SidaSubSaharaV1, Main, Exploration, bibRecord, 006964

Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions

Identifieur interne : 006964 ( Main/Exploration ); précédent : 006963; suivant : 006965

Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions

Auteurs : C M Lowndes [Royaume-Uni] ; M. Alary [Canada] ; A-C Labbé [Canada] ; C. Gnintoungbè [Bénin] ; M. Belleau [Canada] ; L. Mukenge [Canada] ; H. Meda [Bénin] ; M. Ndour [Bénin] ; S. Anagonou [Bénin] ; A. Gbaguidi [Bénin]

Source :

Sexually Transmitted Infections [ 1368-4973 ] ; 2007-12.

RBID : ISTEX:6B72B109E08EA4B2F4881337FFBDC6EAE78111E5

Descripteurs français

Wicri :
- geographic : Bénin.
- topic : Collecte de données.

English descriptors

Abstract

Objectives: To assess the impact of interventions targeted towards female sex workers (FSWs) and their male clients on client HIV/STI prevalence and sexual behaviour. Methods: From 1993 to 2006, an HIV/STI preventive intervention focusing on condom promotion and STI care was implemented among FSWs in Cotonou, Benin, and then expanded to cover their male sexual partners in 2000. The interventions were scaled up to five other cities of Benin in 2001–2002. Serial cross-sectional surveys of HIV/STI prevalence and sexual behaviour were carried out among clients in Cotonou in 1998, 2002 and 2005; and in the five other cities (O/Cotonou) in 2002 and 2005. Results: Significant declines in gonorrhoea prevalence among clients of FSWs: Cotonou, from 5.4% in 1998 to 1.6% in 2005; O/Cotonou: from 3.5% in 2002 to 0.59% in 2005. Chlamydia prevalence also declined O/Cotonou, from 4.8% to 1.8%, while HIV prevalence remained stable. Reported condom use by clients with both FSWs and casual non-FSW partners, but not regular partners, increased significantly. While condom use at last sex with an FSW was similar in Cotonou to O/Cotonou around the time of implementation of the interventions (56% in 1998 vs 49% in 2002, respectively), it had risen to similar levels by 2005 (95% and 96%, respectively). Conclusions: These results demonstrate that it is possible to implement preventive and clinical services for clients of FSWs, and suggest that such interventions, integrated with those targeted towards FSWs, can have a significant effect on sexual behaviour and STI prevalence (particularly gonorrhoea) among this population.

Url:

https://api.istex.fr/document/6B72B109E08EA4B2F4881337FFBDC6EAE78111E5/fulltext/pdf

DOI: 10.1136/sti.2007.027441

Affiliations:

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to stream Istex, to step Corpus: 002297
to stream Istex, to step Curation: 002297
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to stream Main, to step Merge: 006A73
to stream Main, to step Curation: 006964

