A systematic review and meta-analysis of sexually transmitted infection prevention practices among Ethiopian young people

Etsay Woldu Anbesu; Setognal Birara Aychiluhm; Mussie Alemayehu; Dejen Kahsay Asgedom; Mearg Eyasu Kifle

doi:10.1177/20503121221145640

A systematic review and meta-analysis of sexually transmitted infection prevention practices among Ethiopian young people

SAGE Open Med. 2023 Jan 4:11:20503121221145640. doi: 10.1177/20503121221145640. eCollection 2023.

Authors

Etsay Woldu Anbesu¹, Setognal Birara Aychiluhm¹, Mussie Alemayehu², Dejen Kahsay Asgedom¹, Mearg Eyasu Kifle³

Affiliations

¹ Department of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia.
² School of Public Health, College of Health Science, Mekelle University, Mekelle, Ethiopia.
³ Family Guidance Association, Logia, Ethiopia.

Abstract

Objective: Approximately 178.5 million new cases of treatable sexually transmitted infections are thought to be diagnosed each year among young people worldwide who are between the ages of 15 and 24 years. The results regarding sexually transmitted infection prevention studies in Ethiopia are not consistent. Therefore, the objective of this systematic review and meta-analysis was to determine the pooled prevalence of sexually transmitted infection prevention methods among young people in Ethiopia.

Methods: The systematic review was developed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Between 5 January and 18 May 2022, published studies were searched using online databases such as PubMed, CINAHL, African Online Journal, and Google Scholar. The quality of the study was evaluated using the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. A random-effects model was used for the statistical analysis using STATA version 14 software.

Results: A total of 3331 studies were searched, and five studies with a total of 1925 participants were included in the final meta-analysis. The pooled prevalence of preventive practice toward sexually transmitted infections was 54% (95% confidence interval: 44, 64). According to a subgroup analysis based on regional state, the prevalence was highest in the southern region, at 66% (95% CI: 59, 73), and lowest in the Amhara region, at 42% (95% confidence interval: 38, 45). Institution-based studies had high heterogeneity, according to a subgroup analysis based on study setting (I ² = 95.39%, p value 0.001).

Conclusion: Almost one in every two young people is engaged in preventive practices. This is lower than the World Health Organization global health sector strategy target (70%) for sexually transmitted infections. A subgroup analysis based on regional state and study setting showed a variation in the prevalence of preventive practices and significant heterogeneity among the regions.

Keywords: Ethiopia; Sexually transmitted infections; meta-analysis; preventive measures; systematic review; young people.

Publication types

Review