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. 2020 May 7;15(5):e0232793.
doi: 10.1371/journal.pone.0232793. eCollection 2020.

Factors associated with sexually transmitted infections among sexually active men in Ethiopia. Further analysis of 2016 Ethiopian demographic and health survey data

Gizachew Worku Dagnew  1 , Melash Belachew Asresie  1 , Gedefaw Abeje Fekadu  1
Affiliations

Factors associated with sexually transmitted infections among sexually active men in Ethiopia. Further analysis of 2016 Ethiopian demographic and health survey data

Gizachew Worku Dagnew et al. PLoS One. .

Abstract

Background: Sexually-transmitted infections are a public health problem in developing countries including Ethiopia. However, there is limited evidence on factors associated with sexually-transmitted infections among men in Ethiopia. Therefore, this analysis was done to fill this gap.

Methods: This analysis was done based on the 2016 Ethiopian demographic health survey data. The survey was a community-based cross-sectional study conducted from January 18 to June 27, 2016. The survey used two stage-stratified cluster sampling technique. A total of 8849 sexually active men were included in this analysis. Descriptive and analytical analyses were performed. A p-value of less than 0.05 was used to declare statistical significance.

Results: Muslim men (AOR = 1.68; 95%CI: 1.02-2.76), men who were not exposed to media (AOR = 1.75; 95%CI: 1.01-3.03) and men who had multiple sexual partners (AOR = 2.29; 95%CI: 1.05-5.01) had higher odds of having a sexually transmitted infection. In addition, men living in Amhara (AOR = 3.31; 95%CI: 1.33-8.22), Oromia (AOR = 4.62; 95%CI: 1.85-11.55), Gambella (AOR = 3.64; 95%CI: 1.27-10.42), and Harari regions (AOR = 4.57; 95%CI: 1.49-14.02) had higher odds of developing sexually transmitted infection. On the other hand, men who believe women are asked to use a condom if she knows he has STIs (AOR = 0.53; 95%CI: 0.33-0.85) had low odds of developing a sexually transmitted infection.

Conclusions: Men not exposed to mass media, Muslims and men with multi-sexual partners had higher odds of having sexually transmitted infections. Encouraging monogamous relationships and exposing men to mass media may help to reduce the burden of STIs in Ethiopia.

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Conflict of interest statement

The authors have declared that no competing interests exist

Figures

Fig 1
Fig 1. Schematic presentation to select participants to identify factors associated with STI among men Ethiopia; 2016 EDHS.
Fig 2
Fig 2. Types of STI syndromes among sexually active men in Ethiopia; 2016 EDHS.
See this image and copyright information in PMC

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