Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM)
Abstract Background High prevalence of Human Immune virus/Acquired immunodeficiency syndrome (HIV/AIDS) in Female Sex Workers (FSWs) is identified as a bottleneck in fighting against HIV/AIDS. To this end, the international community planned a strategy of 'Ending inequality' and 'Endi...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-022-14046-3 |
| _version_ | 1798004433500504064 |
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| author | Adane Asefa Gachana Midaksa Qaro Qanche Wondimagegn Wondimu Tadesse Nigussie Biruk Bogale Frehiwot Birhanu Zufan Asaye Nuredin Mohammed Tewodros Yosef |
| author_facet | Adane Asefa Gachana Midaksa Qaro Qanche Wondimagegn Wondimu Tadesse Nigussie Biruk Bogale Frehiwot Birhanu Zufan Asaye Nuredin Mohammed Tewodros Yosef |
| author_sort | Adane Asefa |
| collection | DOAJ |
| description | Abstract Background High prevalence of Human Immune virus/Acquired immunodeficiency syndrome (HIV/AIDS) in Female Sex Workers (FSWs) is identified as a bottleneck in fighting against HIV/AIDS. To this end, the international community planned a strategy of 'Ending inequality' and 'Ending the AIDS epidemic' by 2030. This could not be achieved without due attention to FSWs. Thus, this study attempted to assess HIV prevention behavior and associated factors among FSWs in Dima district of Gambella region, Ethiopia by using the Health Belief Model. Methods A community-based cross-sectional study was conducted from March to May 2019 among 449 FSWs selected using the snowball sampling technique. Socio-demographic features, knowledge about HIV, attitude toward HIV prevention methods, and Health Belief Model (HBM) constructs (perceived susceptibility to and severity of HIV, perceived barriers, and benefits of performing the recommended HIV prevention methods, self-efficacy, and cues to practice HIV prevention methods) were collected using face to face interview. Data were entered into Epi-data 3.1 and analyzed using SPSS version 23. Bivariable and multivariable binary logistic regression analysis was done to identify the association between dependent and independent variables. P-value < 5% with 95 CI was used as a cutoff point to decide statistical significance of independent variables. Results In this study, 449 FSWs participated making a response rate of 98.90%. Of these, 64.8% had high HIV prevention behavior. Age (AOR = 1.911, 95% CI: 1.100, 3.320), knowledge of HIV (AOR = 1.632, 95% CI: 1.083, 2.458), attitude towards HIV prevention methods (AOR = 2.335, 95% CI: 1.547, 3.523), perceived barriers (AOR = .627, 95% CI: .423, .930), and self-efficacy (AOR = 1.667, 95% CI: 1.107, 2.511) were significantly associated with high HIV prevention behavior. Conclusion The study identified that about two third of FSWs practiced the recommended HIV prevention methods. Age of respondents, knowledge of HIV, favorable attitude towards the recommended HIV prevention methods, high self-efficacy, and low perceived barrier were associated with high HIV prevention behavior. Therefore, focusing on these factors would be instrumental for improving effectiveness of the ongoing HIV prevention efforts and attaining the 'Sustainable Development Goals of 'Ending inequality' and 'Ending the AIDS epidemic' by 2030. |
| first_indexed | 2024-04-11T12:23:39Z |
| format | Article |
| id | doaj.art-71968e55bb2c4d69b08a710c43ecaace |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-11T12:23:39Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj.art-71968e55bb2c4d69b08a710c43ecaace2022-12-22T04:24:01ZengBMCBMC Public Health1471-24582022-08-0122111010.1186/s12889-022-14046-3Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM)Adane Asefa0Gachana Midaksa1Qaro Qanche2Wondimagegn Wondimu3Tadesse Nigussie4Biruk Bogale5Frehiwot Birhanu6Zufan Asaye7Nuredin Mohammed8Tewodros Yosef9School of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversitySchool of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversitySchool of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversitySchool of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversityDepartment of Public Health, College of Health Science, Salale UniversitySchool of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversitySchool of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversityDepartment of Statistics, College of Natural and Computational Science, Mizan-Tepi UniversityDepartment of Nursing, College of Medicine and Health Science, Mizan Tepi UniversitySchool of Public Health, College of Medicine and Health Sciences, Mizan-Tepi UniversityAbstract Background High prevalence of Human Immune virus/Acquired immunodeficiency syndrome (HIV/AIDS) in Female Sex Workers (FSWs) is identified as a bottleneck in fighting against HIV/AIDS. To this end, the international community planned a strategy of 'Ending inequality' and 'Ending the AIDS epidemic' by 2030. This could not be achieved without due attention to FSWs. Thus, this study attempted to assess HIV prevention behavior and associated factors among FSWs in Dima district of Gambella region, Ethiopia by using the Health Belief Model. Methods A community-based cross-sectional study was conducted from March to May 2019 among 449 FSWs selected using the snowball sampling technique. Socio-demographic features, knowledge about HIV, attitude toward HIV prevention methods, and Health Belief Model (HBM) constructs (perceived susceptibility to and severity of HIV, perceived barriers, and benefits of performing the recommended HIV prevention methods, self-efficacy, and cues to practice HIV prevention methods) were collected using face to face interview. Data were entered into Epi-data 3.1 and analyzed using SPSS version 23. Bivariable and multivariable binary logistic regression analysis was done to identify the association between dependent and independent variables. P-value < 5% with 95 CI was used as a cutoff point to decide statistical significance of independent variables. Results In this study, 449 FSWs participated making a response rate of 98.90%. Of these, 64.8% had high HIV prevention behavior. Age (AOR = 1.911, 95% CI: 1.100, 3.320), knowledge of HIV (AOR = 1.632, 95% CI: 1.083, 2.458), attitude towards HIV prevention methods (AOR = 2.335, 95% CI: 1.547, 3.523), perceived barriers (AOR = .627, 95% CI: .423, .930), and self-efficacy (AOR = 1.667, 95% CI: 1.107, 2.511) were significantly associated with high HIV prevention behavior. Conclusion The study identified that about two third of FSWs practiced the recommended HIV prevention methods. Age of respondents, knowledge of HIV, favorable attitude towards the recommended HIV prevention methods, high self-efficacy, and low perceived barrier were associated with high HIV prevention behavior. Therefore, focusing on these factors would be instrumental for improving effectiveness of the ongoing HIV prevention efforts and attaining the 'Sustainable Development Goals of 'Ending inequality' and 'Ending the AIDS epidemic' by 2030.https://doi.org/10.1186/s12889-022-14046-3FSWHBMHIV/AIDSEthiopia |
| spellingShingle | Adane Asefa Gachana Midaksa Qaro Qanche Wondimagegn Wondimu Tadesse Nigussie Biruk Bogale Frehiwot Birhanu Zufan Asaye Nuredin Mohammed Tewodros Yosef Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM) BMC Public Health FSW HBM HIV/AIDS Ethiopia |
| title | Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM) |
| title_full | Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM) |
| title_fullStr | Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM) |
| title_full_unstemmed | Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM) |
| title_short | Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM) |
| title_sort | does the perception of hiv risk among female sex workers affect hiv prevention behavior application of the health belief model hbm |
| topic | FSW HBM HIV/AIDS Ethiopia |
| url | https://doi.org/10.1186/s12889-022-14046-3 |
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