Factors Associated with the Absence of HIV-L Infection in Commercial Sex Workers in Addis Ababa, Ethiopia
| dc.contributor.author | Aklilu, Mathias | |
| dc.date.accessioned | 2018-09-18T11:59:08Z | |
| dc.date.accessioned | 2023-11-05T14:53:20Z | |
| dc.date.available | 2018-09-18T11:59:08Z | |
| dc.date.available | 2023-11-05T14:53:20Z | |
| dc.date.issued | 1998-12 | |
| dc.description.abstract | A cross-sectional survey was conducted from August to October 1998 in CSWs attending STD clinics of two health centers in Addis Ababa, Ethiopia. The objective of the study was to describe socia-demographic characteristics, behaviors ofCSWs associated with HIV-I infection. In addition, a sub-group of CSW who remained uninfected despite long years of sex work was identified and described in more detail. Purposive sampling was used for the survey. All CSWs willing to participate were interviewed by female nurses. Blood samples were taken from each respondent for HIV and syphilis test. Characteristics of CSWs were compared between groups using Chi-square and t test where appropriate. Identification of risk factors for HIV infection among CSW was performed using univariate and multivariate analysis (logistic regression model) A total of312 CSWs were enrolled in the study. Their mean age was 25 years. Most of the study participants had little education (786% were less than grade 6). The mean duration of sex work was 5.5 years. Their workplaces included individually owned rooms (41.7%), followed by shared rooms (32,5%). Most of participants had already got instructions about safer sex while working as CSWs, and 43 .0% ofCSWs reported using male condoms in at least 95% of sexual acts with clients. In multivariate analysis, variables independently associated with a protective effect against HIV infection were: higher education (odds ofHIV infection associated with an increase of one category of education: 0.75, 95% CI, 0.58-0.96), instruction by peers about sex work (OR 047,95% CI, 0.23- 0.96) and cleaning after sex with soap (OR, 049, 95% cr, 0.25-0.94). Variables independently associated with an increase in risk of HI V infection were: age 25-29 years (OR, reference category 15-19 years, 3.24,95% CI, 106-9.95), sharing rooms with other sex workers (OR, 3.33, 95%CI, 130-8.5 1), genital bleeding after sex (OR, 2.34, 95% CI, 101-541), and history of genital ulcer in the past years (OR, 2.89, 95% CI, 1.39-5.99). There was no association between number of years of sex work and HIV serostatus. Twenty five sex workers had more than five years of sex work and remained HIV negative. HIV prevalence was remarkably high (80.3%) among sex workers in Addis Ababa. Based on the results of this study, we recommend the strengthening of peer education programs and of early diagnosis and treatment of STDs. The protective effect of cleansing using soap after sex should be explored further On the long run, creating alternative employment opportunities to sex workers should be strongly supported. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/11983 | |
| dc.language.iso | en | en_US |
| dc.publisher | Addis Abeba Universty | en_US |
| dc.subject | Factors Associated with the Absence of HIV-L Infection | en_US |
| dc.title | Factors Associated with the Absence of HIV-L Infection in Commercial Sex Workers in Addis Ababa, Ethiopia | en_US |
| dc.type | Thesis | en_US |