Sex practices and awareness of Ebola virus disease among male survivors and their partners in Guinea.

Autor:	Kondé MK; Department of Public Health, Universite Gamal Abdel Nasser de Conakry, Conakry, Guinea.; Fondation Santé et Développement durable, FOSAD-CEFORPAG, Conakry, Guinea., Diop MK; Laboratoire d'analyse socio-anthropologique de Guinée (LASAG), Université Général Lansana Conté de Sonfonia-Conakry, Conakry, Guinea., Curtis MY; Laboratoire d'analyse socio-anthropologique de Guinée (LASAG), Université Général Lansana Conté de Sonfonia-Conakry, Conakry, Guinea., Barry A; Fondation Santé et Développement durable, FOSAD-CEFORPAG, Conakry, Guinea., Kouyaté S; Fondation Santé et Développement durable, FOSAD-CEFORPAG, Conakry, Guinea., Ghilardi L; Department of Disease Control, Faculty of Infectious and Tropical Disease, London School of Hygiene and Tropical Medicine, London, UK., Kouyaté S; Laboratoire d'analyse socio-anthropologique de Guinée (LASAG), Université Général Lansana Conté de Sonfonia-Conakry, Conakry, Guinea., Diallo AM; Laboratoire d'analyse socio-anthropologique de Guinée (LASAG), Université Général Lansana Conté de Sonfonia-Conakry, Conakry, Guinea., Magassouba N; Laboratoire des Fièvres Hémorragiques en Guinée, Université Gamal Abdel Nasser de Conakry, Conakry, Guinea., Quick I; Institut thématique multi-organismes I3M (Immunologie, Inflammation,Infectiologie et microbiologie), Institut National de la Santé et de la Recherche Médicale, Paris, France., Keïta M; WHO Country office, World Health Organization, Conakry, Guinea., Carroll MW; Microbiology services, Public Health England, London, London, UK.; University of Southampton, South General Hospital, Southampton, UK., Jansa J; Section of Epidemic Intelligence and Response, European Centre for Disease Prevention and Control, Stockholm, Stockholms Län, Sweden., Subissi L; Section of Epidemic Intelligence and Response, European Centre for Disease Prevention and Control, Stockholm, Stockholms Län, Sweden.; Global Outbreak Alert and Response Network, World Health Organization, Geneva, Switzerland.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2017 Sep 25; Vol. 2 (3), pp. e000412. Date of Electronic Publication: 2017 Sep 25 (Print Publication: 2017).
DOI:	10.1136/bmjgh-2017-000412
Abstrakt:	Introduction: Towards the end of the 2013-2016 West African outbreak, sexually-transmitted Ebola virus re-emerged from Ebola virus disease (EVD) survivors in all three hardest hit countries. We explore sex practices and awareness of the risk of Ebola virus transmission among EVD survivors and their partners. Methods: In this cross-sectional study, we recruited a convenience sample of study participants aged >15 years who were male EVD survivors, their sexual partners and a comparison group. We administered a questionnaire to all respondents, estimated self-reported sexual practices and risk awareness and conducted in-depth interviews. Results: We recruited 234 EVD survivors, 256 sexual partners of survivors and 65 individuals in the comparison group from five prefectures in Guinea. The prevalence of safe sexual behaviour (regular condom use or sexual abstinence >12 months) and regular condom use in EVD survivors was 38% (95% CI 31% to 44%) and 21% (95% CI 16% to 27%), respectively. Among partners, these prevalences were lower (11%, 95% CI 7% to 15% and 9%, 95% CI 5% to 12%, respectively). EVD survivors were more than five times as likely to engage in safe sexual behaviour compared with the comparison group (aOR 5.59, 95% CI 2.36 to 13.2). One-hundred and thirty one EVD survivors (57%) and 94 partners (37%) were aware of the risk of Ebola virus re-emergence associated with having unsafe sex. Partners who reported not being informed by their husband/boyfriend (EVD survivor) were more likely to be unaware of this risk (aOR 20.5, 95% CI 8.92 to 47.4). Conclusions: We disclose here a need to improve knowledge of the disease and close the gap between knowledge and practice found in EVD survivors and their partners. Current and future survivors' follow-up programmes should include partners and be more effective at communicating sex-related risks. Community-level fears and attitudes that enable stigmatisation should be addressed. Safe sex interventions targeting EVD survivors and their partners should be prioritised. Competing Interests: Competing interests: None declared.
Databáze:	MEDLINE
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