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Start Over Search Limiters Peer Reviewed Topic hiv infections Publisher pan african medical journal
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1. High-risk behaviors and factors for HIV and sexually transmitted infections among transgender people in Gaborone, Botswana: results from a national survey.

Author

Siamisang, Keatlaretse, Nkomo, Bornapate, Kusi, Kemmonye, Kanyenvu, Dorcus, and Molefi, Mooketsi

Subjects
*SEXUALLY transmitted diseases, *TRANSGENDER people, *TRANS women, *GENDER identity, *HIV infections
Abstract

Introduction: key populations and transgender people in particular are at a high risk of HIV infection. However, very little is known about risk behaviors of transgender people in Botswana. The aim of this study was to determine the prevalence of high-risk behaviors for HIV and sexually transmitted infections (STIs) among transgender people in Botswana. Methods: data from the Botswana 2017 Biological and Behavioral Surveillance Survey of HIV/STIs among select key populations (BBSS-2) was used. The cross sectional survey documented behavioral risk factors for these infections. This paper only focused on the analysis of the transgender data. Descriptive analysis was done with IBM Statistical Software for the Social Sciences (SPSS) version 24. Results: there were 56 transgender people identified of which 12 (21.4%) were transgender women. The median age was 24 (interquartile range (IQR) 22-28). Among transgender women, 2 (16.7%) reported concurrent sexual partners and 9 (75%) reported condom use at last intercourse. However, only 7 (58.3%) reported consistent lubricant use. About 45% of the respondents did not know the HIV status of their last male partner. Only one of the transgender women reported intercourse with at least 1 female in the last month. About a third reported that they had STI symptoms in the past year. Alcohol use was reported in 50% of respondents while 83% had disclosed gender identity and had been accepted by their families. However, 25% reported discrimination by a healthcare worker. Conclusion: the high-risk behaviors were frequent among transgender women. This study underlines the need for sustained efforts to reach this key population. [ABSTRACT FROM AUTHOR]

Published
2022
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2. Factors associated with acceptability of HIV self-testing (HIVST) among university students in a Peri-Urban area of the Democratic Republic of Congo (DRC)

Author

Richard Ingwe, Hippolyte Situakibanza, Evelyne Amaela, Ben Bepouka Izizag, Marcel Mbula, Aliocha Nkodila, Murielle Longokolo, Madone Mandina, Tathy Mbutiwi, and Florian Kiazayawoko

Subjects
Counseling, Male, Sexual partner, medicine.medical_specialty, Universities, Sexual Behavior, Developing country, HIV Infections, Window period, Logistic regression, Young Adult, 03 medical and health sciences, Acceptability, 0302 clinical medicine, Health facility, Global health, Humans, Mass Screening, Medicine, 030212 general & internal medicine, students, business.industry, Research, 030503 health policy & services, Public health, HIV self-test, General Medicine, Patient Acceptance of Health Care, Test (assessment), Self Care, Cross-Sectional Studies, Logistic Models, Sexual Partners, Democratic Republic of the Congo, Female, 0305 other medical science, business, Demography
Abstract

Introduction: this paper examines the acceptability of HIV self-testing (HIVST) by students in a university in the DRC and identifies factors associated with uptake of HIVST. Methods: a cross-sectional study was conducted with a sample of 290 students from Kikwit University. Data were summarized using proportions and predictions of acceptability of HIVST by logistic regression. Results: the average age of students was 22.5 years, with the majority of the students being male (57%). Just over half the students sampled, reported being sexually active (51.8%). One hundred and sixty four (75%) reported that they had one sexual partner and fifty-six (25%) two or more sexual partners in the past year. Sixty-six percent had used condoms during their last sexual encounter. The acceptability of HIVST was high (81.4%) and 66.1% of students stated that they would confirm the self-test at a local health facility. The knowledge about the importance of the self-test (OR 5.02; 95% CI:1.33-18.88; p=0.017), the perception that counseling pre and post-test were important (OR 2.91; 95% CI:1.63-5.19; p < 0.0001) and the willingness to realize the test with a partner (OR 2.46; 95% CI:1.43-4.23; p=0.034) were factors associated with HIVST. Conclusion: the acceptability of HIVST was high and therefore its implementation is feasible in our country. However, prior to implementation, additional factors such as cost; access of HIVST; false reassurance of the test; missed early infections in the window period, limited counseling and linkage to care options, need to be considered.

Published
2018

3. A systematic review of missed opportunities for improving tuberculosis and HIV/AIDS control in Sub-saharan Africa: what is still missed by health experts?

Author

Richard Fotsing, Jean Meli, Jean Macq, Basile Keugoung, Bart Criel, and Florent Ymele Fouelifack

Subjects
medicine.medical_specialty, Pathology, Tuberculosis, hiv/aids, Control (management), Population, Alternative medicine, Developing country, HIV Infections, Review, Health facility, Acquired immunodeficiency syndrome (AIDS), medicine, Humans, education, Africa South of the Sahara, missed opportunities, Acquired Immunodeficiency Syndrome, lcsh:R5-920, education.field_of_study, business.industry, lcsh:Public aspects of medicine, Public health, lcsh:RA1-1270, General Medicine, medicine.disease, tuberculosis, sub-saharan africa, Family medicine, lcsh:Medicine (General), business, Delivery of Health Care, health systems
Abstract

In sub-Saharan Africa, HIV/AIDS and tuberculosis are major public health problems. In 2010, 64% of the 34 million of people infected with HIV were reported to be living in sub-Saharan Africa. Only 41% of eligible HIV-positive people had access to antiretroviral therapy (ART). Regarding tuberculosis, in 2010, the region had 12% of the world's population but reported 26% of the 8.8 million incident cases and 254000 tuberculosis-related deaths. This paper aims to review missed opportunities for improving HIV/AIDS and tuberculosis prevention and care. We conducted a systematic review in PubMed using the terms ''missed''(Title) AND ''opportunities''(Title). We included systematic review and original research articles done in sub-Saharan Africa on missed opportunities in HIV/AIDS and/or tuberculosis care. Missed opportunities for improving HIV/AIDS and/or tuberculosis care can be classified into five categories: i) patient and community; ii) health professional; iii) health facility; iv) local health system; and v) vertical programme (HIV/AIDS and/or tuberculosis control programmes). None of the reviewed studies identified any missed opportunities related to health system strengthening. Opportunities that are missed hamper tuberculosis and/or HIV/AIDS care in sub-Saharan Africa where health systems remain weak. What is still missing in the analysis of health experts is the acknowledgement that opportunities that are missed to strengthen health systems also undermine tuberculosis and HIV/AIDS prevention and care. Studying why these opportunities are missed will help to understand the rationales behind the missed opportunities, and customize adequate strategies to seize them and for effective diseases control.

Published
2014