HIV risk and behaviour among part-time versus professional FSW: baseline report of an interventional cohort in Burkina Faso: Table 1
Autor: | Roselyne Some, Noelie M Hema, Philippe Mayaud, Issouf Konate, A. Sanon, Nicolas Nagot, F Some, Djeneba Ouedraogo, Nicolas Meda, Philippe Van de Perre, Josiane Niessougou, Isidore Traore |
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Přispěvatelé: | Institut de Recherche en Sciences de la Santé (IRSS) / Centre Muraz, London School of Hygiene and Tropical Medicine (LSHTM), Pathogénèse et contrôle des infections chroniques (PCCI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Universitaire de Montpellier (CHU Montpellier )-Université de Montpellier (UM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre Hospitalier Universitaire de Montpellier (CHU Montpellier ) |
Rok vydání: | 2016 |
Předmět: |
AFRICA
0301 basic medicine medicine.medical_specialty COMMERCIAL SEX Cross-sectional study Population Reproductive medicine Dermatology law.invention 03 medical and health sciences 0302 clinical medicine Condom Acquired immunodeficiency syndrome (AIDS) [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases law medicine 030212 general & internal medicine education Gynecology Pregnancy education.field_of_study business.industry HIV medicine.disease 030112 virology 3. Good health Infectious Diseases Cohort Health education business Demography |
Zdroj: | Sexually Transmitted Infections Sexually Transmitted Infections, BMJ Publishing Group, 2016, 92 (7), pp.550-553. ⟨10.1136/sextrans-2015-052038⟩ |
ISSN: | 1472-3263 1368-4973 |
DOI: | 10.1136/sextrans-2015-052038 |
Popis: | International audience; OBJECTIVE:To readjust HIV control programmes in Africa, we assessed the factors associated with high-risk behaviours and HIV infection among young female sex workers (FSW) in Burkina Faso.METHODS:We carried out a cross-sectional study from September 2009 to September 2010 in Ouagadougou, the capital city. FSW were categorised as professionals and part-time sex workers (PTSW). After a face-to-face questionnaire, blood and urine samples were collected for HIV, HSV-2, genital infections and pregnancy. High-risk behaviour was defined as a recent unprotected sex with either casual clients, regular clients or regular partners.RESULTS:We recruited 609 FSW including 188 (30.9%) professionals. Their median age was 21 years (IQR 19-23), and the prevalence of HIV was 10.3% among professionals and 6.5% among PTSW. Only 3 of 46 HIV-infected women were aware of their status. Overall, 277 (45.6%) women reported high-risk behaviours (41.2% among professionals and 47.5% among PTSW), which were driven mainly by non-systematic condom use with regular partners. In multivariable analysis, PTSW (adjusted OR (AOR)=1.89; 95% CI 1.27 to 2.82) and having a primary (AOR=1.75; 95% CI 1.15 to 2.67) or higher education level (AOR=1.80; 95% CI 1.13 to 2.89) remained associated with high-risk behaviours. HIV infection was associated with older age (AOR=1.44; 95% CI 1.22 to 1.71), with being married/cohabiting (AOR=2.70; 95% CI 1.21 to 6.04) and with Trichomonas vaginalis infection (AOR=9.63; 95% CI 2.93 to 31.59), while history of HIV testing was associated with a decreased risk (AOR=0.18; 95% CI 0.08 to 0.40).CONCLUSIONS:This study highlights the need for targeted interventions among young FSW focusing particularly on PTSW, sexual behaviours with regular partners and regular HIV testing. |
Databáze: | OpenAIRE |
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