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Factory workers in Export Processing Zones (EPZs) have been identified as a group with vulnerable behaviour for acquiring Sexually Transmitted Infections (STIs) including HIV due to many social and environmental risk factors. This study was done to assess the knowledge, attitudes and behaviours related to STI and HIV/AIDS among male and female factory workers in Seethawaka EPZ. Method: A descriptive cross sectional study was carried out among 430 factory workers in Seethawaka EPZ, using self-administered questionnaire. Statistical analysis was done using SPSS 16.0. Results: Majority (85%) had satisfactory level of knowledge on HIV. Age (p= 0.0001), education level (p=0.031) and working category (p= 0.0001) were significantly associated with knowledge. Only 7.6% tested for HIV though 83.2% knew about testing. Knowledge on STIs was fairly good (>75%) except for awareness on asymptomatic nature of STIs (24.4%). Many (56.7%) showed poor level of attitudes towards people living with HIV (PLHIV). Education level (P=0.0001), working category (p=0.003) and HIV related knowledge (P=0.0001) had a significant association with attitudes. Sex with non-regular partners (NRP) during the past 12 months was reported by 36.2% males and 27.4% females but only 64% of men and 48.4% women had used a condom with their last NRP. Male to male sex was prevalent in 14.6% of males and only 30% of them had used condoms at last anal sex. Conclusions: Knowledge of factory workers on HIV and STIs was satisfactory but there were some areas those need further strengthening which would improve workers’ attitudes towards PLHIV. Furthermore, behaviour change communication and condom promotion programmes are highly recommended to promote safe sex.

sri lanka journal of sexual health and hiv medicine

Knowledge, Attitudes and Behaviours related to Sexually Transmitted Infections and HIV/AIDS among factory workers in Seethawaka Export Processing Zone, Avissawella, Sri Lanka