埃塞俄比亚育龄男性危险性行为的相关因素:来自2016年埃塞俄比亚人口和健康调查的证据。

IF 1.5 Q4 INFECTIOUS DISEASES HIV AIDS-Research and Palliative Care Pub Date : 2023-09-15 eCollection Date: 2023-01-01 DOI:10.2147/HIV.S426379
Melash Belachew Asresie, Daniel Tarekegn Worede
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引用次数: 0

摘要

背景:危险性行为被定义为从事增加感染性传播感染和意外怀孕风险的性活动,这两种行为都是全球公共卫生问题,尤其是在埃塞俄比亚等中低收入国家。因此,本研究旨在确定埃塞俄比亚性活跃男性危险性行为的相关因素。方法:我们分析了2016年埃塞俄比亚人口与健康调查中获得的8103名15-59岁男性的数据。进行双变量和多变量逻辑回归分析,以确定与危险性行为相关的因素。统计显著性定义为95%置信区间(CI),p值小于0.05。结果:总体而言,13.6%(95%CI:12.8-14.3)的男性从事危险的性行为。已婚(调整后的比值比[AOR]=0.02,95%CI:0.0.01-0.03)和居住在农业主导地区(AOR=0.58,95%CI:0.44-0.76)的男性从事危险性行为的可能性较小。另一方面,有饮酒习惯(AOR=1.50,95%CI:1.13,1.99)并在18岁之前开始性活动(AOR=1.58,95%CI:1.26-1.99)的男性,受过小学教育(AOR=1.32,95%CI:1.01-1.72)或中等教育(AOR=1.65,95%CI:1.20-2.26)的男性,穆斯林(AOR=1.84,95%CI:1.32-2.60)或其他宗教信徒(AOR=2.00,95%CI:1.44-2.76)更有可能从事危险的性行为。结论:危险性行为与婚姻状况、地理位置、饮酒量、初次性行为年龄、宗教信仰和教育水平显著相关,这突出了鼓励男性避免早期性活动和戒酒的重要性。此外,应更加重视促进更安全性行为的举措,特别是针对居住在牧区的男性、未婚个人和穆斯林宗教信徒。
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Factors Associated with Risky Sexual Behavior Among Reproductive-Age Men in Ethiopia: Evidence from Ethiopian Demography and Health Survey 2016.

Background: Risky sexual behavior is defined as engaging in sexual activities that increase the risk of contracting sexually transmitted infections (STIs) and unintended pregnancies, both of which are global public health issues, particularly in low and middle-income countries like Ethiopia. Hence, this study aimed to identify factors associated with risky sexual behaviors among sexually active men in Ethiopia.

Methods: We analyzed data on 8, 103 men aged 15-59 years obtained from the 2016 Ethiopian Demographic and Health Survey. Bivariable and multivariable logistic regression analyses were performed to identify the factors associated with risky sexual behavior. Statistical significance was defined at a 95% confidence interval (CI) with a p-value less than 0.05.

Results: Overall, 13.6% (95% CI: 12.8-14.3) of men were engaged in risky sexual behavior. Men who were married (adjusted odds ratio [AOR]=0.02, 95% CI: 0.01-0.03) and residing in agrarian-dominated regions (AOR=0.58, 95% CI: 0.44-0.76) were less likely to engage in risky sexual behavior. On the other hand, men who had alcohol-drinking habits (AOR=1.50, 95% CI: 1.13, 1.99), and initiated sexual activity before the age of 18 (AOR=1.58, 95% CI: 1.26-1.99), those with primary education (AOR=1.32, 95% CI: 1.01-1.72) or secondary education (AOR=1.65, 95% CI: 1.20-2.26), and those who were Muslim (AOR=1.84, 95% CI: 1.32-2.60) or other religion followers (AOR=2.00, 95% CI: 1.44-2.76) were more likely to engage in risky sexual behavior.

Conclusion: Risky sexual behavior was significantly associated with marital status, geographic location, alcohol consumption, age of first sexual experience, religion, and educational level, which highlights the importance of encouraging men to avoid early sexual activities and to abstain from consuming alcohol. Moreover, a greater emphasis should be placed on initiatives that promote safer sexual behaviors, particularly targeting men living in pastoral regions, unmarried individuals, and Muslim religious followers.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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