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Determinants of sexually transmitted infections among female sex workers in Ethiopia: a count regression model approach

Wariso, Feyiso Bati ; Ayalew, Jemal ; Barba, Ammar ; Bedassa, Birra Bejiga ; Ebo, Gemechu Gudeta ; Tura, Jaleta Bulti ; Rameto, Mohammed ; Belihu, Wudinesh Belete LU orcid ; Asfaw, Derbachew and Amogne, Minilik Demissie LU orcid , et al. (2023) In Frontiers in Public Health 11.
Abstract
Background: Sexually transmitted infections (STIs) remain a major public health problem worldwide, with the burden of these infections being high among female sex workers (FSWs), who are often not aware of their infection status. This study aimed to determine the factors that are associated with the number of STIs among FSWs in Ethiopia.
Methods: A cross-sectional bio-behavioral study involving respondent-driven sampling (RDS) was conducted among 6,085 FSWs in 16 towns in Ethiopia. The hurdle Poisson regression model was fitted using STATA Version 16.2. The incident rate ratio and adjusted odds ratio with a 95% confidence interval were employed to show the strength and direction of the association. A p-value of ≤0.05 was used as a... (More)
Background: Sexually transmitted infections (STIs) remain a major public health problem worldwide, with the burden of these infections being high among female sex workers (FSWs), who are often not aware of their infection status. This study aimed to determine the factors that are associated with the number of STIs among FSWs in Ethiopia.
Methods: A cross-sectional bio-behavioral study involving respondent-driven sampling (RDS) was conducted among 6,085 FSWs in 16 towns in Ethiopia. The hurdle Poisson regression model was fitted using STATA Version 16.2. The incident rate ratio and adjusted odds ratio with a 95% confidence interval were employed to show the strength and direction of the association. A p-value of ≤0.05 was used as a threshold for statistical significance.
Results: At least one STI was identified in 1,444 (23.64%) of the FSWs. Age group 35–49 years [IRR = 2.32; 95% CI (1.43, 3.74)], forced first sex [IRR = 1.32; 95% CI (1.01, 1.74)], condom breakage [IRR = 1.32; 95% CI (1.01, 1.74)], and a history of depression [IRR = 1.55; 95% CI (1.12, 2.18)] increase the number of STIs. FSWs aged 25–34 years [AOR = 2.99; % CI (2.54, 3.52)] and 35 = 59 years [AOR = 8.05; % CI (6.54, 9.91)], who were selling sex for 5–10 years [AOR = 1.30; 95% CI (1.1, 1.55)], and above 11 years [AOR = 1.21; 95% CI (1.03, 1.43)] were more likely to get STIs.
Conclusion: STIs are common in Ethiopia. The covariates age, educational status, monthly income, condom failure, age at the first sexual encounter, and long duration of sexual practice are significant predictors of STIs. Health interventions among FSWs need to include awareness generation about the prevention and control of STIs and address the determinants identified in this analysis. (Less)
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type
Contribution to journal
publication status
published
subject
in
Frontiers in Public Health
volume
11
article number
1190085
publisher
Frontiers Media S. A.
external identifiers
  • scopus:85168372336
  • pmid:37601188
ISSN
2296-2565
DOI
10.3389/fpubh.2023.1190085
language
English
LU publication?
no
id
fe1fce98-58f9-46f9-8690-ea54a3e6e467
date added to LUP
2023-08-17 14:57:20
date last changed
2023-11-17 03:00:12
@article{fe1fce98-58f9-46f9-8690-ea54a3e6e467,
  abstract     = {{Background: Sexually transmitted infections (STIs) remain a major public health problem worldwide, with the burden of these infections being high among female sex workers (FSWs), who are often not aware of their infection status. This study aimed to determine the factors that are associated with the number of STIs among FSWs in Ethiopia.<br/>Methods: A cross-sectional bio-behavioral study involving respondent-driven sampling (RDS) was conducted among 6,085 FSWs in 16 towns in Ethiopia. The hurdle Poisson regression model was fitted using STATA Version 16.2. The incident rate ratio and adjusted odds ratio with a 95% confidence interval were employed to show the strength and direction of the association. A p-value of ≤0.05 was used as a threshold for statistical significance.<br/>Results: At least one STI was identified in 1,444 (23.64%) of the FSWs. Age group 35–49 years [IRR = 2.32; 95% CI (1.43, 3.74)], forced first sex [IRR = 1.32; 95% CI (1.01, 1.74)], condom breakage [IRR = 1.32; 95% CI (1.01, 1.74)], and a history of depression [IRR = 1.55; 95% CI (1.12, 2.18)] increase the number of STIs. FSWs aged 25–34 years [AOR = 2.99; % CI (2.54, 3.52)] and 35 = 59 years [AOR = 8.05; % CI (6.54, 9.91)], who were selling sex for 5–10 years [AOR = 1.30; 95% CI (1.1, 1.55)], and above 11 years [AOR = 1.21; 95% CI (1.03, 1.43)] were more likely to get STIs.<br/>Conclusion: STIs are common in Ethiopia. The covariates age, educational status, monthly income, condom failure, age at the first sexual encounter, and long duration of sexual practice are significant predictors of STIs. Health interventions among FSWs need to include awareness generation about the prevention and control of STIs and address the determinants identified in this analysis.}},
  author       = {{Wariso, Feyiso Bati and Ayalew, Jemal and Barba, Ammar and Bedassa, Birra Bejiga and Ebo, Gemechu Gudeta and Tura, Jaleta Bulti and Rameto, Mohammed and Belihu, Wudinesh Belete and Asfaw, Derbachew and Amogne, Minilik Demissie and Negeri, Lemessa and Lulseged, Sileshi and Abrahim, Saro Abdella}},
  issn         = {{2296-2565}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Public Health}},
  title        = {{Determinants of sexually transmitted infections among female sex workers in Ethiopia: a count regression model approach}},
  url          = {{http://dx.doi.org/10.3389/fpubh.2023.1190085}},
  doi          = {{10.3389/fpubh.2023.1190085}},
  volume       = {{11}},
  year         = {{2023}},
}