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2023年埃塞俄比亚西北部菲诺特塞拉姆镇出租车司机的危险性行为及相关因素:一项基于社区的横断面研究

Risky sexual practices and associated factors among taxi drivers in the Finoteselam town, northwest Ethiopia, 2023: a community-based cross-sectional study.

作者信息

Laikemariam Melaku, Fetene Yetwale

机构信息

Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

Department of Reproductive Health, Finoteselam Health Center, Finoteselam, Ethiopia.

出版信息

Front Reprod Health. 2024 Nov 27;6:1436615. doi: 10.3389/frph.2024.1436615. eCollection 2024.

Abstract

BACKGROUND

Risky sexual practices among taxi drivers pose a significant threat to public health, contributing to the spread of sexually transmitted infections (STIs) and HIV/AIDS. The nature of their profession often exposes taxi drivers to factors that increase their vulnerability to engaging in risky sexual practices. Although research on sexual health in general is readily available, studies specifically focused on this population are limited. Understanding the contributing factors behind risky sexual practices among taxi drivers is crucial to developing targeted interventions that address their unique needs and vulnerabilities.

OBJECTIVES

To assess the prevalence and associated factors of risky sexual practices among taxi drivers in Finoteselam town, northwest Ethiopia, 2023.

METHODS

A cross-sectional study was conducted among 359 taxi drivers in the Finoteselam town. Data were collected using pre-tested questionnaires and analyzed using SPSS. Bivariate and multivariable analyses were performed to identify factors associated with risky sexual practices. In the bivariate analysis, a -value ≤ 0.25 at 95% CI was used to consider the variables in the multivariate analysis. Finally, statistical significance was declared with a -value of less than 0.05 with a 95% CI.

RESULTS

The prevalence of risky sexual practices among taxi drivers was 32.9 (95% CI: 28.01, 38.7). Living alone (AOR = 3.47, 95% CI: 1.86, 6.48), taxi ownership (AOR = 2.08, 95% CI: 1.01, 4.25), neglecting the discussion of the SRH issue (AOR = 2.05, 95% CI: 1.08, 4.00), substance use (AOR = 1.56, 95% CI: 1.04, 2.09), attending night clubs (AOR = 6.04, 95% CI: 1.97, 18.55) and watching pornographic materials (AOR = 4.44, 95% CI: 2.14, 9.19) were significantly associated with risky sexual practices.

CONCLUSIONS AND RECOMMENDATION

This study revealed a high prevalence of risky sexual practices among taxi drivers in Finoteselam town. Therefore, a comprehensive approach involving different stakeholders is required for reducing risky sexual practices. Information dissemination, awareness creation (about risks of attending nightclubs, substance use, and watching pornography), and encouraging knowledge sharing about sexual health are some of the interventions required to reduce risky sexual practices among taxi drivers.

摘要

背景

出租车司机中的危险性行为对公众健康构成重大威胁,助长了性传播感染(STIs)和艾滋病毒/艾滋病的传播。他们职业的性质常常使出租车司机面临一些因素,增加了他们从事危险性行为的易感性。虽然关于一般性健康的研究很容易获取,但专门针对这一人群的研究却很有限。了解出租车司机危险性行为背后的促成因素对于制定针对他们独特需求和易感性的有针对性干预措施至关重要。

目的

评估2023年埃塞俄比亚西北部菲诺特塞拉姆镇出租车司机危险性行为的患病率及相关因素。

方法

在菲诺特塞拉姆镇的359名出租车司机中进行了一项横断面研究。使用预先测试的问卷收集数据,并使用SPSS进行分析。进行双变量和多变量分析以确定与危险性行为相关的因素。在双变量分析中,95%置信区间下p值≤0.25的变量被纳入多变量分析。最后,p值小于0.05且95%置信区间时宣布具有统计学意义。

结果

出租车司机中危险性行为的患病率为32.9(95%置信区间:28.01,38.7)。独居(调整后比值比[AOR]=3.47,95%置信区间:1.86,6.48)、拥有出租车(AOR=2.08,95%置信区间:1.01,4.25)、忽视性健康和生殖健康(SRH)问题的讨论(AOR=2.05,95%置信区间:1.08,4.00)、物质使用(AOR=1.56,95%置信区间:1.04,2.09)、光顾夜总会(AOR=6.04,95%置信区间:1.97,18.55)以及观看色情材料(AOR=4.44,95%置信区间:2.14,9.19)与危险性行为显著相关。

结论与建议

本研究揭示了菲诺特塞拉姆镇出租车司机中危险性行为的高患病率。因此,需要一种涉及不同利益相关者的综合方法来减少危险性行为。信息传播、提高认识(关于光顾夜总会、物质使用和观看色情制品的风险)以及鼓励关于性健康的知识共享是减少出租车司机危险性行为所需的一些干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32db/11631782/c0b3e45fc235/frph-06-1436615-g001.jpg

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