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
immunology and microbiology
Decline in the prevalence of HIV and sexually transmitted diseases among female sex workers in Cotonou, Benin, 1993-1999
AIDS, Volume 16, No. 3, Year 2002
Notification
URL copied to clipboard!
Description
Background: Within an ongoing HIV/STD prevention project aimed at female sex workers (FSW) in Cotonou, Benin, we evaluated time trends in HIV and STD prevalences from 1993 to 1999. Design: Three serial cross-sectional surveys were conducted in 1993 (n = 374), 1995-1996 (n = 365), and 1998-1999 (n = 591). A questionnaire was administered to the FSW and they were screened for HIV, syphilis, Neisseria gonorrhoeae, and Chlamydia trachomatis. Results: The mean percentage of condom use with clients in the week preceding the interview increased from 62.2% in 1993 to 80.7% in 1998-1999 (P = 0.0001). The prevalence of all infections decreased significantly (all P < 0.02; chi-square for trend) over time: HIV from 53.3% in 1993 to 40.6% in 1998-1999; syphilis from 8.9 to 1.5%; gonorrhoea from 43.2 to 20.5%; and chlamydia from 9.4 to 5.1%. However, the mean age of FSW decreased from 31.0 to 28.4 years between 1993 and 1998-1999. Moreover, the country of origin of these women changed dramatically over time: the proportion of Ghanaian women decreased from 66.3% in 1993 to 21.6% in 1998-1999 when the predominant group became Nigerian (38.0%). When controlling for age and country of origin, HIV prevalence was stable over time (P = 0.71), whereas the downward trend remained significant for syphilis and gonorrhoea (both P < 0.001), and was present but not significant for chlamydia (P = 0.13). Conclusion: These data suggest that the time trends in HIV and STD prevalences are partly due to the changing sex work milieu, but that the intervention also had an impact. Prevention programmes aimed at FSW should be highly prioritized. © 2002 Lippincott Williams & Wilkins.
Authors & Co-Authors
Alary, Michel
Canada, Quebec
Chu de Québec-université Laval
Mukenge-Tshibaka, Léonard
Canada, Quebec
Chu de Québec-université Laval
Bernier, France
Canada, Quebec
Chu de Québec-université Laval
Geraldo, Nassirou
Canada, Quebec
Chu de Québec-université Laval
Lowndes, Catherine Mary
Canada, Quebec
Chu de Québec-université Laval
Méda, HonoréA A.
Canada, Quebec
Chu de Québec-université Laval
Gnintoungbè, Cyriaque A.B.
Canada, Quebec
Chu de Québec-université Laval
Anagonou, Sévérin Yehouénou
Canada, Quebec
Chu de Québec-université Laval
Joly, Jean R.
Canada, Quebec
Chu de Québec-université Laval
Statistics
Citations: 158
Authors: 9
Affiliations: 1
Identifiers
Doi:
10.1097/00002030-200202150-00019
ISSN:
02699370
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
Benin
Participants Gender
Female