scholarly journals Identifying Barriers and Enablers to Exclusive Breastfeeding in Mwenezi and Chiredzi Districts, Zimbabwe

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 249-249 ◽  
Author(s):  
Gugulethu Moyo ◽  
Tapiwa Magaisa ◽  
Arthur Pagiwa ◽  
Rutendo Kandawasvika ◽  
Loveness Nyanga ◽  
...  
Keyword(s):  
Social Behavior ◽  
Behavior Change ◽  
International Development ◽  
Exclusive Breastfeeding ◽  
The European Union ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Behavior Change Intervention ◽  
High Labor ◽  
Barrier Analysis

Abstract Objectives To build an understanding of factors that influence exclusive breastfeeding practices (EBF) of lactating mothers which will contribute to the development a behavior change intervention targeting mothers in households with children 0–6 months in Mwenezi and Chiredzi districts of Zimbabwe. Methods A cross sectional study was conducted in May 2018 according to the protocol laid out in United States Agency for International Development (USAID)’s “A Practical Guide to Conducting a Barrier Analysis.” It was carried out in four administrative wards in Mwenezi district and six in Chiredzi district. The behavior under study was “Mothers of children ages 0 – 6 months feed them only breast milk.” Structured in-depth interviews were administered to a total of 90 mothers with children aged 0–6 months, targeting 45 doers and 45 non-doers for the behavior, as part of formative research for the development of a social behavior change intervention. Perceived self-efficacy, social-cultural norms, perceived positive-negative consequences, cues for action and community rules and laws were identified. Qualitative analysis included coding, sorting and identifying themes. Results Barriers to EBF included high labor burden, perceived milk insufficiency and influence from mother-in-law. The main enablers were spousal support with chores and information from nurses. Mothers said that other factors that made EBF easier were a desire to have a healthy baby, feeling that breastmilk was enough to satisfy the baby and family support, while breast pain, and needing to give the baby water and other concoctions due to the heat or religious practices made it difficult. Some mothers felt that the negative consequences of breastfeeding were that it is time-consuming, increases workload and increases the risk of HIV transmission. Conclusions High labor burden, limited support with chores, in-law influence and perceived milk insufficiency impeded optimal EBF. Approval from in-laws and spouses was important in EBF. These findings were used to develop a social behavior change program that is currently being implemented in Zimbabwe, targeting pregnant and lactating women and key influencers such as mothers-in-law and spouses. Funding Sources The funding for the barrier analysis study was provided by the European Union through United Nations Children's Fund (UNICEF).

Socioeconomic Inequality in Exclusive Breastfeeding Behavior and Ideation Factors for Social Behavioral Change in Three North-western Nigerian States: a Cross-sectional Study.

2021 ◽  
Author(s):  
Dele Abegunde ◽  
Paul Hutchinson ◽  
Udochisom Anaba ◽  
Foyeke Oyedokun Adebagbo ◽  
Emily White Johansson ◽  
...  
Keyword(s):  
Behavior Change ◽  
Exclusive Breastfeeding ◽  
Strategic Communication ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
P Value ◽  
Cross Sectional ◽  
And Behavior ◽  
The Impact ◽  
North Western

Abstract BackgroundSocioeconomic inequalities could mitigate the impact of social and behavior change (SBC) interventions aimed at improving positive ideation towards the practice of exclusive breastfeeding. This study explores the empirical evidence of inequalities in the practice of exclusive breastfeeding (EBF) and associated ideational domains of the theory of Strategic Communication and Behavior Change in three north-western Nigeria states. MethodsWe used cross‐sectional data from 3,007 randomly selected women with under-two-year-old children; the convenient regression method was applied to estimate the concentration indexes of exclusive breastfeeding behavior, ranked by household wealth index. Inequality was decomposed to associated ideational factors and sociodemographic determinants. Avoidable inequalities and the proportion of linear redistribution to achieve zero inequality were estimated. ResultsWomen from wealthier households were more likely to practice exclusive breastfeeding (CIx = 0.1236, p-value = 0.00). Attendance of at least four antenatal clinic visits (ANC 4+) was the most significant contributor to the inequality, contributing CIx = 0.0307 (p-value = 0.00) to the estimated inequality in exclusive breastfeeding practice. The elasticity of exclusive breastfeeding behavior with respect to partners influencing decision to breastfeed and ANC4+, were 0.1484 (p-value = 0.00) and 0.0825 (p-value = 0.00) respectively. Inequality in the regular attendance at community meetings (CIx = 0.1887, p-value =0.00); ANC 4+) (CIx = 0.3722, p-value = 0.00); and maternal age (CIx = 0.0161, p-value = 0.00) were pro-rich. A 10.7% redistribution of exclusive breastfeeding behavior from the wealthier half to the poorer half of the population could eliminate the inequality (line of zero inequality). Inequalities were mainly in the cognitive and social norms domain and were all pro-poor.ConclusionSocioeconomic inequalities exist in exclusive breastfeeding behaviour: the associated ideations in the study states but are mostly avoidable. A 10.7% redistribution from wealthier to the poorer half of the population will achieve elimination. Messaging for SBC communication interventions to improve breastfeeding practices could be more effective by targeting the mitigation of these inequalities.

