Getachew Muluken, Haile Dereje, Churko Chuchu, Alemayehu Gube Addisu
Gofa Zone Health Department, Gofa, Southern Ethiopia.
Reproductive Health and Nutrition Department, School of Public Health, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Southern Ethiopia.
Risk Manag Healthc Policy. 2021 Jan 6;14:21-29. doi: 10.2147/RMHP.S285289. eCollection 2021.
Sexually transmitted infection is an infection that is typically transmitted by sexual contact and may either end or develop into a sexually transmitted disease. Today, young people are recognized as groups with special health-related vulnerabilities like drug use, unprotected sex and sexually transmitted infections. Despitea number of strategies which focused on young people's health, there was limited evidence of sexually transmitted infection among young incarcerated persons. Thus, the aim of this study was to assess the self-reported syndromes of sexually transmitted infections and associated factors among young incarcerated persons (18-29 years) in correctional facilities of the Gamo Gofa Zone, Southern Ethiopia.
A facility-based cross-sectional study was conducted from March 1 to 15, 2019. Simple random sampling was used to select a total of 414 prisoners. The data were entered into Epi.info version 7 and exported and analyzed using SPSS version 20. Bivariate and multivariate logistic regression analysis were carried out. Statistical significance was declared by using the p value of <0.05 at 95% confidence interval.
In this study, 403 respondents participated with the response rate of 97.3%. The overall prevalence of self-reported STIs was 35 (8.7%). STI syndromes before incarceration (AOR: 5.267 (95% CI: 1.863, 14.893)), not having family support (AOR; 6.645 (95% CI: 2.327, 18.975)), history of imprisonment (AOR; 2.871 (95% CI: 1.065, 7.42)), not always using condom (AOR; 7.417, (95% CI 2.526, 21.781)), alcohol use (AOR; 5.926, (95% CI 2.282, 15.392)), chat use (AOR; 4.736, (95% CI (1.387, 16.172)) and having sex with commercial sex workers (AOR; 2.764, (95% CI 1.034, 7.388)) were significantly and independently associated with self-reported STIs.
Prevalence of self-reported syndromes of STI was high. Attention is needed about sexually transmitted infections for incarcerated young people by concerned bodies, including governmental and non-governmental organizations.
性传播感染是一种通常通过性接触传播的感染，可能自行痊愈或发展为性传播疾病。如今，年轻人被视为具有特殊健康相关脆弱性的群体，如吸毒、无保护性行为和性传播感染。尽管有许多关注年轻人健康的策略，但关于年轻在押人员中性传播感染的证据有限。因此，本研究的目的是评估埃塞俄比亚南部加莫戈法地区惩教设施中18至29岁年轻在押人员自我报告的性传播感染综合征及相关因素。
于2019年3月1日至15日进行了一项基于机构的横断面研究。采用简单随机抽样共选取414名囚犯。数据录入Epi.info 7版本，导出后使用SPSS 20版本进行分析。进行了双变量和多变量逻辑回归分析。在95%置信区间使用p值<0.05来判定统计学显著性。
在本研究中，403名受访者参与，回复率为97.3%。自我报告的性传播感染总体患病率为35例（8.7%）。入狱前的性传播感染综合征（比值比：5.267（95%置信区间：1.863，14.893））、没有家庭支持（比值比；6.645（95%置信区间：2.327，18.975））、监禁史（比值比；2.871（95%置信区间：1.065，7.42））、不总是使用避孕套（比值比；7.417，（95%置信区间2.526，21.781））、饮酒（比值比；5.926，（95%置信区间2.282，15.392））、使用聊天软件（比值比；4.736，（95%置信区间（1.387，16.172））以及与商业性工作者发生性行为（比值比；2.764，（95%置信区间1.034，7.388））与自我报告的性传播感染显著且独立相关。
自我报告的性传播感染综合征患病率较高。包括政府和非政府组织在内的相关机构需要关注在押年轻人的性传播感染问题。
