A TRANSCULTURAL PATTERN OF DRUG-USE - QAT (KHAT) IN THE UK

Background This study investigates patterns of qat use among 207 Somal is living in London. Method Subjects were recruited using privileged a ccess interviewing. Somalian interviewers were recruited who shared th e same culture as the subjects. Data were collected by means of a stru ctured interview. Results One hundred and sixty-two subjects (78%) had used qat. The majority (76%) used more qat than in Somalia. Some user s reported moderate dependence; a minority reported severe problems. A dverse psychological effects included sleep problems, anxiety and depr ession. Medical problems associated with qat use were rare. Conclusion s Qat users who continue to use this drug when it, is transplanted fro m a traditional context may experience difficulties. Qat use can also be seen as playing a positive role in supporting the cultural identity of the Somalian community. Severe problems were rarely reported. Oat consumption should be considered when addressing health-related topics with patients from those communities in which qat use is common.