Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo
INTRODUCTION: FSWs are considered a high-risk group for acquiring HIV infection due to their HIV prevalence estimated to be 10-20 times higher than in woman in the general population. This study aimed to determine the prevalence and risk factors of HIV among female sex workers (FSWs) in Lubumbashi....
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Pan African Medical Journal
2020-08-01
|
| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/36/280/pdf/280.pdf
|
| _version_ | 1819349543665270784 |
|---|---|
| author | Christian Kakisingi Michel Muteba Olivier Mukuku Véronique Kyabu Kevin Ngwej Patricia Kajimb Michel Manika Hippolyte Situakibanza Claude Mwamba Dieudonné Ngwej |
| author_facet | Christian Kakisingi Michel Muteba Olivier Mukuku Véronique Kyabu Kevin Ngwej Patricia Kajimb Michel Manika Hippolyte Situakibanza Claude Mwamba Dieudonné Ngwej |
| author_sort | Christian Kakisingi |
| collection | DOAJ |
| description | INTRODUCTION: FSWs are considered a high-risk group for acquiring HIV infection due to their HIV prevalence estimated to be 10-20 times higher than in woman in the general population. This study aimed to determine the prevalence and risk factors of HIV among female sex workers (FSWs) in Lubumbashi. METHODS: a cross-sectional study was conducted among FSWs presenting for the first time at the sexually transmitted infections (STIs) clinic of Katuba, Lubumbashi, between April 2016 and December 2017. Information on the participants´ socio-demographic characteristics, sexual behaviors, and HIV serology results were collated and analyzed using a multiple logistic regression to identify factors associated to HIV infection among FSWs. RESULTS: information on 1555 sex workers was analysed in this study, the prevalence of HIV was 8.2%. The median age of the participants was 26 years (IQR: 21-34). Of the 127 HIV positive sex workers, 74% have been in the business for two years or less, 97% sell sex as their main income, 74% have more than 5 sexual intercourses per week, 95% reported using condom, 73% reported having history of STIs, 70% reported using alcohol before sex and 97% reported having three or more sexual partners per week. After adjusting for potentials cofounders, Age, Sex work as main income, years of selling sex, condom use, and alcohol use before sex were found to have a significant effect on HIV infection among sex workers. CONCLUSION: these findings highlight the vulnerability of FSWs to HIV infection and the necessity of immediate interventions to strengthen HIV prevention through behavioral change strategies and making available Pre-exposure Prophylaxis (PrEP) for FSWs in Lubumbashi. |
| first_indexed | 2024-12-24T19:02:12Z |
| format | Article |
| id | doaj.art-c02b77b0f7c141fcb09d95ac48e2328d |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-24T19:02:12Z |
| publishDate | 2020-08-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-c02b77b0f7c141fcb09d95ac48e2328d2022-12-21T16:43:11ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882020-08-013628010.11604/pamj.2020.36.280.2137821378Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of CongoChristian Kakisingi0Michel Muteba1Olivier Mukuku2Véronique Kyabu3Kevin Ngwej4Patricia Kajimb5Michel Manika6Hippolyte Situakibanza7Claude Mwamba8Dieudonné Ngwej9 Department of Internal Medicine, School of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo Division of epidemiology and biostatistics, School of Public Health, University of Witwatersrand, Johannesburg, Republic of South Africa Institut Supérieur des Techniques Médicales de Lubumbashi, Lubumbashi, République démocratique du Congo Department of Internal Medicine, School of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo Sexually Transmitted Infectious Clinic of Katuba, Lubumbashi, Republic Democratic of the Congo Medical District of Lubumbashi, Lubumbashi, Democratic Republic of the Congo Department of Internal Medicine, School of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo Department of Internal Medicine, Department of Tropical Diseases and of Infectious and Parasitological Diseases, School of Medicine, University of Kinshasa, Kinshasa, Republic Democratic of the Congo Department of Internal Medicine, School of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo Department of Pediatric, School of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo INTRODUCTION: FSWs are considered a high-risk group for acquiring HIV infection due to their HIV prevalence estimated to be 10-20 times higher than in woman in the general population. This study aimed to determine the prevalence and risk factors of HIV among female sex workers (FSWs) in Lubumbashi. METHODS: a cross-sectional study was conducted among FSWs presenting for the first time at the sexually transmitted infections (STIs) clinic of Katuba, Lubumbashi, between April 2016 and December 2017. Information on the participants´ socio-demographic characteristics, sexual behaviors, and HIV serology results were collated and analyzed using a multiple logistic regression to identify factors associated to HIV infection among FSWs. RESULTS: information on 1555 sex workers was analysed in this study, the prevalence of HIV was 8.2%. The median age of the participants was 26 years (IQR: 21-34). Of the 127 HIV positive sex workers, 74% have been in the business for two years or less, 97% sell sex as their main income, 74% have more than 5 sexual intercourses per week, 95% reported using condom, 73% reported having history of STIs, 70% reported using alcohol before sex and 97% reported having three or more sexual partners per week. After adjusting for potentials cofounders, Age, Sex work as main income, years of selling sex, condom use, and alcohol use before sex were found to have a significant effect on HIV infection among sex workers. CONCLUSION: these findings highlight the vulnerability of FSWs to HIV infection and the necessity of immediate interventions to strengthen HIV prevention through behavioral change strategies and making available Pre-exposure Prophylaxis (PrEP) for FSWs in Lubumbashi. https://www.panafrican-med-journal.com/content/article/36/280/pdf/280.pdf prevalencehiv infectionfemale sex workerrelated factorslubumbashi |
| spellingShingle | Christian Kakisingi Michel Muteba Olivier Mukuku Véronique Kyabu Kevin Ngwej Patricia Kajimb Michel Manika Hippolyte Situakibanza Claude Mwamba Dieudonné Ngwej Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo The Pan African Medical Journal prevalence hiv infection female sex worker related factors lubumbashi |
| title | Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo |
| title_full | Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo |
| title_fullStr | Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo |
| title_full_unstemmed | Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo |
| title_short | Prevalence and characteristics of HIV infection among female sex workers in Lubumbashi, Democratic Republic of Congo |
| title_sort | prevalence and characteristics of hiv infection among female sex workers in lubumbashi democratic republic of congo |
| topic | prevalence hiv infection female sex worker related factors lubumbashi |
| url |
https://www.panafrican-med-journal.com/content/article/36/280/pdf/280.pdf
|
| work_keys_str_mv | AT christiankakisingi prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT michelmuteba prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT oliviermukuku prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT veroniquekyabu prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT kevinngwej prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT patriciakajimb prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT michelmanika prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT hippolytesituakibanza prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT claudemwamba prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo AT dieudonnengwej prevalenceandcharacteristicsofhivinfectionamongfemalesexworkersinlubumbashidemocraticrepublicofcongo |