title: Evidence of changes in sexual behaviours among male factory workers in Ethiopia.
abstract: OBJECTIVE
  To assess changes in sexual behaviours among male factory workers in Ethiopia.
  
  
  METHODS
  Open cohort studies in two factories near Addis Ababa.
  
  
  METHODS
  At intake and biannual follow-up visits, data were collected on sexual behaviours including casual sex, sex with commercial sex workers (CSW), condom use, and history of sexually transmitted diseases (STDs) as indicated by genital discharge and genital ulcer. Health education, HIV testing, and counselling were offered to all participants.
  
  
  RESULTS
  Between February 1997 and December 1999, 1124 males were enrolled in the two cohort studies. At intake, the prevalence of casual sex in the past year, sex with CSWs, condom use with the last casual partner, history of genital discharge in the past 5 years, and history of genital ulcer in the past 5 years were 9.7, 43.4, 38.8 (Akaki site only), 10.6 and 2.1%, respectively. At the Wonji site, the intake prevalence of casual sex, sex with CSW, and history of genital discharge decreased significantly by calendar year between 1997 and 1999. At both sites combined, between the first and the fourth follow-up visits, there was a decline in the proportion of males reporting recent casual sex (from 17.5 to 3.5%, < 0.001), sex with CSWs (from 11.2 to 0.75%, < 0.001), and genital discharge (from 2.1 to 0.6%, = 0.004).
  
  
  CONCLUSIONS
  There was a decline over time in risky sexual behaviours reported by cohort participants. Part of this decline occurred independently of cohort interventions.
authors.affiliation: Ethio-Netherlands AIDS Research Project (ENARP), Ethiopian Health and Nutrition Research Institute (EHNRI), P.O.Box 1242, Addis Ababa, Ethiopia. yared@enarp.com
authors.forename: Yared
authors.initials: Y
authors.lastname: Mekonnen
authors.forename: Eduard
authors.initials: E
authors.lastname: Sanders
authors.forename: Mathias
authors.initials: M
authors.lastname: Aklilu
authors.forename: Aster
authors.initials: A
authors.lastname: Tsegaye
authors.forename: Tobias F
authors.initials: TF
authors.lastname: Rinke de Wit
authors.forename: Ab
authors.initials: A
authors.lastname: Schaap
authors.forename: Dawit
authors.initials: D
authors.lastname: Wolday
authors.forename: Ronald
authors.initials: R
authors.lastname: Geskus
authors.forename: Roel A
authors.initials: RA
authors.lastname: Coutinho
authors.forename: Arnaud L
authors.initials: AL
authors.lastname: Fontanet
mesh_terms: D000328:Adult; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000639:trends; D003376:Counseling; D005002:Ethiopia / Q000453:epidemiology; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D006266:Health Education; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission