性胁迫与埃塞俄比亚西南部吉马镇女服务员的艾滋病毒风险行为有关。

Sexual Coercion is Associated with HIV Risk Behavior Among Female Waiters in Jimma Town, Southwest Ethiopia.

作者信息

Imana Regasa, Abdullahi Misra, Ali Rahima, Eyeberu Addis, Getachew Tamirat, Ahmed Jemal, Mussa Ibsa, Amentie Eyobel, Wami Girma, Sime Betelhem, Debella Adera

机构信息

School of Public Health, College of Health and Medical Sciences, Jimma University, Jimma, Ethiopia.

School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

HIV AIDS (Auckl). 2023 Sep 15;15:559-570. doi: 10.2147/HIV.S423867. eCollection 2023.

DOI:10.2147/HIV.S423867

PMID:37731944

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10508587/

Abstract

BACKGROUND

Female waiters are at higher risk of workplace violence including sexual coercion. Even though there are numerous studies on the prevalence of sexual coercion among students, nurses, adolescents, and young pregnant women, studies on the prevalence of sexual coercion among female waiters are limited. Furthermore, there is no evidence existed that show a relationship between sexual coercion and HIV risk behavior in Ethiopia.

PURPOSE

The purpose of this study was to examine the relationship between sexual coercion and HIV risk behavior among female waiters in Jimma, southwest Ethiopia.

PATIENTS AND METHODS

We conducted a cross-sectional survey from 1st April to 30, 2018, among 420 female waiters of reproductive age working in the licensed food and drinking establishments in Jimma town. A structured interviewer-administered questionnaire was used to collect data. Statistical analysis was conducted with SPSS version 21 statistical software. A binary logistic regression model was used to determine the association between independent variables and outcome variables.

RESULTS

The lifetime prevalence of sexual coercion among female waiters was 71.4% (95% confidence interval: 67.1-76.8). More than two-thirds (71.6%) of female waiters engaged in HIV-related risk behaviors. Working in the bar (AOR 4.64, 95% CI: 2.15-10.0), being a substance user (AOR 3.37, 95% CI: 1.7-6.7), experiencing sexual coercion (AOR 7.6, 95% CI: 3.8-15.3) were significantly associated with HIV risk behaviors.

CONCLUSION

A significant number of female waiters experienced sexual coercion and engaged in HIV-risk behaviors. Workplace, substance use, and sexual coercion were significantly associated with HIV risk behavior. As a result, establishments, town health offices, and other stakeholders should work together to safeguard female waiters from the burdens of sexual coercion, HIV risk behavior, and sexually transmitted infections.

摘要

背景

女服务员遭受包括性胁迫在内的工作场所暴力的风险更高。尽管有许多关于学生、护士、青少年和年轻孕妇中性胁迫流行情况的研究，但关于女服务员中性胁迫流行情况的研究却很有限。此外，在埃塞俄比亚，没有证据表明性胁迫与艾滋病毒风险行为之间存在关联。

目的

本研究的目的是调查埃塞俄比亚西南部吉马市女服务员中性胁迫与艾滋病毒风险行为之间的关系。

患者与方法

我们于2018年4月1日至30日对吉马镇有执照的餐饮场所工作的420名育龄女服务员进行了横断面调查。采用结构化访谈式问卷收集数据。使用SPSS 21版统计软件进行统计分析。采用二元逻辑回归模型确定自变量与结果变量之间的关联。

结果

女服务员中性胁迫的终生患病率为71.4%（95%置信区间：67.1 - 76.8）。超过三分之二（71.6%）的女服务员有与艾滋病毒相关的风险行为。在酒吧工作（调整后比值比4.64，95%置信区间：2.15 - 10.0）、使用毒品（调整后比值比3.37，95%置信区间：1.7 - 6.7）、遭受性胁迫（调整后比值比7.6，95%置信区间：3.8 - 15.3）与艾滋病毒风险行为显著相关。