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Condom Utilization and Associated Factors Among Female Sex Workers in Bahir Dar City Administration, Northwestern Ethiopia

Received: 20 August 2020    Accepted: 3 September 2020    Published: 14 September 2020
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Abstract

Condoms have dual method for Sexually Transmitted Infection (STI) and pregnancy prevention, but the usage is affected by several reasons. As we know, approximately 36.7 million people worldwide were living with HIV/AIDS at the end of 2016. Of these, 2.1 million were children (<15 years old). An estimated 1.8 million newly infected with HIV in 2016-about 5,000 new infections per day 160,000 children (<15 years). Most of these children live in sub-Saharan Africa. In Ethiopia, it is illegal to operate a brothel or procure sex workers as a commercial activity, but the sale of sex by women is not prohibited by law. The objective of this study was to assess condom utilization and associated factors among female sex workers in Bahir Dar city administration Northwestern Ethiopia. Community based cross sectional study triangulated with qualitative in-depth interview was conducted to determine condom utilization among 307 female sex workers in Bahir Dar city in February 2019 by using Face-to-face interview for quantitative and In-depth interview for qualitative part. Data was entered in to Epi-Info version 7 then, exported to SPSS version 23 for cleaning and analysis. Binary logistic regression analysis was used to determine the association between condom utilization and its associated factors. Then multivariable logistic regression model was employed to identify statistically significant variables for condom utilization (with 95% confidence interval and p<0.05) for qualitative part till all questions answered and discussed with quantitative study. Condom utilization of Bahir Dar city commercial sex workers for the last one week was 170 (56.3%) with a (95% CI: 50.3-62.3%). Those Respondents having negative Human Immune Virus result (AOR: 4.77, 95% CI: 1.14, 20.102), having perceived social support (AOR: 3.84 95%CI 1.326, 11.155). Literate (AOR: 12.95, 95% CI: 5.22, 32.09) and those does not use drug (AOR: 5.94% CI: 2.6, 13.55) were significantly associated with condom utilization. The qualitative study shows that sex worker perform sex without condom due to money. The current condom utilization among Bahir Dar city administration commercial sex workers is lower by considering their exposure to sexually transmitted infections so working by creating awareness about the severity of HIV infection and side effects of drug use and creating other job opportunity is more helpful.

Published in International Journal of Science, Technology and Society (Volume 8, Issue 5)
DOI 10.11648/j.ijsts.20200805.14
Page(s) 113-121
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Condom Utilization, Female Sex Workers, Northwestern Ethiopia

References
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[4] Longo, J. D. D., et al., Spectrum of female commercial sex work in Bangui, Central African Republic. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 2017. 14 (1): p. 171-184.
[5] International, C. I., Ethiopian Demographic and Health Survey 2016. Addis Ababa, Ethiopia and Calverton, Maryland, USA, 2017 (just-accepted): p. 551.
[6] UNAIDS, the people live with HIV stigma index in Ethiopia UNAIDS Report, 2011: p. 96.
[7] FDRE, The Criminal Code of the Federal Democratic Republic of Ethiopia 2004. p. 282.
[8] Overs, C., et al., Sex work in Ethiopia: Mapping the impact of law, policy and enforcement practices. Paulo Longo Research Initiative, Michael Kirby Centre for Public Health and Human Rights, Monash University, 2013.
[9] Organization, W. H., Preventing HIV among sex workers in sub-Saharan Africa: a literature review. 2011.
[10] Report, U. M., Condoms the prevention of HIV, other sexually transmitted infections and unintended pregnancies. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 2016. 1 (1): p. 17481-184.
[11] Health. G, Health of female sex workers and their children. UNAIDS Report, 2016. 4: p. 18.
[12] Scheibe, A., F. Drame, and K. Shannon, HIV prevention among female sex workers in Africa. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 2012. 9 (3): p. 167-172.
[13] Tamene, M. M., G. A. Tessema, and G. K. Beyera, Condom utilization and sexual behavior of female sex workers in Northwest Ethiopia: A cross-sectional study. Pan African Medical Journal, 2015. 21 (1).
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[19] Nehl. J et. al Sex partner type, drug use and condom use self-efficacy among African Americans from disadvantaged neighborhoods: Are associations with consistent condom use moderated by gender? 2016.
[20] Lisa B. et. al Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: a cross sectional study 2017.
[21] Abebe M. et. al Living with parents and risky sexual behaviors among preparatory school students in Jimma zone, South west Ethiopia 2013.
[22] Hongjie L. et. al Chinese Culture, Homosexuality Stigma, Social Support and CondomUse A Path Analytic Model 2011.
[23] Jing G. et. al Social Environmental factors and condom use among female injection drug users who are sex workers in China 2014.
[24] Mohammed A. et. al Predictors of Condom Utilization in Plateau State, Nigeria 2017.
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  • APA Style

    Assefa Minwyelet, Addisu Engdaw. (2020). Condom Utilization and Associated Factors Among Female Sex Workers in Bahir Dar City Administration, Northwestern Ethiopia. International Journal of Science, Technology and Society, 8(5), 113-121. https://doi.org/10.11648/j.ijsts.20200805.14

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    ACS Style

    Assefa Minwyelet; Addisu Engdaw. Condom Utilization and Associated Factors Among Female Sex Workers in Bahir Dar City Administration, Northwestern Ethiopia. Int. J. Sci. Technol. Soc. 2020, 8(5), 113-121. doi: 10.11648/j.ijsts.20200805.14

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    AMA Style

    Assefa Minwyelet, Addisu Engdaw. Condom Utilization and Associated Factors Among Female Sex Workers in Bahir Dar City Administration, Northwestern Ethiopia. Int J Sci Technol Soc. 2020;8(5):113-121. doi: 10.11648/j.ijsts.20200805.14

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  • @article{10.11648/j.ijsts.20200805.14,
      author = {Assefa Minwyelet and Addisu Engdaw},
      title = {Condom Utilization and Associated Factors Among Female Sex Workers in Bahir Dar City Administration, Northwestern Ethiopia},
      journal = {International Journal of Science, Technology and Society},
      volume = {8},
      number = {5},
      pages = {113-121},
      doi = {10.11648/j.ijsts.20200805.14},
      url = {https://doi.org/10.11648/j.ijsts.20200805.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijsts.20200805.14},
      abstract = {Condoms have dual method for Sexually Transmitted Infection (STI) and pregnancy prevention, but the usage is affected by several reasons. As we know, approximately 36.7 million people worldwide were living with HIV/AIDS at the end of 2016. Of these, 2.1 million were children (<15 years old). An estimated 1.8 million newly infected with HIV in 2016-about 5,000 new infections per day 160,000 children (<15 years). Most of these children live in sub-Saharan Africa. In Ethiopia, it is illegal to operate a brothel or procure sex workers as a commercial activity, but the sale of sex by women is not prohibited by law. The objective of this study was to assess condom utilization and associated factors among female sex workers in Bahir Dar city administration Northwestern Ethiopia. Community based cross sectional study triangulated with qualitative in-depth interview was conducted to determine condom utilization among 307 female sex workers in Bahir Dar city in February 2019 by using Face-to-face interview for quantitative and In-depth interview for qualitative part. Data was entered in to Epi-Info version 7 then, exported to SPSS version 23 for cleaning and analysis. Binary logistic regression analysis was used to determine the association between condom utilization and its associated factors. Then multivariable logistic regression model was employed to identify statistically significant variables for condom utilization (with 95% confidence interval and p<0.05) for qualitative part till all questions answered and discussed with quantitative study. Condom utilization of Bahir Dar city commercial sex workers for the last one week was 170 (56.3%) with a (95% CI: 50.3-62.3%). Those Respondents having negative Human Immune Virus result (AOR: 4.77, 95% CI: 1.14, 20.102), having perceived social support (AOR: 3.84 95%CI 1.326, 11.155). Literate (AOR: 12.95, 95% CI: 5.22, 32.09) and those does not use drug (AOR: 5.94% CI: 2.6, 13.55) were significantly associated with condom utilization. The qualitative study shows that sex worker perform sex without condom due to money. The current condom utilization among Bahir Dar city administration commercial sex workers is lower by considering their exposure to sexually transmitted infections so working by creating awareness about the severity of HIV infection and side effects of drug use and creating other job opportunity is more helpful.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Condom Utilization and Associated Factors Among Female Sex Workers in Bahir Dar City Administration, Northwestern Ethiopia
    AU  - Assefa Minwyelet
    AU  - Addisu Engdaw
    Y1  - 2020/09/14
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    DO  - 10.11648/j.ijsts.20200805.14
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    JF  - International Journal of Science, Technology and Society
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    EP  - 121
    PB  - Science Publishing Group
    SN  - 2330-7420
    UR  - https://doi.org/10.11648/j.ijsts.20200805.14
    AB  - Condoms have dual method for Sexually Transmitted Infection (STI) and pregnancy prevention, but the usage is affected by several reasons. As we know, approximately 36.7 million people worldwide were living with HIV/AIDS at the end of 2016. Of these, 2.1 million were children (<15 years old). An estimated 1.8 million newly infected with HIV in 2016-about 5,000 new infections per day 160,000 children (<15 years). Most of these children live in sub-Saharan Africa. In Ethiopia, it is illegal to operate a brothel or procure sex workers as a commercial activity, but the sale of sex by women is not prohibited by law. The objective of this study was to assess condom utilization and associated factors among female sex workers in Bahir Dar city administration Northwestern Ethiopia. Community based cross sectional study triangulated with qualitative in-depth interview was conducted to determine condom utilization among 307 female sex workers in Bahir Dar city in February 2019 by using Face-to-face interview for quantitative and In-depth interview for qualitative part. Data was entered in to Epi-Info version 7 then, exported to SPSS version 23 for cleaning and analysis. Binary logistic regression analysis was used to determine the association between condom utilization and its associated factors. Then multivariable logistic regression model was employed to identify statistically significant variables for condom utilization (with 95% confidence interval and p<0.05) for qualitative part till all questions answered and discussed with quantitative study. Condom utilization of Bahir Dar city commercial sex workers for the last one week was 170 (56.3%) with a (95% CI: 50.3-62.3%). Those Respondents having negative Human Immune Virus result (AOR: 4.77, 95% CI: 1.14, 20.102), having perceived social support (AOR: 3.84 95%CI 1.326, 11.155). Literate (AOR: 12.95, 95% CI: 5.22, 32.09) and those does not use drug (AOR: 5.94% CI: 2.6, 13.55) were significantly associated with condom utilization. The qualitative study shows that sex worker perform sex without condom due to money. The current condom utilization among Bahir Dar city administration commercial sex workers is lower by considering their exposure to sexually transmitted infections so working by creating awareness about the severity of HIV infection and side effects of drug use and creating other job opportunity is more helpful.
    VL  - 8
    IS  - 5
    ER  - 

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Author Information
  • College of Health Sciences, Mekele University, Mekele, Ethiopia

  • Addis Ababa Health Office, Addis Ababa, Ethiopia

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