Sexual Behaviours and Hepatitis B Virus (HBV) Infection among Female Sex Workers in Lubowa Village, Wakiso District. A cross-sectional study

Authors

  • Patrick Okema Faculty of Health Sciences, University of Kisubi
  • Dr. Jacqueline Kyosiimire Faculty of Health Sciences, University of Kisubi
  • Mr. Kennedy Charles Faculty of Health Sciences, University of Kisubi

DOI:

https://doi.org/10.51168/vryds143

Keywords:

Sexual Behaviours, Hepatitis B Virus (HBV) Infection, Female Sex Workers, Lubowa Village

Abstract

Background

Hepatitis B virus is transmitted through parenteral contact with infected blood and sexual contact involving exposure to infectious body fluids. The study aims to assess the relationship between Sexual Behaviours and Hepatitis B Virus (HBV) Infection among Female Sex Workers in Lubowa Village.

Methodology

The study population comprised female sex workers aged 18+ residing and operating in Lubowa Village, Wakiso District, who have been in the area for at least six consecutive months before the data collection period. Bivariate and Multivariate logistic regression were used to determine factors associated with HBV seropositivity. Statistical significance was set at p<0.05.

Results

 Age at first sexual intercourse was significantly associated with HBV infection (χ² = 38.04, p < 0.001). The number of sexual partners was also significantly associated with HBV infection (χ² = 8.56, p = 0.003). Similarly, the frequency of unprotected sexual intercourse was significantly associated with HBV infection (χ² = 10.70, p = 0.013). There was also a statistically significant association between sexual practices and HBV infection (χ² = 42.64, p < 0.001) and between alcohol use before or during sex and HBV infection (χ² = 8.11, p = 0.004).Most respondents were single (75.0%) and had attained primary education (57.5%).

Conclusion

Reducing risky sexual behaviours through comprehensive prevention, condom promotion, behavioural interventions, and targeted health education may reduce HBV transmission among female sex workers.

Recommendation

NGOs and peer educators should strengthen condom distribution, negotiation skills, alcohol harm reduction and economic empowerment to reduce transactional unprotected sex.

Author Biography

  • Patrick Okema, Faculty of Health Sciences, University of Kisubi

    is a BBLT graduate at the University of Kisubi, Uganda. He has an interest in infectious diseases, key populations health, and Hepatitis B prevention. This study on Risky sexual behaviours and associated factors influencing Hepatitis B infection among female sex workers in Lubowa village, Wakiso District was conducted as part of his academic research. He is passionate about community -based interventions for vulnerable groups to achieve WHO 20230 Hepatitis elimination targets

     

References

1. Bedassa, B. B., Ebo, G. G., Yimam, J., Tura, J. B., Wariso, F. B., Lulseged, S., Eticha, G., Wolde, T. K., & Abrahim, S. (2022). Prevalence and factors associated with hepatitis B and C virus infections among female sex workers in Ethiopia: Results of the national biobehavioral survey, 2020. medRxiv.

https://doi.org/10.1101/2022.05.24.22275494

2. Ferreira-Júnior, O. C., Guimarães, M., Damacena, G. N., Silva de Almeida, W. da, Souza-Junior, P. R. B. de, & Szwarcwald, C. (2018). Prevalence estimates of HIV, syphilis, hepatitis B and C among female sex workers (FSW) in Brazil, 2016. Medicine.

https://doi.org/10.1097/MD.0000000000009218

3. Salinsile, S. O., Akomolafe, O. O., Badmus, O. I., & Opaleye, O. (2025). Seroprevalence of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) 1 and 2 co-infection among female sex workers and female non-sex workers and its associated risk factors in Osun State, Nigeria. International STD Research & Reviews. https://doi.org/10.9734/ISRR/2025/v14i1182

4. sPlatt, L., Grenfell, P., Meiksin, R., Elmes, J., Sherman, S. G., Sanders, T., Mwangi, P., & Crago, A.-L. (2018). Associations between sex work laws and sex workers' health: A systematic review and meta-analysis of quantitative and qualitative studies. PLoS Medicine.

https://doi.org/10.1371/journal.pmed.1002680

5. World Health Organization. (2024). Hepatitis B [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/hepatitis-b

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Published

2026-09-30

Issue

Section

Section of Microbiology Research

How to Cite

Okema, P., Jacqueline, & Kennedy. (2026). Sexual Behaviours and Hepatitis B Virus (HBV) Infection among Female Sex Workers in Lubowa Village, Wakiso District. A cross-sectional study. Student’s Journal of Health Research Africa, 7(3), 9. https://doi.org/10.51168/vryds143

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