Earticle

초록

영어

The WHO African Region is severely affected with 3.4% of adult population living with HIV. In the Democratic Republic of the Congo (DRC), a country experiencing recurrent armed conflicts for two decades and where sexual violence has been used as a weapon of war by foreign and local terrorist groups, the HIV prevalence is estimated to be 1.26%. This study assessed the knowledge, attitudes and practices (KAP) survey on sexual transmission of HIV infection prevention in the Democratic Republic of the Congo (DRC). This was a cross-sectional study consisting in a KAP survey conducted in schools and communities in two provinces, Kinshasa and Kongo central, in DRC. We assessed the knowledge and practices regarding preventive measures for sexual transmission of HIV infection, and searched to determine behavioral, sociocultural, and faith-based factors associated with HIV/AIDS KAPs and HIV seropositivity. Results shows that 59.8% of the 3,869 participants were females (40.2% of males), 55.4% were teenage school students. Mean age of the participants was 18.3 (SD: 5.2) years; 58% of teenagers lacked appropriate knowledge on the 6 highrisk behaviors for HIV infection. Overall, “forced sex history” was reported by 28.7% of participants, including 42.2% of teenage school students; of them, 50.8% of forced sex incidents occurred at age < 15 years. Overall HIV positive test rate was 11.1% (10.7% in teenagers); it was 11.5% in participants from conventional Christian communities, 12.9% in participants from liberal Christian and spiritual communities, 12.5% in Muslims, 0% in those from Unificationist faith community. On the other hand, when asked about condom use in case of occasional sex for sexually active individuals, a higher proportion of teenagers did not use it, 50.8% (vs. 18.9% in older subjects); only 5% of teenagers (vs. 10.6%) condom users utilized it consistently for occasional sex. HIV seropositivity was positively associated with female gender (OR=1.46 (0.5); p<0.05), age of first sex (OR=1.79 (0.6); p<0.01 and history of forced sex (OR=1.59 (0.3); p<0.05), whereas it was negatively associated with knowledge on high-risk behaviors for HIV infection (OR=1.97(0.4); p<0.01) and religious affiliation (conventional Christianity vs. non-conventional/spiritual communities; OR=1.91 (0.1); p<0.05). Findings from this study suggest that history of forced sex, age at first sex and religious affiliation were determinants of HIV seropositivity, particularly in young subjects. It is imperative to improve awareness and implement efficient moral, behavioral and school health education program targeting the major local HIV-associated risk behaviors in DRC.

목차

Abstract
1. Introduction
2. Materials and Methods
2.1. Study design and participants
2.2. Ethical consideration and statistical analysis
3. Results
3.1. Characteristics of the Participants, HIV-related KAPs and Seropositivity (N=3,869)
3.2. Determinants of KAPs knowledge accuracy and HIV+ test (n=1,111)
4. Discussion and conclusion
References

키워드

저자

• Nlandu Roger NGATU [ Department of Public Health, Kagawa University Faculty of Medicine, Miki-cho, Kagawa 761-0793, Japan./Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DRC). ] Corresponding Author
• Christian-Mapong WANSU [ Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DRC)./Unité de Médecine Préventive, Hopital Kimbanguiste de Kinshasa, Kinshasa, DRC. ]
• Alpha Ngansaki KINGO [ Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DRC ]
• Luzitu Severin NANGANA [ 2Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DRC)/ Ecole de Santé Publique, Université de Kamina, Kamina, DRC. ]
• Leon KABAMBA [ Leon KABAMBA | Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DRC). ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  The Journal of Sciences and Innovation for Sustainable Peace(구 The journal of Hyojeong Academia)

• 간기

  반년간

• pISSN

  2982-9305

• 수록기간

  2023~2026

• 십진분류

  KDC 238 DDC 289