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2015 ; 15
(ä): 710
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Time to unsafe sexual practice among cross-border female sex workers in Metemma
Yohannes, North West Ethiopia
#MMPMID26215290
Gezie LD
; Taye BW
; Ayele TA
BMC Public Health
2015[Jul]; 15
(ä): 710
PMID26215290
show ga
BACKGROUND: Because of the nature of their work, female sex workers are at risk
of sexually transmitted diseases. Cross-border areas are places where this
situation becomes worse. In Ethiopia, there has been a serious scarcity of
studies on the time at which unsafe sexual practice starts and on factors which
determine the practice among female sex workers there. Therefore, this study
aimed to fill this identified gap. METHOD: A total of 467 women who had been sex
workers at least for three months prior to the resumption of the study were
included. A structured and pre-tested questionnaire was used to collect data from
July-August, 2010. Descriptive statistics was used to explore the data, and the
Extended Cox-Regression model was employed to identify the predictors of
time-to-unsafe sexual practice. RESULT: The study participants were followed for
6, 643 person-months. The overall incidence density of unsafe sexual practice was
44.71 persons per 1000 persons-months. The hazard of unsafe sexual practice
increased by 3.0 % every month (p-value =0.040) due to problem-drinking. Those
female sex workers with familiarized clients had a two-fold hazard of practicing
unsafe sex compared to their counterparts (AHR = 1.94 95 % CI 1.49, 2.53). The
predominant sexual client type and the work place of sex workers were the other
significant predictors of unsafe sexual practice. CONCLUSIONS: The incidence of
unsafe sexual practice was found to be high among sex workers in the cross-border
area. Time-to-unsafe sexual practice was significantly associated with female sex
workers' status of familiarity with their clients, predominant sexual client
type, their work place, and the interaction term of time and problem-drinking.
Interventions need to be made on these controllable social and behavioral
characteristics to help sex workers extend the duration of their safe sexual
practice beyond the time they will quit sex work.
|Adolescent
[MESH]
|Adult
[MESH]
|Alcoholism/*epidemiology
[MESH]
|Emigration and Immigration/*statistics & numerical data
[MESH]