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Determinants of care-seeking behavior for sexually transmitted infections among sexually active men in East Africa: A multilevel mixed effect analysis

Author

Listed:
  • Beminate Lemma Seifu
  • Bezawit Melak Fente
  • Mamaru Melkam
  • Zufan Alamrie Asmare
  • Angwach Abrham Asnake
  • Meklit Melaku Bezie
  • Hiwot Altaye Asebe
  • Yohannes Mekuria Negussie

Abstract

Background: Addressing the global challenge of sexually transmitted infections (STIs) is crucial and demands immediate attention. Raising awareness, improving healthcare facilities, and implementing preventive measures are necessary to reduce the spread and mitigate their adverse effects. The treatment seeking behavior of individuals in relation to STIs is an important factor in STI prevention and control. Thus, this study aimed to identify factors associated with STI-related care-seeking behavior among sexually active men in East Africa. Methods: A weighted sample of 3,302 sexually active men from recent Demographic and Health Surveys (DHSs) in East African countries were included for analysis. To accommodate the inherent clustering in DHS data and the binary nature of the dependent variable, we applied a multi-level mixed-effect logistic regression model. The deviance value was used to select the best-fitted model. The strength of the association was estimated using an adjusted odds ratio, along with a 95% confidence interval, and statistical significance was determined at a p-value

Suggested Citation

  • Beminate Lemma Seifu & Bezawit Melak Fente & Mamaru Melkam & Zufan Alamrie Asmare & Angwach Abrham Asnake & Meklit Melaku Bezie & Hiwot Altaye Asebe & Yohannes Mekuria Negussie, 2024. "Determinants of care-seeking behavior for sexually transmitted infections among sexually active men in East Africa: A multilevel mixed effect analysis," PLOS ONE, Public Library of Science, vol. 19(9), pages 1-14, September.
    • Handle: RePEc:plo:pone00:0307755
    DOI: 10.1371/journal.pone.0307755
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    2. repec:plo:pmed00:1002608 is not listed on IDEAS
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