scholarly journals Socioeconomic inequality in exclusive breastfeeding behavior and ideation factors for social behavioral change in three north-western Nigerian states: a cross-sectional study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Dele Abegunde ◽  
Paul Hutchinson ◽  
Udochisom Anaba ◽  
Foyeke Oyedokun-Adebagbo ◽  
Emily White Johansson ◽  
...  
Keyword(s):  
Behavior Change ◽  
Exclusive Breastfeeding ◽  
Strategic Communication ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
P Value ◽  
Cross Sectional ◽  
And Behavior ◽  
The Impact ◽  
North Western

Abstract Background Socioeconomic inequalities could mitigate the impact of social and behavior change (SBC) interventions aimed at improving positive ideation towards the practice of exclusive breastfeeding. This study explores the empirical evidence of inequalities in the practice of exclusive breastfeeding (EBF) and associated ideational dimensions and domains of the theory of Strategic Communication and Behavior Change in three north-western Nigeria states. Methods We used cross-sectional data from 3007 randomly selected women with under-two-year-old children; the convenient regression method was applied to estimate the concentration indexes (CIxs) of exclusive breastfeeding behavior, ranked by household wealth index. Inequality was decomposed to associated ideational factors and sociodemographic determinants. Avoidable inequalities and the proportion of linear redistribution to achieve zero inequality were estimated. Results Women from wealthier households were more likely to practice exclusive breastfeeding CIx = 0.1236, p-value = 0.00). Attendance of at least four antenatal clinic visits (ANC 4+) was the most significant contributor to the inequality, contributing CIx = 0.0307 (p-value = 0.00) to the estimated inequality in exclusive breastfeeding practice. The elasticity of exclusive breastfeeding behavior with respect to partners influencing decision to breastfeed and ANC4+, were 0.1484 (p-value = 0.00) and 0.0825 (p-value = 0.00) respectively. Inequality in the regular attendance at community meetings (CIx = 0.1887, p-value =0.00); ANC 4+) (CIx = 0.3722, p-value = 0.00); and maternal age (CIx = 0.0161, p-value = 0.00) were pro-rich. A 10.7% redistribution of exclusive breastfeeding behavior from the wealthier half to the poorer half of the population could eliminate the inequality (line of zero inequality). Inequalities were mainly in the cognitive and social norms dimension and were all pro-poor. Conclusion Socioeconomic inequalities exist in exclusive breastfeeding behaviors and in associated ideation factors in the three states but are mostly avoidable. A 10.7% redistribution from wealthier to the poorer half of the population will achieve elimination. Messaging for SBC communication interventions to improve breastfeeding practices could be more effective by targeting the mitigation of these inequalities.

PERCEIVED EFFECTS OF STREET HAWKING ON THE WELL-BEING OF CHILDREN IN ANYIGBA, DEKINA LOCAL GOVERNMENT AREA OF KOGI STATE, NIGERIA

2018 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Alfred Eboh
Keyword(s):  
Local Government ◽  
Survey Design ◽  
Sampling Technique ◽  
Well Being ◽  
Local Government Area ◽  
Negative Consequences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Effects ◽  
The Government

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.

