Utilization of HIV Pre-exposure Prophylaxis and Associated Factors Among Female Sex Workers in Bahir Dar City, North-West Ethiopia, Cross-sectional Study, 2022

Figures & data

Table 1 Sociodemographic Characteristics of Respondents Toward HIV Pre-exposure Prophylaxis Among Female Sex Workers at Bahir Dar City, Northwest Ethiopia, 2022 (n=396)

Variables	Category	Frequency (%)
Age (years)	18–21	71 (17.93)
	22–25	100 (25.25)
	>25	225 (65.82)
Religion	Orthodox	354 (89.39)
	Muslim	11 (2.78)
	Protestant	25 (6.31)
	Others	6 (1.52)
Marital status	Single	292 (73.74)
	Married	2 (0.51)
	Divorced	97 (24.49)
	Widowed	5 (1.26)
Educational status	Unable to read and write	75 (18.94)
	Able to read and write	140 (35.35)
	Secondary and above	181 (45.71)
Occupational status	Sex work only	386 (97.47)
	Sex work and other	10 (2.53)
Previous residency	Rural	190 (47.98)
	Urban	206 (52.02)
Duration in sex work as female sex workers	< 3years	225 (56.82)
	3–5years	111 (28.03)
	>5 years	60 (15.15)
Reasons to be female sex worker	Financial problem	229 (57.83)
	Conflict with parents	81 (20.45)
	Peer pressure	68 (17.17)
	Being addicted and others	18 (4.55)
Monthly income	2,000–4,000	17 (4.29)
	4,001–10,000	84 (21.21)
	10,001–20,000	295 (74.49)
Condom use during sexual intercourse	Yes	347 (87.63)
	No	49 (12.37)

Notes: Other religion (Catholic, Adventist); sex work and other means (bar waiter, and wash clothes).

Table 2 HIV Pre-exposure Prophylaxis Utilization Among Female Sex Workers at Bahir Dar City, 2022 (n=396)

Variables	Category	Frequency	Percentage
Currently PrEP users	Yes	183	46.21
	No	213	53.79
Reasons not to use PrEP	Stigma	47	22.07
	Unavailability of PrEP drugs	23	10.80
	Due to condom use	90	42.25
	Others*	53	24.88

Notes: *Others, fear of side effect, lack of information for PrEP.

Table 3 Attitude Toward Pre-exposure Prophylaxis Among Female Sex Workers in Bahir Dar City, 2022 (n=396)

Variables	Agree N (%)	Neutral N (%)	Disagree N (%)
PrEP is an important measure of HIV prevention	304 (76.77%)	85 (21.46)	7 (1.77)
I am concerned about the potential side effects of PrEP	162 (40.91%)	150 (37.88)	84 (21.21)
I am concerned that PrEP will not be 100% effective	25 (6.31%)	172 (43.43)	199 (50.25)
PrEP encourage access to testing and care for HIV infection are more effective measures	50.25 (54.29%)	169 (42.68)	12 (3.03)
I do not have time to engage in PrEP counseling	18 (4.55%)	42 (10.61)	336 (84.85)
The use of PrEP will cause patients to engage in risky behaviors	25 (6.31%)	172 (43.43)	199 (50.25)
The provision of PrEP will result in an increase in sexually transmitted disease	14 (3.54%)	173 (43.69)	209 (52.78)

Table 4 Multivariable Logistic Regression of Variables for HIV PrEP Utilization Among Female Sex Workers in Bahir Dar City, Northwest Ethiopia, 2022 (n=396)

Variables	Category	Utilization of PrEP		COR (95%CI)	AOR (95%CI)	P-value
		Yes	No
Age	18–21	20	51	1	1
	22–25	31	69	0.87 (0.44–1.70)	0.67 (0.42–2.20)	0.944
	26–36	132	93	0.27 (0.15–0.49)	0.20 (0.17–0.84)*	0.018
Education	Unable to read and write	46	29	1	1
	Formal education	68	72	1.67 (0.94–2.97)	1.60 (0.87–3.96)	0.105
	Secondary and above	69	112	2.57 (1.48–4.47)	2.18 (1.05–4.53)*	0.035
Marital status	Single	121	171	1	1
	Married	1	1	0.70 (0.04–11.42)	0.24 (0.11–4.98)	0.354
	Divorced	59	38	0.45 (0.28–0.72)	0.40 (0.39–1.47–	0.421
	Widowed	2	3	1.06 (0.17–6.44)	1.03 (0.14–7.64)	0.971
Experiences in sex work	<3 years	79	146	1	1
	3–5 years	69	42	0.32 (0.20–0.52)	0.25 (0.24–0.82)*	0.009
	>5 years	35	25	0.38 (0.21–0.69)	0.33 (0.24–1.19)	0.127
Reason to enter sew work	Income problem	118	111	1	1
	Peer pressure	22	46	2.22 (1.25–3.93)	0.97 (0.42–2.24)	0.954
	Conflict with parents	37	44	1.26 (0.76–2.10)	1.05 (0.55–1.98)	0.874
	Being addicted	6	12	2.12 (0.77–5.85)	1.21 (0.36–4.01)	0.747
Knowledge	Poor knowledge	141	54	1	1
	Good knowledge	42	160	9.88 (6.22–15.69)	4.98 (3.90–10.65)*	0.000
Attitude	Unfavorable	120	114	1	1
	Favorable	63	99	1.65,(1.10–2.48)	1.16 (0.68–1.97)	0.576

Note: *Significant variable at P-value <0.05.