Abdissa Hordofa Gutema, Lemu Yohannes Kebede, Nigussie Dejene Tilahun
Mizan-Aman Hospital, Bench Maji Zonal health facility, Mizan, Ethiopia.
BMC Public Health. 2014 Sep 26;14:1003. doi: 10.1186/1471-2458-14-1003.
Prevalence of HIV and other STI is high among migrant mining workers due to factors such as dangerous working conditions, only masculine identities existence, living away from families, desolate and in hospitable place. This makes them known to be HIV and STI vulnerable group in different part of the world. But, in Ethiopia they were not thought as at risk group yet. So the aim of this study is to assess magnitude of HIV preventive behaviours and associated factors among gold miners in Sali traditional gold mining site.
A cross sectional study was conducted to assess HIV preventive behavior of the mining worker. The data were collected using interviewer administered structured questionnaire adapted from other related behavioural studies. The data was entered using EPI data version 3.1 and analyzed using SPSS version 17. Multiple logistic regression was used to assess relationship of HIV preventive behavior with constructs of health belief model.
A total of 393 respondents with response rate of 93.12% were participated. All of the study participants were male 393(100%), the mean age of the participant was 24.0 (± 5.13SD). Less than half of the respondents 187(47.6%) were engaged in HIV preventive behavior. Less than half (45.3%) of them have high perceived susceptibility to HIV/AIDS; majority (62.8%) of them has high perceived severity to HIV/AIDS. HIV preventive behavior is negatively associated with being in middle, higher and highest income [OR = 0.54, 95% CI: 0.21, 0.74], [OR = 0.40, 95% CI: 0.30, 0.98] and [OR = 0.39, 95% CI: 0.20, 0.77] respectively and positively associated with Completing secondary, tertiary school and self efficacy [OR = 2.66, 95% CI: 1.11, 6.41], [OR = 5.40, 95% CI: 1.54, 19] and [OR = 1.88, 95% CI: 1.18, 2.94] respectively.
The HIV preventive behavior of the mining worker was low. Being engaged in sexual intercourse with one sexual partner is very low, Consistent condom use among these mining workers was low. Income, educational status and self efficacy have significant effect on the HIV preventive behavior of mining workers. Thus this population group should be understood as at risk population at national level.
由于工作条件危险、仅存在男性身份认同、远离家人、身处荒凉且不宜居的地方等因素,艾滋病毒和其他性传播感染在流动矿工中的患病率很高。这使得他们在世界不同地区都被认为是艾滋病毒和性传播感染的易感人群。但是,在埃塞俄比亚,他们尚未被视为高危群体。因此,本研究的目的是评估萨利传统金矿开采点金矿工人中艾滋病毒预防行为的程度及其相关因素。
开展了一项横断面研究,以评估矿工的艾滋病毒预防行为。数据通过采用源自其他相关行为研究的访谈员管理的结构化问卷进行收集。数据使用EPI数据3.1版本录入,并使用SPSS 17版本进行分析。采用多元逻辑回归评估艾滋病毒预防行为与健康信念模型各要素之间的关系。
共有393名受访者参与,应答率为93.12%。所有研究参与者均为男性,共393人(100%),参与者的平均年龄为24.0岁(±5.13标准差)。不到一半的受访者,即187人(47.6%)采取了艾滋病毒预防行为。不到一半(45.3%)的人认为自己对艾滋病毒/艾滋病的易感性较高;大多数人(62.8%)认为艾滋病毒/艾滋病的严重性较高。艾滋病毒预防行为与处于中等、较高和最高收入水平呈负相关,其比值比分别为[OR = 0.54,95%置信区间:0.21,0.74]、[OR = 0.40,95%置信区间:0.30,0.98]和[OR = 0.39,95%置信区间:0.20,0.77],与完成中学、高等教育和自我效能呈正相关,其比值比分别为[OR = 2.66,95%置信区间:1.11,6.41]、[OR = 5.40,95%置信区间:1.54,19]和[OR = 1.88,95%置信区间:1.18,2.94]。
矿工的艾滋病毒预防行为较低。与单一性伴侣发生性行为的比例非常低,这些矿工中持续使用避孕套的比例也很低。收入、教育程度和自我效能对矿工的艾滋病毒预防行为有显著影响。因此,这一人群应在国家层面被视为高危人群。