Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Decline in the prevalence of HIV and sexually transmitted infections among female sex workers in Benin over 15 years of targeted interventions
Journal of Acquired Immune Deficiency Syndromes, Volume 63, No. 1, Year 2013
Notification
URL copied to clipboard!
Description
BACKGROUND: An HIV-preventive intervention targeting the sex work milieu and involving fully integrated components of structural interventions, communication for behavioral change and care for sexually transmitted infections (STIs), was implemented in Benin by a Canadian project from 1992 to 2006. It first covered Cotonou before being extended to other main cities from 2000. At the project end, the Beninese authorities took over the intervention, but structural interventions were interrupted and other intervention components were implemented separately. We estimated time trends in HIV/STI prevalence among female sex workers (FSWs) from 1993 to 2008 and assessed the impact of the change in intervention model on trends. METHODS: Six integrated biological and behavioral surveys were carried out among FSWs. Time trend analysis controlled for potential sociodemographic confounders using log-binomial regression. RESULTS: In Cotonou, from 1993 to 2008, there was a significant decrease in HIV (53.3%-30.4%), gonorrhea (43.2%-6.4%), and chlamydia (9.4%-2.8%) prevalence (all adjusted P = 0.0001). The decrease in HIV and gonorrhea prevalence was also significant in the other cities between 2002 and 2008. In 2002, gonorrhea prevalence was lower in Cotonou than elsewhere (prevalence ratio = 0.53, 95% confidence interval: 0.32 to 0.88). From 2005 to 2008, there was an increase in gonorrhea prevalence (prevalence ratio = 1.76, 95% confidence interval: 1.17 to 2.65) in all cities combined. CONCLUSIONS: Our results suggest a significant impact of this targeted preventive intervention on HIV/STI prevalence among FSWs. The recent increase in gonorrhea prevalence could be related to the lack of integration of the intervention components. Copyright © 2013 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Béhanzin, Luc
Canada, Quebec
Chu de Québec-université Laval
Canada, Quebec
Université Laval
Diabaté, Souleymane
Canada, Quebec
Chu de Québec-université Laval
Canada, Quebec
Université Laval
Minani, Isaac
Unknown Affiliation
Boily, Marie Claude
Canada, Quebec
Chu de Québec-université Laval
United Kingdom, London
Imperial College London
Labbé, Annie Claude
Canada, Montreal
Hôpital Maisonneuve-rosemont
Ahoussinou, Clément
Benin
Programme National de Lutte Contre le Sida et Les Ist au Bénin
Anagonou, Sévérin Yehouénou
Benin, Cotonou
University of Abomey-calavi
Benin
Centre National Hospitalier Universitaire
Zannou, Djimon Marcel
Benin, Cotonou
University of Abomey-calavi
Benin
Centre National Hospitalier Universitaire
Lowndes, Catherine Mary
Canada, Quebec
Chu de Québec-université Laval
United Kingdom, London
Public Health England
Alary, Michel
Canada, Quebec
Chu de Québec-université Laval
Canada, Quebec
Université Laval
Canada, Quebec
Institut National de Sante Publique du Québec
Statistics
Citations: 39
Authors: 10
Affiliations: 9
Identifiers
Doi:
10.1097/QAI.0b013e318286b9d4
ISSN:
15254135
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
Benin
Participants Gender
Female