IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0303574.html
   My bibliography  Save this article

Hotspot areas of risky sexual behaviour and associated factors in Ethiopia: Further spatial and mixed effect analysis of Ethiopian demographic health survey

Author

Listed:
  • Denekew Tenaw Anley
  • Melkamu Aderajew Zemene
  • Asaye Alamneh Gebeyehu
  • Natnael Atnafu Gebeyehu
  • Getachew Asmare Adella
  • Gizachew Ambaw Kassie
  • Misganaw Asmamaw Mengstie
  • Mohammed Abdu Seid
  • Endeshaw Chekol Abebe
  • Molalegn Mesele Gesese
  • Yenealem Solomon
  • Natnael Moges
  • Berihun Bantie
  • Sefineh Fenta Feleke
  • Tadesse Asmamaw Dejenie
  • Ermias Sisay Chanie
  • Wubet Alebachew Bayih
  • Natnael Amare Tesfa
  • Wubet Taklual
  • Dessalegn Tesfa
  • Rahel Mulatie Anteneh
  • Anteneh Mengist Dessie

Abstract

Introduction: Sexual behaviour needs to take a central position in the heart of public health policy makers and researchers. This is important in view of its association with Sexually Transmitted Infections (STIs), including HIV. Though the prevalence of HIV/AIDS is declining in Ethiopia, the country is still one of the hardest hit in the continent of Africa. Hence, this study was aimed at identifying hot spot areas and associated factors of risky sexual behavior (RSB). This would be vital for more targeted interventions which can produce a sexually healthy community in Ethiopia. Methods: In this study, a cross-sectional survey study design was employed. A further analysis of the 2016 Ethiopia Demographic and Health Survey data was done on a total weighted sample of 10,518 women and men age 15–49 years. ArcGIS version 10.7 and Kuldorff’s SaTScan version 9.6 software were used for spatial analysis. Global Moran’s I statistic was employed to test the spatial autocorrelation, and Getis-Ord Gi* as well as Bernoulli-based purely spatial scan statistics were used to detect significant spatial clusters of RSB. Mixed effect multivariable logistic regression model was fitted to identify predictors and variables with a p-value ≤0.05 were considered as statistically significant. Result: The study subjects who had RSB were found to account about 10.2% (95% CI: 9.64%, 10.81%) of the population, and spatial clustering of RSB was observed (Moran’s I = 0.82, p-value = 0.001). Significant hot spot areas of RSB were observed in Gambela, Addis Ababa and Dire Dawa. The primary and secondary SaTScan clusters were detected in Addis Ababa (RR = 3.26, LLR = 111.59, P

Suggested Citation

  • Denekew Tenaw Anley & Melkamu Aderajew Zemene & Asaye Alamneh Gebeyehu & Natnael Atnafu Gebeyehu & Getachew Asmare Adella & Gizachew Ambaw Kassie & Misganaw Asmamaw Mengstie & Mohammed Abdu Seid & End, 2024. "Hotspot areas of risky sexual behaviour and associated factors in Ethiopia: Further spatial and mixed effect analysis of Ethiopian demographic health survey," PLOS ONE, Public Library of Science, vol. 19(5), pages 1-19, May.
    • Handle: RePEc:plo:pone00:0303574
    DOI: 10.1371/journal.pone.0303574
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0303574
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0303574&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0303574?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Lowry, R. & Holtzman, D. & Truman, B.I. & Kann, L. & Collins, J.L. & Kolbe, L.J., 1994. "Substance use and HIV-related sexual behaviors among US high school students: Are they related?," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1116-1120.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ritchwood, Tiarney D. & Ford, Haley & DeCoster, Jamie & Sutton, Marnie & Lochman, John E., 2015. "Risky sexual behavior and substance use among adolescents: A meta-analysis," Children and Youth Services Review, Elsevier, vol. 52(C), pages 74-88.
    2. Carroll Chapman, Shawna L. & Wu, Li-Tzy, 2013. "Substance use among adolescent mothers: A review," Children and Youth Services Review, Elsevier, vol. 35(5), pages 806-815.
    3. Rashad, Inas & Kaestner, Robert, 2004. "Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors," Journal of Health Economics, Elsevier, vol. 23(3), pages 493-503, May.
    4. DeSimone, Jeff, 2010. "Binge Drinking And Risky Sex Among College Students," Working Papers 90483, American Association of Wine Economists.
    5. Matthias Niklowitz & Dominique Eich-Höchli, 1997. "Besteht ein Zusammenhang von Alkoholkonsum und sexuellem Risikoverhalten? Eine Diskussion konzeptioneller Aspekte am Beispiel HIV-infizierter Männer mit homosexuellem Verhalten," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 42(5), pages 286-297, September.
    6. Michael Grossman & Robert Kaestner & Sara Markowitz, 2004. "Get High and Get Stupid: The Effect of Alcohol and Marijuana Use on Teen Sexual Behavior," Review of Economics of the Household, Springer, vol. 2(4), pages 413-441, September.
    7. Rees, Daniel I. & Argys, Laura M. & Averett, Susan L., 2001. "New evidence on the relationship between substance use and adolescent sexual behavior," Journal of Health Economics, Elsevier, vol. 20(5), pages 835-845, September.
    8. Bisakha Sen & Susan Averett & Laura Argys & Daniel Rees, 2009. "The effect of substance use on the delinquent behaviour of adolescents," Applied Economics Letters, Taylor & Francis Journals, vol. 16(17), pages 1721-1729.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0303574. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.