Table 1_Risky sexual practices and associated factors among taxi drivers in the Finoteselam town, northwest Ethiopia, 2023: a community-based cross-sectional study.docx

BackgroundRisky sexual practices among taxi drivers pose a significant threat to public health, contributing to the spread of sexually transmitted infections (STIs) and HIV/AIDS. The nature of their profession often exposes taxi drivers to factors that increase their vulnerability to engaging in risky sexual practices. Although research on sexual health in general is readily available, studies specifically focused on this population are limited. Understanding the contributing factors behind risky sexual practices among taxi drivers is crucial to developing targeted interventions that address their unique needs and vulnerabilities.
ObjectivesTo assess the prevalence and associated factors of risky sexual practices among taxi drivers in Finoteselam town, northwest Ethiopia, 2023.
MethodsA cross-sectional study was conducted among 359 taxi drivers in the Finoteselam town. Data were collected using pre-tested questionnaires and analyzed using SPSS. Bivariate and multivariable analyses were performed to identify factors associated with risky sexual practices. In the bivariate analysis, a p-value ≤ 0.25 at 95% CI was used to consider the variables in the multivariate analysis. Finally, statistical significance was declared with a p-value of less than 0.05 with a 95% CI.
ResultsThe prevalence of risky sexual practices among taxi drivers was 32.9 (95% CI: 28.01, 38.7). Living alone (AOR = 3.47, 95% CI: 1.86, 6.48), taxi ownership (AOR = 2.08, 95% CI: 1.01, 4.25), neglecting the discussion of the SRH issue (AOR = 2.05, 95% CI: 1.08, 4.00), substance use (AOR = 1.56, 95% CI: 1.04, 2.09), attending night clubs (AOR = 6.04, 95% CI: 1.97, 18.55) and watching pornographic materials (AOR = 4.44, 95% CI: 2.14, 9.19) were significantly associated with risky sexual practices.
Conclusions and recommendationThis study revealed a high prevalence of risky sexual practices among taxi drivers in Finoteselam town. Therefore, a comprehensive approach involving different stakeholders is required for reducing risky sexual practices. Information dissemination, awareness creation (about risks of attending nightclubs, substance use, and watching pornography), and encouraging knowledge sharing about sexual health are some of the interventions required to reduce risky sexual practices among taxi drivers.

研究背景：出租车司机群体的不安全性行为对公共健康构成严重威胁，可促使性传播感染（Sexually Transmitted Infections, STIs）及艾滋病病毒/艾滋病（HIV/AIDS）的传播。该职业特性常使出租车司机暴露于多种风险因素中，提升了其发生不安全性行为的可能性。尽管目前已有大量关于一般性健康的研究，但针对该特定群体的专项研究仍较为匮乏。明确出租车司机不安全性行为的相关影响因素，对于制定贴合其独特需求与脆弱性的针对性干预措施至关重要。
研究目的：评估2023年埃塞俄比亚西北部菲诺特塞拉姆镇出租车司机不安全性行为的流行现状及其相关影响因素。
研究方法：于菲诺特塞拉姆镇纳入359名出租车司机开展横断面研究。采用经过预试验的调查问卷收集数据，并使用SPSS进行数据分析。通过双变量及多变量分析筛选与不安全性行为相关的影响因素：双变量分析中以P值≤0.25、95%置信区间（CI）为标准，筛选出可纳入多变量分析的变量；最终以P<0.05、95%CI判定结果具有统计学显著性。
研究结果：菲诺特塞拉姆镇出租车司机不安全性行为的流行率为32.9%（95%CI：28.01, 38.7）。独居（调整后优势比[Adjusted Odds Ratio, AOR]=3.47，95%CI：1.86, 6.48）、拥有出租车所有权（AOR=2.08，95%CI：1.01, 4.25）、回避性与生殖健康（Sexual and Reproductive Health, SRH）议题讨论（AOR=2.05，95%CI：1.08, 4.00）、物质使用（AOR=1.56，95%CI：1.04, 2.09）、光顾夜总会（AOR=6.04，95%CI：1.97, 18.55）以及观看色情内容（AOR=4.44，95%CI：2.14, 9.19）均与不安全性行为存在显著相关性。
结论与建议：本研究显示菲诺特塞拉姆镇出租车司机群体的不安全性行为流行率较高。因此，需采用涵盖多利益相关方的综合策略以降低该群体的不安全性行为。具体干预措施包括：开展信息传播与健康宣教（内容涵盖光顾夜总会、物质使用及观看色情内容的相关风险），并鼓励开展性健康相关知识的共享交流。