Consistent condom utilization and associated factors among sex workers attending Family Guidance Association confidential clinic, Dire Dawa city, Eastern Ethiopia

Abstract

Condoms continue to be an essential and effective tool in the prevention packages for HIV, other STIs and unplanned pregnancy Sexually transmitted diseases are the most serious and widespread public health problem. The most vulnerable demographic groups, particularly female sex workers, engage in risky sexual activities, and have more HIV/AIDS than the general population as a result of having several partners and inconsistent condom use. Moreover, available data concerning consistent condom utilization and associated factors in Ethiopia including study area are limited. Objective: - Consistent condom utilization and its associated factors among female sex workers attending Family Guidance Association confidential clinic, in Dire Dawa city, Eastern Ethiopia July 1to 30, 2022. Methods: Quantitative facility based cross-sectional study design studies were used. Data were collected from 389 study participants attending confidential clinic from July 1to 30, 2022. Data entered and cleaned using Epi Data version 3.1 and exported to STATA version 16 for analysis. Binary logistic regression analysis was used to see the association between dependent and independent variables. Covariates that were significant at p-value < 0.25 in the bivariate analysis were entered in to multivariate analysis to control for all possible confounders. The level of statistical significance was declared at a p-value < 0.05. Result: -The respondent rate is 100%. A total of 303 (77.9%) of the study respondents encountered with condom with all type of client (non-regular, regular &a non–paying Client (boyfriend/husband) in the last one month. Females who became commercial sex workers because of parental crisis reasons practiced consistent Condom use were 58% less likely than those who became commercial sex workers for other reasons (AOR= 0.42, 95%CI; 0.18;0.97). Odds of condom consistent use increased by 4-fold by the increment of an overall self-efficacy score in one unit. Conclusion: Majority of females Sex workers not use condom consistently with all clients. Thus, avail Condom constantly and teaching importance of condom use is major activities to be done