EUROPEAN JOURNAL OF ENVIRONMENT AND PUBLIC HEALTH

Keyword: syphilis

2 results found.

Research Article
Prevalence of HIV and Syphilis and Related Risk Behaviors Among Female Sex Workers in the Democratic Republic of the Congo
European Journal of Environment and Public Health, 2022, 6(2), em0114, https://doi.org/10.21601/ejeph/12179
ABSTRACT: Objectives: Examine the prevalence of HIV and syphilis and related risk behaviors among female sex workers (FSW) in the Congo.
Methods: A cross-sectional study of 400 FSW was carried in Kinshasa from April to July 2021 using time location sampling approach. A structured questionnaire was used to collect information on sociodemographic characteristics, sexual behavior, mode of HIV transmission, and drug use. Rapid tests for HIV and syphilis were administered. Logistic regression identified the factors associated with the risk of developing HIV infection.
Results: The prevalence of HIV and syphilis was 7.2% (n=29) and 11.5% (n= 46), respectively. The mean age of the participants was 21 years. Over half of them (53.2%) had the first intercourse between 7 and 15 years of age; 62.5% initiated commercial sex between 16 and 20 years of age. The average number of paying clients the week preceding the survey was 17.6 with SD±12.0. The average number of non-paying clients during the same period was 5.5 with SD±2.0. Most of the participants (95.8%) reported using condom during their last sexual encounter with a paying client compared to 29% with a non-paying client.
Multiple logistic regression analysis showed that being diagnosed with syphilis [OR: 7.34; 95%; CI: 3.12, 17.29] and ever been married [2.28; 95%; CI: 0.96, 5.41] were associated with HIV infection. Consumption of a locally brewed alcohol (lotoko) [OR: 2.23; 95% CI: 0.91, 5.45] was marginally associated with the risk of HIV infection.
Conclusion: The high prevalence of HIV and syphilis in this marginalized group is a matter of great public health concern. More effective interventions are needed to address the vulnerability to HIV among FS.
Research Article
HIV Prevalence and Related Risk Behaviors among Men Who Have Sex with Men in Kinshasa, the Democratic Republic of the Congo
European Journal of Environment and Public Health, 2020, 4(1), em0034, https://doi.org/10.29333/ejeph/5975
ABSTRACT: The purpose of this study was to determine the prevalence of HIV and syphilis and examine the HIV-related behaviors among men who have sex with other men (MSM) in Kinshasa, Congo. A modified snowball sampling was used to recruit the participants. The results showed that among the 401 men studied, 23.7% and 11.2% were infected with HIV and syphilis, respectively. HIV risk behaviors were rampant in this population. In the last 6 months preceding the survey, 83.3% of MSM reported receptive anal sex (RAS) with an average of 7 sexual partners. As high as 37.7% of MSM did not use condoms during the last RAS. About 65.9% (n = 249) reported drinking alcohol before sex. Logistic regression model indicated that being diagnosed with syphilis and not using lubricant were associated with positive HIV test. High-risk behaviors coupled with high prevalence of HIV among MSM underscore the need for the National HIV Control program to design new interventions to prevent HIV transmission from the MSM community into the general population.