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埃塞俄比亚西北城市巴哈达尔青年友好服务中心就诊者中寻求性传播感染早期治疗的比例及其相关因素。

Proportion of early treatment seeking for sexually transmitted infections and associated factors among patients attending youth friendly service in Bahir Dar City health centers, Northwest, Ethiopia.

机构信息

Han health center, Bahir Dar health department, Bahir Dar, Amhara region, Ethiopia.

Department of reproductive health, college of medicine and health sciences, Bahir Dar university, Bahir Dar, Bahir Dar, Ethiopia.

出版信息

Reprod Health. 2024 Jun 15;21(1):85. doi: 10.1186/s12978-024-01794-1.

DOI:10.1186/s12978-024-01794-1
PMID:38879531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11179198/
Abstract

BACKGROUND

Sexually transmitted infection is a common public health issue of youths and is characteristically transmitted through sexual intercourse. Even though early treatment for sexually transmitted infection is very important to reduce further complications and economic burden, studies to identify the proportion and the possible factor of early treatment seeking is rare in Ethiopia.

OBJECTIVE

To assess the proportion of early treatment seeking for sexually transmitted infections and associated factors among patients attending youth friendly service in Bahir Dar city health centers, northwest, Ethiopia 2023.

METHOD

Institutional based Cross-sectional study was used among 407 participants from April 25 to May 24 /2023. A systematic random sampling technique was used to select the participants. An interview-administered questionnaire was used for data collection, whereas Epi-data version 4.6.0.2 and the statistical package for statistical science version 23 were used for data entry and analysis respectively. A frequency table and bar chart were used for descriptive analysis. Multiple binary logistic regression was employed to identify the factors at p-value of <0.05. The necessary assumption of the model was also checked by the Hosmer and Lemishow test.

RESULTS

The response rate of this study was 391 (96.1%) and the proportion of early treatment for sexually transmitted infection was 108 (27.6%, 95%CI; 23-32). Good knowledge about sexually transmitted infection (AOR=1.98, 95CI%; 1.13-3.47) know about their HIV status (AOR=1.95, 95%CI; 1.13-3.36), perceive severity of sexually transmitted infection (AOR=11.23, 95%CI; 6.15-20.45), and not fear the stigma about being infected with sexually transmitted infection (AOR=2.29, 95%CI; 1.32-3.96) were the significantly associated factors for early treatment of sexually transmitted infection. CONCLUSION AND RECOMMENDATION: The proportion of early treatment for sexually transmitted infection in Bahir Dar city was low. Knowledge about STIs, testing/ knowing HIV status, perception of the severity about sexually transmitted infection, and fear of stigma about sexually transmitted infection were the statistically significant factors for early treatment of sexually transmitted infection. So the government better give attention to health education and other health promotion activities to increase the knowledge of youths about sexually transmitted infection and to change their perception of sexually transmitted infection.

摘要

背景

性传播感染是年轻人常见的公共卫生问题,其特征是通过性行为传播。尽管早期治疗性传播感染对于减轻进一步的并发症和经济负担非常重要,但在埃塞俄比亚,很少有研究来确定早期治疗的比例和可能的因素。

目的

评估 2023 年在埃塞俄比亚巴赫达尔市青年友好服务中心就诊的患者中寻求性传播感染早期治疗的比例及其相关因素。

方法

2023 年 4 月 25 日至 5 月 24 日期间,采用基于机构的横断面研究方法,对 407 名参与者进行了研究。采用系统随机抽样技术选择参与者。使用访谈式问卷收集数据,Epi-data 版本 4.6.0.2 和统计科学软件包版本 23 分别用于数据录入和分析。使用频数表和条形图进行描述性分析。采用多变量二项逻辑回归分析,p 值<0.05 时具有统计学意义。还通过 Hosmer 和 Lemishow 检验检查了模型的必要假设。

结果

本研究的应答率为 391(96.1%),性传播感染的早期治疗比例为 108(27.6%,95%CI;23-32)。对性传播感染的良好认识(AOR=1.98,95%CI;1.13-3.47)、了解自己的 HIV 状况(AOR=1.95,95%CI;1.13-3.36)、对性传播感染严重程度的认识(AOR=11.23,95%CI;6.15-20.45)以及不害怕感染性传播感染的耻辱感(AOR=2.29,95%CI;1.32-3.96)是早期治疗性传播感染的显著相关因素。

结论和建议

巴赫达尔市性传播感染早期治疗的比例较低。对性传播感染的了解、检测/了解 HIV 状况、对性传播感染严重程度的认识以及对性传播感染耻辱感的恐惧是早期治疗性传播感染的统计学显著因素。因此,政府应更加关注健康教育和其他健康促进活动,以提高年轻人对性传播感染的认识,并改变他们对性传播感染的看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/2dcea0f38648/12978_2024_1794_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/3dac321b18e8/12978_2024_1794_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/9933d78dab91/12978_2024_1794_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/735be944bd7b/12978_2024_1794_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/2dcea0f38648/12978_2024_1794_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/3dac321b18e8/12978_2024_1794_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/9933d78dab91/12978_2024_1794_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/735be944bd7b/12978_2024_1794_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f3/11179198/2dcea0f38648/12978_2024_1794_Fig4_HTML.jpg

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