HIV and Other Sexually Transmitted Infections Among Female Sex Workers in Kinshasa, Democratic Republic of Congo, in 2002

Vandepitte, J; Malele, Faustin; Kivuvu, Dieu-Merci; Edidi, Samuel; Muwonga, Jérémie; Lepira, François Bompeka; Abdellati, Saïd; Kabamba, Joelle; Overloop, Catherine Van; Buvé, Anne

doi:10.1097/01.olq.0000233743.57334.6a

Cited by 39 publications

(32 citation statements)

References 10 publications

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“…In Kinshasa, Congo, HIV prevalence in female SWs was 12.4% (30). The results of this study suggest that multiple marriages are related to HIV and cervicitis.…”

Section: Discussionmentioning

confidence: 58%

Drug Use and High-Risk Sexual Behaviors of Women at a Drop-In Center in Mazandaran Province, Iran, 2014

Taghizadeh¹,

Taghizadeh²,

Fathi³

et al. 2015

Iran J Psychiatry Behav Sci

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Background: Female drug users are more likely to transmit human immunodeficiency virus (HIV) to their sexual partners. Little is known about HIV, sexually transmitted diseases (STDs), cervicitis, and drug abuse among female sex workers in Iran. Objectives: Therefore, this study was conducted at a drop-in center (DIC) in Iran to investigate the prevalence of HIV associated risk factors, the prevalence of drug use, high-risk sexual behaviors, and the relationship between the associated factors in women. Patients and Methods:This quantitative cross-sectional study was conducted on 190 female sex workers (SW) in a DIC in Sari, Mazandaran, Northern Iran, in January and February 2014. The study sample was selected through census sampling. In the end, 190 female SWs referring to the DIC participated in our study. There was no limitation in sampling. The self-administered questionnaire was completed via an interview. Results:The results showed that 39% of the female SWs were less than 30 years old and 64% had elementary school education. In addition, 59% of the participants took some type of illegal drugs and 1.1% of them were reportedly injecting drug users. Moreover, 43% of them had substance dependent husbands, and 39% were reportedly regular condom users. They had 1 -10 sexual partners on average per week. The overall prevalence of HIV infection was 4%. A significant relationship was found between the type of drugs used and factors such as having a substance dependent husband, use of condom during the last sexual contact, regular condom use, and the number of sexual acts per week. A significant correlation exists between using psychiatric drugs and factors like regular condom use, education, cervicitis, and the number of sexual conducts per week. Conclusions: Female sex workers often engage in sex for financial reasons and are at high risk of drug abuse, HIV, and cervicitis. In addition, the rate of cervicitis among females with high-risk sexual behavior is considerable in Mazandaran, Iran. Therefore, the state authorities should provide sex workers with health care services and help them acquire a good job to support their life.

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“…In Kinshasa, Congo, HIV prevalence in female SWs was 12.4% (30). The results of this study suggest that multiple marriages are related to HIV and cervicitis.…”

Section: Discussionmentioning

confidence: 58%

Drug Use and High-Risk Sexual Behaviors of Women at a Drop-In Center in Mazandaran Province, Iran, 2014

Taghizadeh¹,

Taghizadeh²,

Fathi³

et al. 2015

Iran J Psychiatry Behav Sci

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“…Few articles directly addressed the relationship between client number and HIV risk. A crosssectional study in the Congo found that FSW with fewer clients per week were actually more likely to be HIVinfected than those with more clients and suggested that FSW who were HIV positive had reduced their workload AIDS Behav (2012) 16:920-933 923 due to HIV-related illnesses [44]. Clearly, further prospective assessment on this issue is required.…”

Section: Clientsmentioning

confidence: 99%

“…In the wake of conflict or social disruption, women may be pushed into sex work. This was documented in the Democratic Republic of the Congo, following political instability and war in the mid-1990s, where homeless girls and women living on the streets, who had been abandoned, orphaned or widowed, took up sex work to survive [44].…”

Section: Factors Promoting Entry To Sex Workmentioning

confidence: 99%

“…In Benin, for example, 58% of FSW had lived in the area for less than 6 months [78]. Many homeless youth who are sex workers in urban settings in Africa are foreigners [44,[79][80][81]. Further, within sub-Saharan Africa, the geographical areas most heavily affected by HIV are often those linked with high long-term mobility, adjacent to main transport routes or in border regions [40,82], suggesting that such mobility predicts high-risk sexual behavior, to some extent.…”

Section: Sex Work and Population Mobilitymentioning

confidence: 99%

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Socio-Demographic Characteristics and Behavioral Risk Factors of Female Sex Workers in Sub-Saharan Africa: A Systematic Review

et al. 2011

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Sex work remains an important contributor to HIV transmission within early, advanced and regressing epidemics in sub-Saharan Africa, but its social and behavioral underpinnings remain poorly understood, limiting the impact of HIV prevention initiatives. This article systematically reviews the socio-demographics of female sex workers (FSW) in this region, their occupational contexts and key behavioral risk factors for HIV. In total 128 relevant articles were reviewed following a search of Medline, Web of Science and Anthropological Index. FSW commonly have limited economic options, many dependents, marital disruption, and low education. Their vulnerability to HIV, heightened among young women, is inextricably linked to the occupational contexts of their work, characterized most commonly by poverty, endemic violence, criminalization, high mobility and hazardous alcohol use. These, in turn, predict behaviors such as low condom use, anal sex and co-infection with other sexually transmitted infections. Sex work in Africa cannot be viewed in isolation from other HIV-risk behaviors such as multiple concurrent partnerships-there is often much overlap between sexual networks. High turn-over of FSW, with sex work duration typically around 3 years, further heightens risk of HIV acquisition and transmission. Targeted services at sufficiently high coverage, taking into account the behavioral and social vulnerabilities described here, are urgently required to address the disproportionate burden of HIV carried by FSW on the continent.

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“…Furthermore, we noted in this present study a higher proportion of female patients than male. This phenomenon was observed in most other studies in DRC [5,[23][24][25][26][27], lack of adherence to preventive measures during sexual contact [28], and socio-cultural factors such as multiplicity of sexual partners and socioeconomic dependence of women in a context of poverty have been advocated for this [29][30][31][32].…”

Section: Discussionmentioning

confidence: 66%

Influential factors and barriers to opt for the uptake of HIV testing among the adult population at HIV-care admission in an area in the DR Congo: What can we learn?

Tshingani¹,

Ntetani²,

Nsakala³

et al. 2017

HIV & AIDS Review

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Introduction: To reverse the trends of the acquired immune deficiency syndrome (AIDS) epidemic, reinforcement of personal protection and antiretroviral treatment (ART) initiation at right time are needed. The aim of the study was, a decade after expanding AIDS medical care, to explore facilitating factors or those contributing to uptake or delay of human immunodeficiency virus (HIV) testing among individuals who access voluntary counselling and testing (VCT) in an urban area of the Democratic Republic of Congo (DRC).

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HIV and Other Sexually Transmitted Infections Among Female Sex Workers in Kinshasa, Democratic Republic of Congo, in 2002

Cited by 39 publications

References 10 publications

Drug Use and High-Risk Sexual Behaviors of Women at a Drop-In Center in Mazandaran Province, Iran, 2014

Drug Use and High-Risk Sexual Behaviors of Women at a Drop-In Center in Mazandaran Province, Iran, 2014

Socio-Demographic Characteristics and Behavioral Risk Factors of Female Sex Workers in Sub-Saharan Africa: A Systematic Review

Influential factors and barriers to opt for the uptake of HIV testing among the adult population at HIV-care admission in an area in the DR Congo: What can we learn?

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