Comprendre et atteindre les jeunes travailleuses du sexe clandestines du Burkina Faso pour une meilleure riposte au VIH

Berthé, Abdramane; Huygens, Pierre; Ouattara, Cécile; Sanon, Anselme; Ouédraogo, Abdoulaye; Nagot, Nicolas

doi:10.1684/san.2008.0120

Cited by 6 publications

(7 citation statements)

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“…Les actions concertées de renforcement des capacités des jeunes à adopter des comportements à moindre risque, sont de la toute première importance. Ces actions doivent être menées avant le début de l'activité sexuelle, au sein de la famille, à école, sur les lieux d'apprentissage, dans les centres de santé, et aux centres de loisirs des jeunes [ 4 , 9 ]. Les capacités des parents, des prestataires de services et des éducateurs, doivent être aussi renforcées pour l'amélioration de la qualité de la communication entre eux et les jeunes.…”

Section: Discussionunclassified

“…Plusieurs recherches se sont intéressées à la sexualité des jeunes. Les résultats de ces travaux ont montré qu'au Burkina Faso comme dans d'autres pays africains, une persistance des comportements sexuels à risques tels que la précocité des premiers rapports sexuels, la multiplicité des partenaires sexuels, les échanges économico-sexuels, la faible utilisation du préservatif et des contraceptifs [ 2 – 4 ]. C'est dans ce contexte que notre recherche s´est intéressée aux facteurs associés à la précocité des premiers rapports sexuels, et à la multiplicité des partenaires sexuels.…”

Section: Introductionunclassified

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Prises de risques chez les jeunes de Bobo Dioulasso: une analyse des facteurs associés à la précocité et au multipartenariat sexuel

Adohinzin¹,

Méda²,

Bélem³

et al. 2016

Pan Afr Med J

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IntroductionMalgré les efforts d'éducation à la santé, les jeunes continuent d'adopter des comportements sexuels à risques, susceptibles d'avoir des répercussions importantes sur leur santé. Cette étude visait à analyser les facteurs associés à la précocité sexuelle et au multipartenariat chez les jeunes de 19-24 ans de Bobo-Dioulasso.MéthodesIl s'agit d'une étude quantitative et transversale. Les données d'enquête ont été recueillies en décembre 2014 à Bobo-Dioulasso (Burkina Faso), auprès de 573 jeunes de 15 à 24 ans. Ces enquêtés ont été sélectionnés par un sondage en grappes à deux degrés. Des facteurs à risques relatifs à la précocité sexuelle et au multipartenariat ont été analysés à l'aide du logiciel Stata IC 13. Le seuil de signification de P<0,05 a été utilisée.RésultatsPlus de la moitié des enquêtés (54%) étaient sexuellement actifs dont 14% avant l'âge de 16 ans. Le multipartenariat sexuel avait été observé chez 24% des jeunes sexuellement actifs. Parmi les facteurs déterminants de la précocité sexuelle et du multipartenariat figuraient l'âge, le sexe, le niveau d'étude, et la situation économique des parents. Nos données avaient aussi montré que les rapports sexuels trop précoces étaient associés au multipartenariat sexuel (p<0,005).ConclusionLes actions visant à renforcer les capacités des jeunes à retarder les premiers rapports sexuels et à mieux évaluer les risques seront de toute importance. Les capacités des parents, des enseignants et des prestataires devraient être aussi renforcées pour l'amélioration de la qualité des relations entre eux et les jeunes.

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Section: Discussionunclassified

Section: Introductionunclassified

Prises de risques chez les jeunes de Bobo Dioulasso: une analyse des facteurs associés à la précocité et au multipartenariat sexuel

Adohinzin¹,

Méda²,

Bélem³

et al. 2016

Pan Afr Med J

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“…A systematic barrier to addressing early acquisition risks stems from a policy and programmatic reality in many countries: informal sex workers and those engaged in transactional sex are rarely a focus population for HIV prevention programs [ 25 ]. Our findings suggest that HIV prevention programs designed and focused solely on reaching self-identified sex workers may be missing a key window of opportunity for HIV prevention before sex workers self-identify to themselves, their peers, or programs.…”

Section: Discussionmentioning

confidence: 99%

HIV acquisition prior to entry into formal sex work: inference from next-generation viral sequencing

