Level of stigma among female sex workers: comparison of two surveys of HIV behavioral data, Ethiopia

Afr Health Sci. 2011 Dec;11(4):543-9.

Abstract

Background: HIV and AIDS stigma and discrimination is widespread in Africa. We did a secondary data analysis of HIV and AIDS behavioral surveillance surveys (BSS) on female sex workers residing in three major cities in Ethiopia.

Objectives: To compare level of sigma among sex workers through the analysis of two data sources of BSS conducted in 2002 and 2005 in Ethiopia.

Methods: The BSS used standardized methodology to study the level of stigma among female sex workers. Female sex workers were sampled using two-stage probability sampling methods in each of the three cities. Data from a total of 2,888 female sex workers was analyzed and interpreted. We used Chi square to compare the socio-demographic variables of the two surveys and logistic regression to compare level of stigma between the two surveys.

Results: There is a significant difference in the level of stigma between the two surveys. This applies to most of the questions that were included in the surveys.

Conclusion: The proportion of female sex workers with a stigmatizing attitude is considerably high, posing threats to the HIV prevention program. Strengthening interventions on all aspects of stigma is recommended.

Keywords: HIV; female sex workers; stigma.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Ethiopia
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / psychology*
  • Health Knowledge, Attitudes, Practice*
  • Health Surveys
  • Humans
  • Interviews as Topic
  • Logistic Models
  • Middle Aged
  • Prejudice*
  • Sex Work / psychology*
  • Sex Work / statistics & numerical data
  • Social Stigma*
  • Socioeconomic Factors
  • Stereotyping*
  • Surveys and Questionnaires
  • Urban Population
  • Young Adult