Prevalence and Correlates of Exchanging Sex for Money (Gift), among Private College Students in Bahir Dar City, Northwest Ethiopia
Clinical Medicine Research
Volume 2, Issue 6, November 2013, Pages: 126-134
Received: Aug. 30, 2013;
Published: Oct. 20, 2013
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Zelalem Alamrew, Departement of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia
Worku Awoke, Departement of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia
Getachew Fikadie, Department of Public Health, College of Medicine and Health Sciences, Semera University, Ethiopia
Bizuayhu Shimekaw, Department of Public Health, College of Medical Sciences, Andinet Medical College, Dangla Ethiopia
Background: Transactional sex is the practice of exchanging sex for financial or life style rewords; which has been associated with increased risk of HIV and others STD’s. The aim of this study was to assess the prevalence and correlates of exchanging sex for money (gifts) among college students in Bahir Dar city. Methods: A cross sectional study was conducted in July 2012 among 790 students in eight private colleges in Bahir Dar city using multistage sampling technique. A pre-tested self-administered questionnaire was used. The data were analyzed in bivariate and multivariate logistic regression analysis with SPSS version 16 soft ware package. Results: About 27.8% of sexually active respondents of the study were reported to have exchanged sex for money (gift). Respondents reported unprotected sex were about 2 times more likely to exchange sex compared to those never did unprotected sex (AOR= 1.85, 95%CI: 1.07-8.78).The odds of exchanged sex was higher for students living in rented house with no family compared to those living with family (AOR= 1.78, 95%CI: 1.03 -3.06), and for the students who used khat and shisha compared to those never took these substances (AOR= 1.92, 95%CI: 1.10-3.33 and AOR= 3.14, 95%CI: 1.32-7.44) respectively. Moreover, the students visited night clubs more than two times a week were more than threefold risk of exchanging sex compared to those students never visited night clubs(AOR= 3.87, 95%CI: 1.71- 8.78). Conclusion: This study revealed that 27.8% of sexually active respondents were ever exchanged sex and unprotected sex was associated with it, implying that receiving/paying money (gift) might interfere to negotiate condom use. Besides, several variables were associated with it, therefore, HIV/AIDS prevention programs need to give attention to exchanged sex.
Prevalence and Correlates of Exchanging Sex for Money (Gift), among Private College Students in Bahir Dar City, Northwest Ethiopia, Clinical Medicine Research.
Vol. 2, No. 6,
2013, pp. 126-134.
Jenny Nicholson MSW Student, risky sexual behaviour among adolescents and young adults, University of North Carolina Chapel Hill, [Cited 2012 may 4]. Available from: http://www.docstoc.com/docs/38043379/
Jessica M Edwards, Iritani B J, and Hallfors D D. Prevalence and correlates of exchanging sex for drugs or money among adolescents in the United States. Sex Transm Infect 2006; 82:354–358. doi: 10.1136/sti.2006.020693
USAIDS AIDSTAR-One. Behavioral Interventions: Transactional and Age-disparate Sex in Hyperendemic Countries, [Cited 2012 December 10]. Available from:http://www.jamaicaobserver.com/news/No-to-sex-for-dollar-13286102)
AnnM. Moore1, Ann E. Biddlecom1, and Eliya M. Zulu2. Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in sub-Saharan Africa. Afr J Reprod Health 2007; 11(3):44-61
Wamoyi et al., Transactional sex amongst young people in rural northern Tanzania: an ethnography of young women's motivations and negotiation. Reproductive Health 2010, 7:2
Kristin L Dunkle. Transactional sex and economic exchange with partners among young South African men in the rural Eastern Cape: prevalence, predictors, and associations with gender-based violence. Soc Sci Med. 2007; 65(6): 1235–1248.
Dunkle K L, Jewkes R K, Brown H C, McIntyre J A, and Gray G E. Prevalence of transactional sex in an antenatal clinic population in South Africa. The 14th International AIDS Conference ; 2002
WHO/UNICE. Global Consultation on Strengthening the Health Sector Response to Care, Support, Treatment and Prevention for Young People Living with HIV; Blantyre Malawi, November, 2006
Rweng.M. Sexual Risk Behavior among Young People in Bamenda Cameroon. International Family Planning Perspectives 2000; 26(3):118-130.
Young People Most at Risk of HIV: A Meeting Report and Discussion Paper from the Interagency Youth Working Group, the Joint United Nations Programme on HIV/AIDS (UNAIDS) Inter-Agency Task Team on HIV and Young People, and FHI. Research Triangle Park, NC: FHI, 2010.
Joint United Nations Programme on HIV AIDS (UNAIDS). Global HIV/AIDS response, epidemic update and health sector progress towards universal access, progress report 2011.
Report on the 2009 Round Antenatal Care Sentinel HIV Surveillance in Ethiopia. Ethiopian Health and Nutrition Research Institute (EHNRI); Addis Ababa, August, 2011
Nigatu R, Seman K. Attitudes and practices on HIV preventions among students of higher education institutions in Ethiopia. Educational Research 2011; 2(2): 828-840
Diana Flannery and Lyndall Ellingson. Sexual Risk Behaviors among First Year College Students. Californian Journal of Health Promotion 2003;1(3) : 93-104
Sunmola AM. Evaluating the sexual behaviour, barriers to condom use and its actual use by university students in Nigeria. AIDS Care 2005; 17(4): 457-465
Zerai K . Sexual Experiences and their Correlates Among Jimma University Students, Jimma, Ethiopia. Ethiop. J. Health Sci 2002; 15(1): 21-29
Najjumba M.I, Ntozi.J, Ahimbisibwe E.F, Odwee. J and Ayiga Natal. Risk perception and condom use in Uganda. African population studies 2003; 18 (1): 68-80
Amsale C and Yemane B. Peer Pressure Is the Prime Driver of Risky Sexual Behaviors among School Adolescents in Addis Ababa, Ethiopia. World Journal of AIDS 2012; 2: 159-164
Nigatu Regassa, Seman Kedir. Attitudes and practices on HIV preventions among students of higher education institutions in Ethiopia: The case of Addis Ababa University. Educational Research(ISSN: 2141-5161) 2011; 2(2) : 828-840
Kristin L, Rachel J, Mzikazi N, Nwabisa J, Jonathan L, Yandisa S et al. Transactional sex and economic exchange with partners among young South African men in the rural Eastern Cape. Soc Sci Med. 2007 September; 65(6): 1235–1248. doi:10.1016/j.socscimed.2007.04.029.
Tamara S, Lindsay C and Tania V. Narratives of transactional sex on a university campus. Culture, Health & Sexuality: An International Journal for Research, Intervention and Care 2012; 14(4): 435–447
Ann M. M, Ann E.B, and Eliya M.Z. Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relationships in sub-Saharan Africa. Afr J Reprod Health 2007; 11(3):44-61
Alcohol Use and Sexual Risk Behaviour: A Cross-Cultural Study in Eight Countries. World Health Organization Geneva 2005.