Expectancy theory focuses on the contribution of cultural and social expectations about the effects of substances on sexual behavior and posits that substance use enhances sexual pleasure, in turn increasing the risk of sexual behavior.
Qualitative study using semistructured focus groups among adult members of Somali communities in Brisbane, Sydney, Melbourne and Perth who volunteered to attend focus groups in January and December 2010.
Main outcome measures: Nineteen focus groups included 114 participants.
Khat use was reported to be common among the Somali community, and more common among men than women.
Khat was usually chewed in prolonged sessions, producing mild psychostimulant effects such as increased energy, enhanced mood, reduced appetite and reduced sleep.
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Conclusions: Health professionals require greater awareness of khat use and related health problems.
Health promotion activities targeting communities with high levels of khat use are required to increase understanding of the potential risks of regular khat use, to promote harm-reduction strategies, and to increase awareness of services available for those experiencing harm.
During this time, teenagers and young adults may change partners frequently, have multiple partners within the same time period, or may practice unsafe sex.
They may also engage in continuous substance abuse despite the potential harm that can occur as a result of their actions.
Risky sexual behaviors are behaviors that include engaging in sexual activity from an early age, inconsistent use of condoms during sexual intercourse, unprotected sexual intercourse, having sex with commercial sex workers and the tendency to have multiple sexual partners.