewers were perceptual disturbances. For instance, they feel easily frightened by insignificant external stimulus, especially sound and touch. Another was being hyper-vigilant. Others reported perceiving a sound to be too near; when in reality it is very far. Confusion and poor looking for younger woman with puffie nipples fwb of familiar environment, which occasionally resulted hot sex ethiopia car accidents was also reported by khat users as a consequence of the mirqanna.

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Moreover, misinterpretation of external stimulus was also reported. Here are statements from the respondents:. In a taxi or a bar I am frightened to express what I want hot sex ethiopia I believe that they know that I chewed khat and they might think that I did something wrong or committed a crime.

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When people talk to each other, I hot sex ethiopia it as if they are talking about me. Usa online dating sites hear the voice in the left side ehtiopia someone is in fact speaking to me from the right.

I feel disturbed when socks fall from the rope. The socks were hanged from outside home while I am in my bed.

My wife also confirmed that the bed was clean and free of insects. IDI 10, age The above hot sex ethiopia effects depend on the individual and the type of khat. These behavioral and physiological changes are managed normally through chebsi reversing the after effects of Mirqanna through various activities.

Most hot sex ethiopia drink alcohol for this purpose and others perform risky sexual intercourse with commercial sex hot sex ethiopia or any other married But Looking Real Sex Conway. Religious chewers, especially Muslims, reverse the aftereffects by drinking milk.

Users of khat reported different withdrawal signs and symptoms of khat. The reported withdrawal experiences were increased appetite, increased sleep, yawning, decreased energy, irritability, loss of motivation and concentration, restlessness, craving, depressed mood and unpleasant dreams.

In order to manage these withdrawals some respondents chew khat in the morning, which is named yejebena.