Department of Midwifery, Ambo University, Ambo, Ethiopia.
Department of Midwifery, Hawassa University, Hawassa, Ethiopia.
Ethiop J Health Sci. 2021 May;31(3):475-484. doi: 10.4314/ejhs.v31i3.4.
The number of street dwellers in major cities in Ethiopia is rapidly increasing. However, their sexual health needs are not that much studied. Hence, this study assessed risky sexual practice and associated factors among street dwelling people in southern Ethiopia.
A cross-sectional study employing a mixed method was conducted. For the quantitative part, a snowball sampling technique was made to conduct face-to-face interviews among 842 respondents. In-depth interviews among street dwellers and key informant interviews among stakeholders were conducted to collect qualitative data.A pre-tested and structured interviewer-administered questionnaire was used to collect data. The collected data were entered using Epidata and exported to SPSS for analysis, and qualitative data analyzed by thematic analysis approach.
About one third, 266(31.6%), of the participants had risky sexual practices within the last year of the study period. Sexual violence such as gang rape and same-sex practice were reported qualitatively. Male respondents (AOR: 3.24, 95%CI: 2.09-5.02) had a more likelihood of risky sexual practice than females. Living in Dilla (AOR: 9.62, 95%CI: 4.49-20.58) and Wolaita Soddo towns (AOR: 14.35, 95%CI: 6.29-32.69) had also a more likelihood of risky sexual practice than living in Hawassa. Moreover, the daily average income of 21-50 Birr (AOR: 0.52, 95%CI: 0.29-0.92) had a less likelihood of risky sexual practice compared to those with a daily average income of 5-20 Birr.
Risky sexual practice among street dwelling people is found high. The Federal Ministry of Health and other stakeholders should work to cut risky sexual practices among street dwelling people.
在埃塞俄比亚主要城市，街头居民的数量迅速增加。然而，他们的性健康需求并没有得到太多研究。因此，本研究评估了埃塞俄比亚南部街头居民的危险性行为做法及其相关因素。
采用混合方法进行了一项横断面研究。在定量部分，采用雪球抽样技术对 842 名受访者进行了面对面访谈。对街头居民进行深入访谈，并对利益相关者进行关键人物访谈，以收集定性数据。使用经过预测试和结构化的访谈者管理问卷收集数据。收集的数据使用 Epidata 输入，然后导出到 SPSS 进行分析，定性数据采用主题分析方法进行分析。
大约三分之一，即 266 名（31.6%）参与者在研究期间的过去一年中存在危险的性行为。报告了性暴力，如轮奸和同性性行为，这是定性的。与女性相比，男性受访者（AOR：3.24，95%CI：2.09-5.02）更有可能进行危险的性行为。与居住在 Hawassa 相比，居住在 Dilla（AOR：9.62，95%CI：4.49-20.58）和 Wolaita Soddo 镇（AOR：14.35，95%CI：6.29-32.69）的人也更有可能进行危险的性行为。此外，与每天收入 5-20 比尔（AOR：0.52，95%CI：0.29-0.92）的人相比，每天收入 21-50 比尔（AOR：0.52，95%CI：0.29-0.92）的人进行危险性行为的可能性较低。
街头居民的危险性行为发生率很高。联邦卫生部和其他利益相关者应努力减少街头居民的危险性行为。
