RESEARCH PAPER
Sexually transmitted infections and associated factors among Wollo University students, Northeast Ethiopia
More details
Hide details
1
Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
2
Department of Reproductive Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
3
Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
4
Department of Curriculum and Instruction, Institute of Teachers Education and Behavioural Sciences, Wollo University, Dessie, Ethiopia
Submission date: 2022-09-05
Final revision date: 2022-11-03
Acceptance date: 2022-11-16
Online publication date: 2024-09-20
Corresponding author
Elsabeth Addisu
Wollo University,
Dese, Amhara region, Ethiopia, e-mail: elsabethko@gmail.com
HIV & AIDS Review 2024;23(3):245-252
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Sexually transmitted infections (STIs) represent a large burden worldwide, with an annual incidence of about 333 million cases. In Ethiopia, studies on STIs among youths are very few. Investigating STIs in general and particularly among youths, is an important input to designing policies and strategies aimed at preventing and controlling infections. Therefore, the aim of this study was to determine the prevalence and associated factors of STIs among Wollo University students, in Northeast Ethiopia.
Material and methods:
An institution-based cross-sectional study was conducted among Wollo University students. Sample size included 598 participants. A simple random sampling technique was employed, and data were collected by pre-tested self-administered questionnaire. Epi Data version 4.6 was applied for data entry, and statistical package for social science version 25 was used for statistical analysis. Descriptive statistical analysis and binary logistic regression were utilized to identify factors associated with STIs. Adjusted odds ratio with 95% CI was employed to show the strength and direction of the association, and p-value was used to indicate statistical significance.
Results:
Self-reported STIs prevalence in the last 12 months prior to the study was 59 (21.5%; 95% CI: 16.5-26.5%) among students who were sexually active. Non-dormitory students (adjusted odds ratio (AOR) = 4.56, 95% CI: 1.21-17.21%), having sex with a casual partner (AOR = 2.98, 95% CI: 1.14-7.81%), and poor knowledge on STIs (AOR = 2.95, 95% CI: 1.28-6.81%) were found significantly associated with a history of STIs in the past 12 months among Wollo University students.
Conclusions:
The prevalence of STIs is high among Wollo University students. Non-dormitory students, having sex with a casual partner, and poor knowledge on STIs are positively associated factors in students’ reporting on STIs in the last 12 months. Improving the level of knowledge and awareness of students about STIs may decrease the prevalence of STIs among students.
REFERENCES (25)
1.
Kassie BA, Yenus H, Berhe R, Kassahun EA. Prevalence of sexually transmitted infections and associated factors among the University of Gondar students, Northwest Ethiopia: a cross-sectional study. Reprod Health 2019; 16: 163. DOI: 10.1186/s12978-019-0815-5.
2.
Central Statistical Agency (CSA) (Ethiopia) and ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA; 2016.
3.
Gebeyehu S. Magnitude and associated factors for sexually transmitted disease among Hawassa Industrial Park workers, Southern Ethiopia. EJRH 2022; 14. DOI
https://doi.org/10.69614/ejrh.....
4.
Moges B, Yismaw G, Kassu A, Megabiaw B, Alemu S, Amare B, et al. Sexually transmitted infections based on the syndromic approach in Gondar town, northwest Ethiopia: a retrospective study. BMC Public Health 2013; 13: 143. DOI: 10.1186/1471-2458-13-143.
5.
World Health Organization. Epidemic Disease Control Team, UNAIDS & UNAIDS/WHO Working Group on Global HIV/AIDS and STD Surveillance. Guidelines for sexually transmitted infections surveillance. World Health Organization; 1999. Available at:
https://iris.who.int/handle/10....
6.
World Health Organization, Department of Reproductive Health and Research. Global incidence and prevalence of selected curable sexually transmitted infections: 2008. World Health Organization; 2012. Available at:
https://doi.org/10.1016/S0968-....
7.
Lewis D, Latif A, Ndowa F. WHO global strategy for the prevention and control of sexually transmitted infections: time for action. Sex Transm Infect 2007; 83: 508-509.
8.
Dallabetta GA, Gerbase AC, Holmes KK. Problems, solutions, and challenges in syndromic management of sexually transmitted diseases. Sex Transm Infect 1998; 74 Suppl 1: S1-11.
