Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey

Achamyeleh Birhanu Teshale,1 Misganaw Gebrie Worku,2 Getayeneh Antehunegn Tesema1 1Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Human Anatomy, University of Gondar, College of...

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Autores principales:	Teshale AB, Worku MG, Tesema GA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	multiple sexual partnership spatial distribution mixed-effects analysis ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/f4eab89b41c644ddb712c14e1a1ffb76
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spelling	oai:doaj.org-article:f4eab89b41c644ddb712c14e1a1ffb762021-12-02T14:39:26ZSpatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey1179-1373https://doaj.org/article/f4eab89b41c644ddb712c14e1a1ffb762021-05-01T00:00:00Zhttps://www.dovepress.com/spatial-distribution-and-factors-associated-with-multiple-sexual-partn-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Achamyeleh Birhanu Teshale,1 Misganaw Gebrie Worku,2 Getayeneh Antehunegn Tesema1 1Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, Gondar, EthiopiaCorrespondence: Achamyeleh Birhanu Teshale Email achambir08@gmail.comBackground: Though multiple sexual partnerships (MSPs) increase the risk of acquiring sexually transmitted diseases, such as HIV/AIDS, they are still common in sub-Saharan Africa, particularly in Ethiopia. Therefore, this study aimed to investigate spatial distribution and factors associated with MSPs among reproductive-age men in Ethiopia.Methods: This study was based on Ethiopian Demographic and Health Survey 2016 data. A total weighted sample of 12,688 men aged 15– 59 years was included. Spatial analysis was conducted using Arc GIS 10.3 and SaTScan 9.6 statistical software. Mixed-effect logistic regression analysis was used to estimate the association between MSPs and independent variables. Variables with p< 0.05 on multivariable mixed-effect analysis were considered significant predictors of MSPs.Results: MSPs had significant variations across the country (global Moran’s I=0.109, p< 0.001). The primary-cluster spatial window was located in the southwest Oromia and Somalia regions, withrelative risk of 3 and log-likelihood ratio of 24.49 (P< 0.001). Age 20– 29 years (AOR 2.79, 95% CI 1.83– 4.26), 30– 39 years (AOR 4.04, 95% CI 2.48– 6.58), and 40– 59 years (AOR 7.13, 95% CI 4.36– 11.68), never married (AOR 1.54, 95% CI 1.13– 2.08), femle-headed household (AOR 1.90, 95% CI 1.48– 2.44), Internet usage (AOR 1.62, 95% CI 1.21– 2.17), ever chewing khat (AOR 1.72, 95% CI 1.37– 2.18), ever drinking alcohol (AOR 2.31, 95% CI 1.74– 3.08), and being from regions other than Tigray, Harari, and Dire Dawa were significant factors associated with increased odds of MSPs.Conclusion: MSPs showed significant variations across the country, with the primary-cluster spatial window located in Oromia and Somalia regions. Therefore, special attention should be paid to high-risk regions and groups, particularly those who are unmarried and substance users, to decrease MSPs and their serious consequences, such as HIV and other sexually transmitted infections.Keywords: multiple sexual partnership, spatial distribution, mixed-effect analysis, EthiopiaTeshale ABWorku MGTesema GADove Medical Pressarticlemultiple sexual partnershipspatial distributionmixed-effects analysisethiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 593-604 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	multiple sexual partnership spatial distribution mixed-effects analysis ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	multiple sexual partnership spatial distribution mixed-effects analysis ethiopia Immunologic diseases. Allergy RC581-607 Teshale AB Worku MG Tesema GA Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey
description	Achamyeleh Birhanu Teshale,1 Misganaw Gebrie Worku,2 Getayeneh Antehunegn Tesema1 1Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, Gondar, EthiopiaCorrespondence: Achamyeleh Birhanu Teshale Email achambir08@gmail.comBackground: Though multiple sexual partnerships (MSPs) increase the risk of acquiring sexually transmitted diseases, such as HIV/AIDS, they are still common in sub-Saharan Africa, particularly in Ethiopia. Therefore, this study aimed to investigate spatial distribution and factors associated with MSPs among reproductive-age men in Ethiopia.Methods: This study was based on Ethiopian Demographic and Health Survey 2016 data. A total weighted sample of 12,688 men aged 15– 59 years was included. Spatial analysis was conducted using Arc GIS 10.3 and SaTScan 9.6 statistical software. Mixed-effect logistic regression analysis was used to estimate the association between MSPs and independent variables. Variables with p< 0.05 on multivariable mixed-effect analysis were considered significant predictors of MSPs.Results: MSPs had significant variations across the country (global Moran’s I=0.109, p< 0.001). The primary-cluster spatial window was located in the southwest Oromia and Somalia regions, withrelative risk of 3 and log-likelihood ratio of 24.49 (P< 0.001). Age 20– 29 years (AOR 2.79, 95% CI 1.83– 4.26), 30– 39 years (AOR 4.04, 95% CI 2.48– 6.58), and 40– 59 years (AOR 7.13, 95% CI 4.36– 11.68), never married (AOR 1.54, 95% CI 1.13– 2.08), femle-headed household (AOR 1.90, 95% CI 1.48– 2.44), Internet usage (AOR 1.62, 95% CI 1.21– 2.17), ever chewing khat (AOR 1.72, 95% CI 1.37– 2.18), ever drinking alcohol (AOR 2.31, 95% CI 1.74– 3.08), and being from regions other than Tigray, Harari, and Dire Dawa were significant factors associated with increased odds of MSPs.Conclusion: MSPs showed significant variations across the country, with the primary-cluster spatial window located in Oromia and Somalia regions. Therefore, special attention should be paid to high-risk regions and groups, particularly those who are unmarried and substance users, to decrease MSPs and their serious consequences, such as HIV and other sexually transmitted infections.Keywords: multiple sexual partnership, spatial distribution, mixed-effect analysis, Ethiopia
format	article
author	Teshale AB Worku MG Tesema GA
author_facet	Teshale AB Worku MG Tesema GA
author_sort	Teshale AB
title	Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey
title_short	Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey
title_full	Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey
title_fullStr	Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey
title_full_unstemmed	Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey
title_sort	spatial distribution and factors associated with multiple sexual partnerships among reproductive-aged men in ethiopia: a spatial and mixed-effect analysis of the 2016 ethiopian demographic and health survey
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f4eab89b41c644ddb712c14e1a1ffb76
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Spatial Distribution and Factors Associated with Multiple Sexual Partnerships among Reproductive-Aged Men in Ethiopia: A Spatial and Mixed-Effect Analysis of the 2016 Ethiopian Demographic and Health Survey

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