Le document en format XML

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<author><name sortKey="Belleau, M" sort="Belleau, M" uniqKey="Belleau M" first="M" last="Belleau">M. Belleau</name>
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<author><name sortKey="Meda, H" sort="Meda, H" uniqKey="Meda H" first="H" last="Meda">H. Meda</name>
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<author><name sortKey="Ndour, M" sort="Ndour, M" uniqKey="Ndour M" first="M" last="Ndour">M. Ndour</name>
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<author><name sortKey="Anagonou, S" sort="Anagonou, S" uniqKey="Anagonou S" first="S" last="Anagonou">S. Anagonou</name>
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<author><name sortKey="Gbaguidi, A" sort="Gbaguidi, A" uniqKey="Gbaguidi A" first="A" last="Gbaguidi">A. Gbaguidi</name>
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<term>Behaviour</term>
<term>Benin</term>
<term>CAC, Clinique des Amis de Cotonou</term>
<term>Casual partners</term>
<term>Chlamydia</term>
<term>Chlamydia prevalence</term>
<term>Condom</term>
<term>Consistent condom</term>
<term>Cotonou</term>
<term>Data collection</term>
<term>Diseases research</term>
<term>FSW, female sex worker</term>
<term>Fsws</term>
<term>General population</term>
<term>Gonorrhoea</term>
<term>Gonorrhoea prevalence</term>
<term>IBBS, integrated biological and behavioural surveys</term>
<term>Ibbs</term>
<term>International society</term>
<term>LED, leucocyte esterase dipstick</term>
<term>Labbe</term>
<term>Lowndes</term>
<term>Male clients</term>
<term>Other cities</term>
<term>Pilot intervention</term>
<term>Prevalence</term>
<term>Preventive interventions</term>
<term>Principal investigator</term>
<term>Prostitution venues</term>
<term>Regular partners</term>
<term>Sexual behaviour</term>
<term>Square test</term>
<term>Time trends</term>
<term>Transm</term>
<term>Urine</term>
<term>Urine sample</term>
<term>Venue</term>
<term>West africa</term>
<term>Wooden penis</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Alary</term>
<term>Behaviour</term>
<term>Benin</term>
<term>Casual partners</term>
<term>Chlamydia</term>
<term>Chlamydia prevalence</term>
<term>Condom</term>
<term>Consistent condom</term>
<term>Cotonou</term>
<term>Data collection</term>
<term>Diseases research</term>
<term>Fsws</term>
<term>General population</term>
<term>Gonorrhoea</term>
<term>Gonorrhoea prevalence</term>
<term>Ibbs</term>
<term>International society</term>
<term>Labbe</term>
<term>Lowndes</term>
<term>Male clients</term>
<term>Other cities</term>
<term>Pilot intervention</term>
<term>Prevalence</term>
<term>Preventive interventions</term>
<term>Principal investigator</term>
<term>Prostitution venues</term>
<term>Regular partners</term>
<term>Sexual behaviour</term>
<term>Square test</term>
<term>Time trends</term>
<term>Transm</term>
<term>Urine</term>
<term>Urine sample</term>
<term>Venue</term>
<term>West africa</term>
<term>Wooden penis</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Bénin</term>
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<front><div type="abstract" xml:lang="en">Objectives: To assess the impact of interventions targeted towards female sex workers (FSWs) and their male clients on client HIV/STI prevalence and sexual behaviour. Methods: From 1993 to 2006, an HIV/STI preventive intervention focusing on condom promotion and STI care was implemented among FSWs in Cotonou, Benin, and then expanded to cover their male sexual partners in 2000. The interventions were scaled up to five other cities of Benin in 2001–2002. Serial cross-sectional surveys of HIV/STI prevalence and sexual behaviour were carried out among clients in Cotonou in 1998, 2002 and 2005; and in the five other cities (O/Cotonou) in 2002 and 2005. Results: Significant declines in gonorrhoea prevalence among clients of FSWs: Cotonou, from 5.4% in 1998 to 1.6% in 2005; O/Cotonou: from 3.5% in 2002 to 0.59% in 2005. Chlamydia prevalence also declined O/Cotonou, from 4.8% to 1.8%, while HIV prevalence remained stable. Reported condom use by clients with both FSWs and casual non-FSW partners, but not regular partners, increased significantly. While condom use at last sex with an FSW was similar in Cotonou to O/Cotonou around the time of implementation of the interventions (56% in 1998 vs 49% in 2002, respectively), it had risen to similar levels by 2005 (95% and 96%, respectively). Conclusions: These results demonstrate that it is possible to implement preventive and clinical services for clients of FSWs, and suggest that such interventions, integrated with those targeted towards FSWs, can have a significant effect on sexual behaviour and STI prevalence (particularly gonorrhoea) among this population.</div>
</front>
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<affiliations><list><country><li>Bénin</li>
<li>Canada</li>
<li>Royaume-Uni</li>
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<region><li>Angleterre</li>
<li>Grand Londres</li>
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<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Lowndes, C M" sort="Lowndes, C M" uniqKey="Lowndes C" first="C M" last="Lowndes">C M Lowndes</name>
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<country name="Bénin"><noRegion><name sortKey="Gnintoungbe, C" sort="Gnintoungbe, C" uniqKey="Gnintoungbe C" first="C" last="Gnintoungbè">C. Gnintoungbè</name>
</noRegion>
<name sortKey="Anagonou, S" sort="Anagonou, S" uniqKey="Anagonou S" first="S" last="Anagonou">S. Anagonou</name>
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<name sortKey="Meda, H" sort="Meda, H" uniqKey="Meda H" first="H" last="Meda">H. Meda</name>
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Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions

Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri