Condom utilization and sexual behaviors of Female sex workers in Gondar town, Northwest Ethiopia
Masresha Molla Tamene, Gizachew Assefa Tessema and Getahun Kebede Beyera
Amhar Regional State Health Bureau, Ethiopia
University of Gondar, Ethiopia
: J Virol Antivir Res
Abstract
Introduction: Sexual transmitted infections are the most important public health problem and widespread in the world. Especially the most at risk population groups were exercising unsafe sex, particularly female sex workers, in which the prevalence of HIV/ADIS is higher than the general population due to multiple sexual partner and inconsistent condom use. Objective: To determine Condom Utilization and associated factors among female sex workers in Gondar town, northwest Ethiopia 2014. Methods: Community-based quantitative cross-sectional study triangulated with qualitative method was conducted on 488 female sex workers for quantitative part and 10 female sex workers for qualitative data. Stratified sampling technique was undertaken in licensed and non-licensed establishment. Pr-tested and structured questionnaire were used to generate quantitative data through interview technique of data collection. Open ended and semi structured in-depth interview were prepared for qualitative data. The collected data were entered into Epi info version 3.5.3 and exported to SPSS version 20.0 software package for analysis. Binary and multivariate logistic regression analyses were done to determine the association between condom utilization and associated factors. Result: This study revealed that 47.7 % of the respondent used condom with any type of client. Secondary or above education [AOR:3.7,95%CI(1.70,8.25)], HIV/AIDS and STI transmission and prevention method knowledge[AOR:1.9, 95CI%( 1.04,3.33)], perceiving at risk of HIV/AIDS infection [AOR: 5.9, 95%CI (3.18, 10.51)], awareness of STI will increase HIV infection [AOR: 3.11, 95%CI ( 1.62,5.94], participated in any HIV/ADIS prevention program [AOR: 13.3,95%CI (7.33, 24.10)], tested HIV/ADIS [AOR: 3.4 95%CI (1.51, 7.78)],lower number of clients in a month [AOR:2.48,95%CI (1.42,4.24)] and payment for one night [AOR:2.1,95%CI (1.57,3.72)] less than the mean were factors affecting condom utilization. Conclusion and recommendation: This finding depicted female sex workers condom utilization was low and this puts them at high risk of HIV infection. Primary and secondary or above education, knowledge about HIV and STI prevention and transmission methods, Perceiving at risk of HIV infection, awareness of STI will increase HIV infection, participating in any HIV prevention program , testing of HIV, number of client and payment for one night sex were positively associated with condom utilization. Thus, target oriented behavioral change and communication strategies have to be developed and implemented in the government health sector, HIV/ADIS prevention and control office and other.
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