埃塞俄比亚男性中多性伴侣的预测因素:一项多层次分析。
Predictors of Multiple Sexual Partners among Men in Ethiopia: A Multilevel Analysis.
机构信息
Department of Statistics, College of Natural and Computational Sciences, Wolkite University, Ethiopia.
Department of Statistics, College of Natural Science, Jimma University, Ethiopia.
出版信息
Ethiop J Health Sci. 2022 Jul;32(4):689-698. doi: 10.4314/ejhs.v32i4.4.
BACKGROUND
Multiple sexual partnerships were one of the public health issues in the spread of high rates of sexually transmitted infections in sub-Saharan regions. An increase in the number of non-marital sexual partners can lead to a loss of satisfaction as well as other mental health repercussions such as greater rates of anxiety, depression, etc. This study examined the predictors of multiple sexual partners among men in Ethiopia.
METHODS
This study used 2016 nationally representative data which was conducted using a multistage stratified cluster sampling method. Multilevel binary logistic regression models were employed to estimate the predictors of multiple sexual partners among men in Ethiopia with the assistance of the STATA software.
RESULTS
In this study 6778 participants were considered with an overall prevalence rate of multiple sexual partners of 6.5% during the 12 months preceding the survey. The findings showed that older-age, urban-resident, inconsistent use of a condom, exposure to any media, abuse of alcohol, early-time first-sex, and religion were predictors of multiple sexual partners among men in Ethiopia.
CONCLUSIONS
The findings revealed that the prevalence rate of men's multiple sexual partners in Ethiopia was very high. Therefore, the country needs to re-examine the behavioral change strategies periodically to adapt to the contextual realities and engage relevant stakeholders. Specifically, health sectors and religious organizations should develop strategies to create awareness in society on the risk of having multiple sexual partnerships. In addition, we highly recommend stakeholders prepare risk reduction interventions that take the significant predictors of multiple sexual partners.
背景
在撒哈拉以南地区,性传播感染率居高不下,其中一个公共卫生问题就是多个性伴侣。性伴侣数量的增加可能会导致满意度下降,以及其他心理健康问题,如更高的焦虑、抑郁等发生率。本研究旨在探讨埃塞俄比亚男性多个性伴侣的预测因素。
方法
本研究使用了 2016 年全国代表性数据,采用多阶段分层聚类抽样方法进行。借助 STATA 软件,采用多水平二项逻辑回归模型来估计埃塞俄比亚男性多个性伴侣的预测因素。
结果
本研究共纳入了 6778 名参与者,在调查前 12 个月中,总体多个性伴侣的流行率为 6.5%。研究结果表明,年龄较大、城市居民、避孕套使用不规律、接触任何媒体、酗酒、初次性行为较早以及宗教信仰是埃塞俄比亚男性多个性伴侣的预测因素。
结论
研究结果显示,埃塞俄比亚男性多个性伴侣的流行率非常高。因此,该国需要定期重新审查行为改变策略,以适应实际情况并吸引相关利益攸关方。具体而言,卫生部门和宗教组织应制定策略,在社会上提高对多个性伴侣风险的认识。此外,我们强烈建议利益攸关方制定减少风险的干预措施,以解决多个性伴侣的重要预测因素。
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