Neufeld

Cholette

Sandstrom

et al. 2023

Aids

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Objective: To infer the timing of HIV acquisition in relation to self-reported events in the sexual life course of adolescent girls and young women (AGYW) who self-identify as female sex workers (FSW) in Mombasa, Kenya. Design: Next-generation viral sequencing of samples of AGYW living with HIV in the Transitions study, a cross-sectional bio-behavioural survey of AGYW aged 14–24 years in Mombasa, Kenya. Method: Dried blood spot specimens were collected from study participants ( n = 37, all FSW). A portion of the HIV pol gene was sequenced using an in-house next-generation sequencing assay for HIV drug resistance mutation genotyping. Estimated time since infection (ETI) was inferred using the HIV EVO web-based tool ( https://hiv.biozentrum.unibas.ch/ETI/ ), and data on self-reported events were obtained from the survey. Results: The median ETI among FSW was 3.4 (interquartile range = 1.7, 6.3) years, with a median ETI of 1.5 years prior to entry into formal sex work. We estimated that 74.1% (95% confidence interval = 53.7–88.9%) of participants living with HIV and who self-identified as FSW likely acquired HIV prior to self-identification as a sex worker. Conclusions: Findings suggest a large fraction of prevalent HIV infection among AGYW engaged in sex work stems from acquisition prior to entry into formal sex work. Current HIV prevention programs tailored for sex workers may miss key opportunities for HIV prevention as they are designed to reach women after entry into formal sex work, signaling a need for tailored programs to reach high-risk AGYW earlier on in their sexual life course.

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“…Indeed, this category of FSW is generally not targeted under national HIV and STIs control programmes (Ahoyo et al, 2009 ; Mboussou et al, 2012 ). Clandestine FSWs are more difficult to reach, engage and retain in intervention programmes (Berthé et al, 2008 ). Finally, clandestine FSWs are frequently more infected by HIV than official FSWs because of their low use of condoms (Berthé et al, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

“…Another important observation is the lower frequency of condom use in the last sexual intercourse in non-professional FSWs, as compared with professional FSWs (52.7% versus 35.7%), as previously reported in the Republic of Congo (Mboussou et al, 2012 ). Social anthropologists have concluded that one problem in combating official or professional CSW is the development of clandestine commercial sex, which is more dangerous, firstly for its practitioners, who are harder to reach with messages about HIV, and, thus, do not change their behaviour; secondly, for their sex partners who do not systematically use condoms; and, finally, for society as a whole, to the extent that social actors are embedded in a more or less extensive informal network of sex partners (Berthé et al, 2008 ). A previous history of STIs, which constitutes a well identified cofactor for HIV acquisition (Laga et al, 1994 ) and is presented frequently as multiple co-infections (Mgone et al, 2002 ), was reported in 27.6% of the study’s women, and was highest in the professional subgroup of kata (38%) and in the non-professional subgroup of street vendors (43%).…”

Section: Discussionmentioning

confidence: 99%

Spectrum of female commercial sex work in Bangui, Central African Republic

Longo

Simaléko

Ngbale

et al. 2017

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Classification of professional and non-professional female sex workers (FSWs) into different categories, never previously reported in the Central African Republic (CAR), may be useful to assess the dynamics of the human immunodeficiency virus (HIV) epidemic, design operational intervention programmes to combat HIV and other sexually transmitted infections (STIs) and to adapt these programmes to the broad spectrum of sexual transactions in the CAR. Our study proposes a socio-behavioural classification of FSWs living in the CAR and engaged in transactional and commercial sex. Thus, the aims of the study were these: (i) to categorize FSWs according to socio-anthropologic criteria in Bangui and (ii) to examine the association between a selection of demographic and risk variables with the different categories of female sex work as an outcome. A cross-sectional questionnaire survey was conducted in 2013 to describe the spectrum of commercial sex work (CSW) in Bangui among 345 sexually active women having more than 2 sexual partners, other than their regular partner, during the prior 3 months and reporting to have received money or gifts in return for their sexual relationships. According to socio-behavioural characteristics, FSWs were classified into six different categories. Professional FSWs, constituting 32.5% of the interviewed women, were divided in two categories: pupulenge (13.9%), i.e., dragonflies (sometimes called gba moundjou, meaning literally look at the White) consisting of roamers, who travel around the city to hotels and nightclubs seeking wealthy clients, with a preference for French men; and the category of kata (18.6%), i.e., FSWs working in poor neighbourhoods. Non-professional FSWs, constituting 67.5% of the interviewed women, were divided into four categories: street and market vendors (20.8%), students (19.1%), housewives (15.7%) and unskilled civil servants (11.9%). In general, CSW in the CAR presents a remarkably heterogeneous phenomenon. Risk-taking behaviour regarding STI/HIV infection appears to be different according to the different categories of female CSW. The groups of katas and street vendors were poorer and less educated, consumed more alcohol or other psycho-active substances (cannabis, tramadol and glue) and, consequently, were more exposed to STI. Our results emphasise the high level of vulnerability of both poor professional FSWs (kata) and non-professional sex workers, especially street vendors, who should be taken into account when designing prevention programmes targeting this population for STI/HIV control purposes.

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Comprendre et atteindre les jeunes travailleuses du sexe clandestines du Burkina Faso pour une meilleure riposte au VIH

Cited by 6 publications

References 0 publications

Prises de risques chez les jeunes de Bobo Dioulasso: une analyse des facteurs associés à la précocité et au multipartenariat sexuel

Prises de risques chez les jeunes de Bobo Dioulasso: une analyse des facteurs associés à la précocité et au multipartenariat sexuel

HIV acquisition prior to entry into formal sex work: inference from next-generation viral sequencing

Spectrum of female commercial sex work in Bangui, Central African Republic

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