Geda, Biftu
3 Publications in AERD
Author Publications
Export PDFDrug use and its associated factors among in-school adolescents in Harari region of eastern Ethiopia
By Hunduma, Gari
This study aimed to determine the magnitude of current drug use and its associated factors among randomly selected 3227 in-school adolescents in eastern Ethiopia using a multistage sampling technique. Data were collected using questionnaires adapted from the Global School-Based Health Survey. The magnitude of current drug use among in-school adolescents was 5.67% (95% CI: 4.92–6.52). Rural residence (AOR = 2.25, 95% CI: 1.43; 3.54), social media use (AOR = 2.53, 95% CI: 1.75; 3.65), being bullied by others at school (AOR = 8.34, 95% CI: 5.67; 12.56), having a father who used drugs (AOR = 2.20, 95% CI: 1.38; 3.39), and having low self-esteem (AOR = 5.83, 95% CI: 2.77; 12.27) were significantly associated with increased odds of current drug use. The magnitude of current drug use is high. The findings highlight that interventions should focus on rural dwellers, social media users, bully victims, adolescents whose fathers use drugs, and adolescents with low self-esteem. © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Internalizing and externalizing mental health problems affect in-school adolescent's health- related quality of life in eastern Ethiopia: A cross-sectional study
By Hunduma, Gari
Aims This study aimed to examine the association between mental health problems and health-related quality of life (HrQoL) among in-school adolescents 13-19 years in the Harari region, eastern Ethiopia. Materials and methods A cross-sectional study was conducted on 3227 in-school adolescents aged 13 to 19 using multistage sampling. The KIDSCREEN-10 questionnaire assessed health-related quality of life (HrQoL), while a self-administered version of the strength and difficulty questionnaire (SDQ) examined mental health issues. Data were double entered, validated, and cleaned using EpiData version 3.1 and analyzed using STATA 14.1. An ordinal logistic regression model investigated the link between the outcome variable and the predictors. The results were reported using an odds ratio with a 95% confidence interval (CI), and a p-value of less than 0.05 was considered statistically significant. Results A quarter of the adolescents (23%) reported poor health-related quality of life; adolescents with internalizing and externalizing mental health problems had the lowest health-related quality of life. After controlling for potential confounders, adolescents with abnormal (AOR = 0.48, 95% CI: 0.39, 0.59) and borderline (AOR = 0.59, 95% CI: 0.45, 0.78) levels of internalizing problems had a 52% and 41% lower probability of having high HrQoL than those with normal levels. Furthermore, individuals with abnormal (AOR = 0.59, 95% CI: 0.45, 0.77) and borderline (AOR = 0.64, 95% CI: 0.45, 0.92) levels of externalizing difficulties had a 41% and 36% lower chance of having a high health-related quality of life. Conclusions Nearly a quarter of in-school adolescents had poor health-related quality of life. High scores for internalizing and externalizing mental health problems significantly impacted the adolescents' health-related quality of life. This emphasizes the need to address mental health issues in the school setting to improve adolescents' overall quality of life.
High Social Capital is Associated with Decreased Mental Health Problem Among In-School Adolescents in Eastern Ethiopia: A Cross-Sectional Study
By Hunduma, Gari
Purpose: The importance of social capital for adolescent mental health has not been explored in low resource settings like Ethiopia. In this study, we examined the association between social capital and mental health problems among in-school adolescents in Harari Regional State, eastern Ethiopia. Methods: A cross-sectional study was conducted among 3227 in-school adolescents of 13-19 years. A multistage sampling was used to select participants. Guided self-administered questionnaire was used to collect data. Mental health problem was measured using a self-administered version of the strength and difficulty questionnaire (SDQ), while social capital questionnaire for adolescent students (SCQ-AS) was used to collect data about the condition of social capital. The data were double entered, validated, and cleaned using EpiData 3.1 and analyzed using STATA 14.1. The association between the outcome variable and predictors was analyzed using an ordinal logistic regression model. The result was reported using an odds ratio along with 95% confidence interval (CI) and a p-value <0.05 was considered statistically significant association. Results: A total of 740 (22.93%) students had mental health problem, of which 9.7% (95% CI, 8.7-10.8) and 13.20% (95% CI, 12- 14) were classified as abnormal and borderline, respectively. Factors associated with decreased mental health problem were increased network of friends at school (AOR = 0.75, 95% CI: 0.58-0.99), increased trust in school or neighborhood (AOR = 0.52, 95% CI: 0.44-0.63), and high social cohesion in the community (AOR = 0.75, 95% CI: 0.62-0.89). Conclusion: Higher social capital is associated with a decreased mental health problem among in-school adolescents. Prevention and treatment of mental health problems require strengthening social capital at school, household, and in the neighborhood.
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