9.
Mayaud P, Mabey D. Approaches to the control of sexually transmitted infections in developing countries: old problems and modern challenges. Sex Transm Infect 2004; 80: 174-182.
10.
Blandford JM, Gift TL. Productivity losses attributable to untreated chlamydial infection and associated pelvic inflammatory disease in reproductive-aged women. Sex Transm Dis 2006; 33 (10 Suppl): S117-S121. DOI: 10.1097/01.olq.0000235148.64274.2f.
11.
Wasserheit JN. Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases. Sex Transm Dis 1992; 19: 61-77.
12.
Dickerson MC, Johnston J, Delea TE, White A, Andrews E. The causal role for genital ulcer disease as a risk factor for transmission of human immunodeficiency virus: an application of the Bradford Hill criteria. Sex Transm Dis 1996; 23: 429-440.
13.
Cox JT. The development of cervical cancer and its precursors: what is the role of human papillomavirus infection? Curr Opin Obstet Gynecol 2006; 18 Suppl 1: s5-s13. DOI: 10.1097/01.gco.0000216315.72572.fb.
14.
World Health Organization. Global prevalence and incidence of selected curable sexually transmitted infections: overview and estimates. World Health Organization; 2001. Available at:
https://iris.who.int/handle/10....
15.
Plesons M, Cole CB, Hainsworth G, et al. Forward, together: a collaborative path to comprehensive adolescent sexual and reproductive health and rights in our time. J Adolesc Health 2019; 65(6S): S51-S62. DOI: 10.1016/j.jadohealth.2019.09.009.
16.
Berhane Y, Mekonnen Y, Seyoum E, Gelmon L, Wilson D. HIV/AIDS in Ethiopia – an epidemiological synthesis. Ethiopia HIV/AIDS Prevention & Control Office (HAPCO) and Global AIDS Monitoring & Evaluation Team (GAMET); 2008.
17.
Adanu RM, Hill AG, Seffah JD, Darko R, Anarfi JK, Duda RB. Sexually transmitted infections and health seeking behaviour among Ghanaian women in Accra. Afr J Reprod Health 2008; 12: 151-158.
18.
Yohannes B, Gelibo T, Tarekegn M, Gelibo T. Prevalence and associated factors of sexually transmitted infections among students of Wolaita Sodo University, Southern Ethiopia. Int J Sci Technol Res 2013; 2: 86-94.
19.
Woolf-King SE, Maisto SA. Alcohol use and high-risk sexual behavior in Sub-Saharan Africa: a narrative review. Arch Sex Behav 2011; 40: 17-42.
20.
Tsadik M, Lam L, Hadush Z. Delayed health care seeking is high among patients presenting with sexually transmitted infections in HIV hotspot areas, Gambella town, Ethiopia. HIV AIDS (Auckl) 2019; 11: 201-209.
21.
Yosef T, Daniel A, Nigussie T, Girma Y. Sexual behaviour among technical vocational and educational training (TVET) college students at Mizan-Aman Town, South West Ethiopia, 2018. J AIDS Clin Res 2019; 10: 803.
22.
Tamrat R, Kasa T, Sahilemariam Z, Gashaw M. Prevalence and factors associated with sexually transmitted infections among Jimma University students, Southwest Ethiopia. Int J Microbiol 2020. DOI: 10.1155/2020/8859468.
23.
Amare H, Azage M, Negash M, Getachew A, Desale A, Abebe N. Risky sexual behavior and associated factors among adolescent students in Tana Haik high school, Bahir Dar, Northern Ethiopia. International Journal of HIV/AIDS Prevention, Education, and Behavioural Science 2017; 3: 41-47.
24.
Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, et al. (eds.). Disease Control Priorities in Developing Countries. 2nd edition. Washington (DC): The International Bank for Reconstruction and Development/The World Bank; 2006.
25.
Folasayo AT, Oluwasegun AJ, Samsudin S, Saudi SNS, Osman M, Hamat RA. Assessing the knowledge level, attitudes, risky behaviors and preventive practices on sexually transmitted diseases among university students as future healthcare providers in the central zone of Malaysia: a cross-sectional study. Int J Environ Res Public Health 2017; 14: 159. DOI: 10.3390/ijerph14020159.