Leader-Member Exchange (LMX) Impact on Work-Home Interference in a South African Commuter Transport Engineering Company

2019 ◽  
Vol 43 ◽  
Author(s):  
Jan Christoff Visagie ◽  
Michael M. Jones ◽  
Herman L. Linde
Keyword(s):  
South African ◽  
Structural Equation ◽  
Pearson Correlation ◽  
Correlation Coefficients ◽  
Leader Member Exchange ◽  
Negative Consequences ◽  
Dyadic Relationship ◽  
Cross Sectional ◽  
Engineering Company ◽  
Member Exchange

The South African workplace is confronted with many leadership challenges, specifically those relating to the employment relationship between subordinates and their supervisors. A high-quality relationship is essential, considering the work-family spillovers employees experience. Limited research has been conducted on the potential positive and negative consequences of the leader-member exchange (LMX) dyadic relationship. In this study, we used a cross-sectional research design, and drew an employee sample (N = 120) from a commuter transport engineering company. A five-point Likert scale was employed and statistical analyses were carried out using the SAS statistical program. We calculated Pearson correlation coefficients and used structural equation modelling to test the proposed conceptual model to indicate possible correlations between the different variables. The main finding of the study was that the nature of the LMX relationship quality in the relevant company appeared to be high and positively related to work-home enrichment but negatively related to work-home conflict and role overload. The article concludes by making a number of suggestions to respond to challenges.

HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA BALITA USIA 1-5 TAHUN DIPUSKESMAS SUKAHENING KECAMATAN SUKAHENING KABUPATEN TASIKMALAYA

2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih
Keyword(s):  
Public Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Growth Failure ◽  
Sampling Technique ◽  
Not Given ◽  
Chi Square ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Impact

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 

Perbedaan Perkembangan Bayi Usia 6 – 11 Bulan Yang Diberikan Asi Eksklusif Dan Non Asi Eksklusif Di Wilayah Kerja Puskesmas Durenan Kabupaten Trenggalek Tahun 2017

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Erike Yunicha Viridula
Keyword(s):  
Community Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Early Life ◽  
Univariate Analysis ◽  
Community Health Center ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Probability Sampling

ABSTRAKGangguan pertumbuhan bayi pada usia dini menyebabkan bayi diberikan MP-ASI terlalu dini dan ibunya tidak memberikan ASI eksklusif selama 6 bulan pada awal kehidupan bayi. Dari hasil studi pendahuluan pada bayi berusia 6-11 bulan yang mendapatkan ASI eksklusif hampir sepenuhnya meragukan perkembangan. Jika ini terus berlanjut, bayi tidak dapat berkembang dengan baik di usia berikutnya. Tujuan penelitian ini untuk mengetahui perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan kecamatan Durenan Trenggalek tahun 2017.Desain penelitian ini adalah studi inferensial dengan pendekatan cross sectional. Sampel yang diambil dalam penelitian ini adalah ibu dengan bayi 6-11 bulan pada bulan Oktober di Puskesmas kecamatan kecamatan Durenan Trenggalek pada tahun 2017 berjumlah 40 responden yang diambil menggunakan metode probability sampling dari jenis sistem simple random sampling. Data dianalisis dengan analisis univariat bahwa distribusi frekuensi variabel independen dan dependen dan analisis bivariat menggunakan Mann-Whitney U.Hasil penelitian menunjukkan bahwa dari 20 responden 95% yang mendapatkan ASI eksklusif memiliki perkembangan yang sesuai, 5% memiliki perkembangan yang meragukan, 0% mengalami gangguan perkembangan. Sementara 20 responden diberi 40% menyusui non eksklusif memiliki perkembangan yang sesuai, 60% memiliki perkembangan yang meragukan, dan 0% mengalami gangguan perkembangan. Hasil analisis statistik menunjukkan ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017.Jadi dapat disimpulkan bahwa ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapatkan ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017. Sehingga diharapkan bayi mendapat ASI eksklusif selama 6 bulan pertama dan dilanjutkan hingga 2 tahun dengan makanan pendamping (MP-ASI).Kata kunci : ASI eksklusif, ASI tidak eksklusif, pengembangan ABSTRACTDisorder of Infant growth in early life caused baby are given Complementary feeding (MP-ASI) too early and the mother didn’t give exclusive breastfeeding for 6 months in early life of baby. From the results of preliminary studies in infants aged 6-11 months who get non exclusive breastfeeding had almost entirely dubious developments. If this continues, the baby can’t develop properly in the next age. The purpose of this study to determine development differences in infants aged 6-11 months who get exclusive breastfeeding  and non- exclusive breasfeeding in community health center sub district Durenan Trenggalek district in 2017. The design of this study is inferential study with cross sectional approach.  Samples which taken in this study were mothers with infants 6-11 months in October in community health center sub district Durenan Trenggalek district in 2017 amounted to 40 respondents drawn using probability sampling method of the type system simple random sampling.  Data were analyzed by univariate analysis that the frequency distribution of independent and dependent variables and bivariate analysis using Mann-Whitney U. The results showed that of the 20 respondents 95% who get exclusive breastfeding had appropriate development, 5% had dubious developments, 0% had disorder development. While 20 respondents were given 40% non exclusive breastfeeding had appropriate development, 60% have dubious development, and 0% had disorder development. Statistical analysis showed there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017. So can be concluded that there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017.So expected the babies got exclusive breastfeeding for the first 6 months and continued to 2 years with complementary foods (MP-ASI).Key Words : exclusive breastfeding, non exclusive breastfeding, development

