Important note: Information in this article was accurate in 1991. The state of the art may have changed since the publication date.
The impact of STD control and condom promotion on the incidence of HIV in Kinshasa prostitutes.
Int Conf AIDS. 1991 Jun 16-21;7(1):20 (abstract no. M.C.2). Unique Identifier : AIDSLINE ICA7/1000291 Mulivanda T; Manoka AT; Nzila N; Way W; St Louis M; Piot P; Laga M; Projet SIDA, Kinshasa, Zaire
Abstract:
OBJECTIVE: To determine the impact of an intervention programme, including condom distribution and treatment for STD, on the incidence of HIV and other STD among female prostitutes in Kinshasa. METHODS: Prostitutes were asked to return monthly to a women's clinic where they were interviewed about their sexual exposure, examined and treated for STD, and where condoms were freely distributed. Every 3 months blood was drawn for HIV serology. Trends in incidence of HIV and other STD, as well as trends in sexual exposure were monitored over time. RESULTS: Until November 1990, 434 initially HIV(-) women have been followed for a total duration of 22 months. The mean follow up rate per month was 76%, ranging from 72% to 89%. Sixty one (14%) women seroconverted during the follow up period. The incidence of HIV has been declining significantly (see figure) ranging from 18%/year at the beginning of the intervention to 2.2%/year in the last 3 months of the study. Concurrently all other STD showed a declining trend in incidence. TABULAR DATA, SEE ABSTRACT VOLUME. (Figure: bars represent adjusted yearly incidence of HIV per 3 months period; point o indicates prevalence of the STD at recruitment, all other points are monthly STD incidence rates; STD monitored: N.gonorrhoeae by culture, C.trachomatis by antigen detection, T.vaginalis by direct microscopic exam and genital ulcer as a clinical diagnosis). Regular use of condoms with clients increased initially from 4% at the start of the study to 55% after 6 months, and remained stable afterwards, ranging from 48-62% per month. All, except 4, women who seroconverted, admitted having used condoms irregularly. Condom use with stable partners remained low throughout the study (less than 10%) for all women. The mean number of clients per week reported, ranged from 5.5 to 6.8 and their was no significant trend during the follow-up period. CONCLUSIONS: The intervention programme with condom promotion and STD treatment led to a significant decrease of HIV incidence in this population. The incidence of STD declined as well, but is still high. Promotion of safer sex practices should therefore continue and be reinforced among this women and their sex partners.
Keywords: AIDS Serodiagnosis *Contraceptive Devices, Male Female Health Education Human HIV Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL *Prostitution Sexually Transmitted Diseases/*PREVENTION & CONTROL Zaire/EPIDEMIOLOGY ABSTRACT 912130
M91C4067
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Important note: Information in this article was accurate in 1991. The state of the art may have changed since the publication date.
