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Addis Ababa University Libraries Electronic Thesis and Dissertations: AAU-ETD! >
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http://hdl.handle.net/123456789/2855
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| Title: | ASSESSMENT OF ALCOHOL USE AND RISKY SEXUAL BEHAVIORS AMONG LOCAL DRINK SELLERS IN ADDIS KETEMA SUB-CITY, ADDIS ABABA |
| Authors: | IBRAHIM, KEDIR |
| Advisors: | ASSEFA SEME (MD, MPH) |
| Copyright: | May-2011 |
| Date Added: | 9-May-2012 |
| Publisher: | AAU |
| Abstract: | Introduction
AIDS continues to be a major global health priority. The number of people living with HIV is
still growing worldwide reaching an estimated 33.3 million in 2009. Slightly more than half are
women. Patterns of alcohol consumption prevail in countries with the most severe HIV
epidemics. Hazardous alcohol use is often assumed mainly to affect men, but women are harmed
in large numbers by alcohol use: either their own or that of their partner. Women are at risk of
alcohol-related sexual risk behavior in several ways. Women who sell alcohol are at increased
risk of drinking alcohol themselves, engaging in unprotected sex with their clients, and HIV
infection.
Objective
The objective of this study was to assess the prevalence of alcohol use and its association with
risky sexual behaviors among local drink sellers in Addis Ketema sub-city, Addis Ababa.
Method
A cross sectional study was conducted among 698 women engaged in selling local alcohol drinks
in Addis Ketema sub-city Addis Ababa. The sample size was calculated using single population
proportion formula and multistage cluster sampling technique was used. The data were collected
through standardized questionnaire by trained data collectors. Respondents were assessed by
socio demographic variables, type, amount and frequency of alcohol use and also risky sexual
behaviors and bivariate and multivariate analysis were used to assess the association between
these variables. Logistic regression was used to control confounding variables.
Results
The prevalence of alcohol use among local drink sellers was found to be 33.3%. About 72(41%)
of the respondents drink alcohol on a daily basis, while 46(26.4%) drink alcohol twice a week
and 56(32.2%) drink alcohol once a week or less and the type of alcoholic drink that majority
133(59.1%) of the study participants used was “Tela”. Five hundred sixty six (82.4%) of the
respondents had initiated sexual intercourse, out of which 85(15%) had sex with non regular
partner and 29.7% didn‟t use condom the last time they had sex with non regular partner. About
71(13.0%) of respondents reported that they had received gift or money in exchange for sex.
Alcohol drinking was found to be associated with monthly personal income of 100 birr or more
and being divorced. Having 3 or more drinks at one time was associated with having had sex
with non regular partner and also with receiving gift or money in exchange for sex. Drinking
alcohol daily and twice a week was also associated with receiving gift or money in exchange for
sex. Considering types of alcoholic drink, drinking beer was found to be positively associated
with having had sex with non regular partner. Condom use at last sex was higher among those
who ever drink alcohol, had primary and above level of education and those who were never
married.
Conclusions
HIV prevention programs for local drink sellers should recognize that alcohol use may be an
important indicator of risk for HIV infection and AIDS through its association with risky sexual
behaviors. |
| URI: | http://hdl.handle.net/123456789/2855 |
| Appears in: | Thesis - Public Health
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