Breastfeeding practices among mothers of infants in Peringara Panchayat in Pathanamthitta District

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Aswathy S. ◽  
Lakshmi M. K.
Keyword(s):  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Chi Square Test ◽  
Type Of Delivery ◽  
Initiation Of Breastfeeding

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.

scholarly journals Indirect Health Effects of COVID-19: Unhealthy Lifestyle Behaviors during the Lockdown in the United Arab Emirates

2021 ◽  
Vol 18 (4) ◽  
pp. 1964
Author(s):  
Hadia Radwan ◽  
Mahra Al Kitbi ◽  
Hayder Hasan ◽  
Marwa Al Hilali ◽  
Nada Abbas ◽  
...  
Keyword(s):  
Physical Activity ◽  
United Arab Emirates ◽  
Lifestyle Change ◽  
Change Score ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Negative Consequences ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Study Results

Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE). Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n = 2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study. Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β = 0.32, CI: 0.22; 0.42), living in an apartment (β = 0.12, CI: 0.003; 0.23) and being overweight/obese (β = 0.24, CI: 0.15; 0.32) had higher scores, while older adults (>40 years) had lower scores (β = −0.23, CI: −0.34; −0.12). Conclusions: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

scholarly journals The Association between Sociocultural Factors and Substance Use among Haramaya University Students

2021 ◽  
Vol 15 ◽  
pp. 117822182110045
Author(s):  
Zelalem Tadese Feyisa
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
University Students ◽  
Health Workers ◽  
Sociocultural Factors ◽  
University Management ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Khat Use

All the associated risk factors were not equally responsible for influencing individuals either in alcohol use, khat use, tobacco, or cannabis use. This study attempted to examine sociocultural factors influencing university students in substance use by comparing one with another. A cross-sectional study was carried out. The study used a quantitative approach to collect data from 384 students. Compared with their involvement in khat use, female students were positively influenced in cigarette and hashish use (Adjusted Odds Ratio, AOR = 1.102, 95% CI: 1.056, 1.149) and alcohol use (AOR = 1.066, 95% CI: 1.021, 1.113). The involvement of students in alcohol use (AOR = 0.884, 95% CI: 0.838, 0.932) and cigarettes and hashish use (AOR = 0.909, 95% CI: 0.866, 0.953) were negatively associated with stress related to their academic activities. The involvement of students in alcohol use (AOR = 0.942, 95% CI: 0.906, 0.979) was negatively associated with parental influences; involved in alcohol use (AOR = 0.445, 95% CI: 0.210, 0.941) was negatively associated with the thoughts of considering substances as an energizer. The involvement of students in alcohol use (AOR = 4.980, 95% CI: 1.614, 15.368) was positively associated with peer influences. It was, thus, suggested that the management of Haramaya University should work on creating awareness of the negative consequences of substance use. Concerned professionals, including sociologists, psychologists, and health workers, should work on raising students’ awareness as it was possible to undertake their studies without substance use. Moreover, the university management is strongly recommended to expand recreational centers within the campus. Lastly, Haramaya woreda administration should restrict the availability and accessibility of these substances around the campus.

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