Unsafe Sexual Practice among Cross-Border Commercial Sex Workers in Mettema Yohannis, Northwest Ethiopia
Background: Commercial sex work is an occupation that makes its workers highly vulnerable to sexually transmitted infections (STIs), including HIV especially, in border areas. Currently, there is lack of information on unsafe sexual practice among cross-border commercial sex workers (CSWs).
Objective: to assess unsafe sexual practices and associated factors among cross-border CSWs in Mettema Yohannis, northwest Ethiopia.
Method: A cross-sectional study triangulated with qualitative design was used. For the quantitative study, data were collected from a systematically selected sample of 474 CSWs. Data were analyzed using the global (sexual experiences in the last twelve months) and situational analyses (based on last sex). The SPSS version 16.0 statistical software with multiple logistic regression was used for analyses. For the qualitative component, seventeen in-depth interviews and four focus group discussions were carried out.
Result: The prevalence of unsafe sex during the last sexual intercourse, last seven days and last twelve months, were 21.5%, 31.1%, 63.9%, respectively. Sex workers were more likely to practice unsafe sex with Sudanese clients (OR=6.4, 95% CI: 3.20, 12.78) and truck drivers (OR = 4.89, 95%CI: 1.26, 18.90). Familiarization with sexual clients was the strongest and consistently associated factor for unsafe sex both in global and situational analyses: OR=16.76, 95%CI 8.24, 34.08 and OR=19.49, 95%CI 6.44, 58.98, respectively. Mobile CSWs (OR =6.12 95%CI: 1.11, 33.64), working in rental houses (OR = 3.72 95% CI 1.25, 11.02), duration of exposure to sex work, educational level, monthly income and problem drinking were also significantly associated with unsafe sex.
Conclusion: There was a high prevalence of unsafe sexual practice among cross border CSWs. It is recommend that the Government of Ethiopia in collaboration with other organizations develop and launch mobility friendly STI/HIV intervention programs to alleviate the vulnerability of CSWs in cross-border areas.
Keywords
Authors
How to Cite
Download Citation
License
Copyright © 2021 The Author(s)
Similar Articles
- Desalegn Tegabu, Getahun Asres , Samuel G/Selassie, Patient and Health Service Delay in the Diagnosis and Treatment of Pulmonary Tuberculosis: The Situation at a Teaching and Referral Hospital in Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 5 No. 1 (2012)
- Haregewoin Mulat, Equlinet Misgenaw, Haddis Solomon, Public Knowledge and Attitude Towards Mental Illness And Mentally Challenging People In Gondar Town, Northwest Ethiopia, 2011 , Ethiopian Journal of Health and Biomedical Sciences: Vol. 9 No. 1 (2019)
- Mezgebu Yitayal , Yemane Berhane, Alemayehu Worku, Yigzaw Kebede , Graduating Rural Households as Model Families Has Increased Latrine Utilization in West Gojjam Zone, Amhara Region, Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 8 No. 1 (2017)
- Akeem Olayinka Busari, Nimotallahi Temitope Omoteji, Idris Yahaya Mohammed, Investigation of hepatotoxic effect of cement-dust in occupationally exposed individuals at Malete, Kwara State, North Central Nigeria , Ethiopian Journal of Health and Biomedical Sciences: Vol. 14 No. 2 (2024)
- Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal, Willingness to Enroll For Community-Based Health Insurance and Associated Factors among Household Heads in the Rural Community of Fogera District, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 10 No. 1 (2020)
- Yeterefwork Tsige , Baye Gelaw, Marta Alemayhu, Anteneh Amsalu, The Prevalence Of Methicilin Resistant Staphylococcus Aureus And Associated Risk Factors Among Patients With Wound Infection At Dessie Referral Hospital, Northeast Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 8 No. 1 (2017)
- Asratie Guangul , Bahiru Tenaw , Sileshi Ayehualem, Abebe Muche, Radiographic Assessment of Cardiothoracic Ratio in Apparently Healthy Adults in Bahir Dar, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 12 No. 2 (2022)
- Yishak Abraham, Daniel Asrat, Yimtubezinash Woldeamanuel, Tezera Chaka, Dereje Negash, Biruk L. WAMISHO, Bacteriology of Compound (Open) Fracture Wounds at ‘Tikuranbessa’ Specialized Hospital, Addis Ababa University, Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 3 No. I (2010)
- Yigzaw Kebede , Linking Research with Community Services. What Is The Experience Of Ethiopian Universities? , Ethiopian Journal of Health and Biomedical Sciences: Vol. 6 No. 1 (2014)
- Mebrate Dufera, Hans C.Aass , Nega Berhe , Beyene Petros , Berhanu Erko, Cytokine Response in Mono and Malaria-S. mansoni Co-Infected Individuals in Fincha Sugar Estate, Western Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 9 No. 1 (2019)
You may also start an advanced similarity search for this article.
Most read articles by the same author(s)
- Belaynew Wasie, Yigzaw Kebede, Anwar Yibre, Nutritional Status of Adults Living With HIV/AIDS at the University of Gondar Referral Hospital, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 3 No. I (2010)
- Berihun Megabiaw , Belaynew Wasie, Nikki L. Rogers, Malnutrition among HIV-Positive Children at Two Referral Hospitals in Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 5 No. 1 (2012)
- Genet Kiflu, Solomon Amsalu, Melkie Edris, Knowledge, Attitude, and Practice of Fgm, Uvulectomy and Extraction of Canine Milk Teeth Follicle among Mothers of Children under the Age of One Living In Gondar Town , Ethiopian Journal of Health and Biomedical Sciences: Vol. 6 No. 1 (2014)