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 viole nce has been used as a weapon of war by terrorist militia groups, the HIV prevalence is estimated to be 1.2-6%. T o our knowledge, there is no recent scientific reports on the scope of HIV infection in Congolese teenage school students. This research p roject comprised two studies: a knowledge, attitudes and practices (KAP) survey on HIV/AIDS prevention conducted in schools and comm unities, and a 12-month prospective observational study conducted in voluntary counselling and testing (VCT) centers in two Congolese provinces, Kinshasa and Kongo centr al. 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. In the HIV/AIDS KA P s u r v e y , 59.8% o f the 3,869 participants were females (41.2% of males) , 55.4% were teenage school students. Mean age of the participants was 18.3 (+/- 5.2) years; 58% of school students 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 stu dents; of them, 50.8% of forced sex incidents occurred at age < 15 years. Overall HIV positive test rate was 11.1% (10.7% in school stude nts); it was 11.5% in conventional Christian communities (catholic, protestant), 12.9% in participants from liberal Christian/spiritual communities, 12.5% in Muslims, 0% in those from Unificationist community and 12.3% in non-believers. In p r o s p e c t i v e observational study, of the 506 subjects tested there were 2.8% of positive HIV tests (3.2% in school students. In the KAP survey, HIV ser opositivity was positively associated with 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 se x (OR=1.59 (0.3); p<0.05); and it was inversely associated with knowledge on risk behaviors for HIV/AIDS (OR=1.97 (0.4); p<0.01) and “religious affiliation (nonconventional vs conventional Christian; OR=1.91 (0.1); p<0.05). In VCT centerbased prospective observational study, HIV seropositivity was positively associated with age (OR=1.47 (0.2); p<0.05) and occupation (sch ool students vs. others; OR=2.57(0.2); p<0.05). Findings from this research project showed that forced sex and religious affiliation are associated with HIV seropositivity in Congolese teenage school students. It is imperative to improve HIV awareness and implem ent school-based health and moral education program targeting the major local risk behaviors.

목차

Abstract
1. Introduction
2. Methods
2.1. Study design and participants
2.2. Community HIV/AIDS KAP surveys
2.3. Prospective HIV/AIDS Epidemiological Study at VCT centers
2.4. Ethical consideration and statistical analysis
3. Results, Discussions, and Conclusions
Acknowledgement
References

키워드

저자

• Nlandu Roger NGATU [ Department of Public Health, Kagawa University Faculty of Medicine, Miki 761-793, Japan./Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DR Congo). ] Corresponding Author
• Christian-Mapong WANSU [ Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DR Congo)./Division of Health Sciences, Institut Superieur Technique Songwa (ISTS), DR Congo. ]
• Alpha N. KINGO [ Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DR Congo). ]
• Luzitu S. NANGANA [ Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DR Congo)./ Preventive Medicine Unit, Hopital Kimbanguiste de Kinshasa, Kinshasa, DR Congo. ]
• Leon KABAMBA [ Congo-Japan Communicable and Noncommunicable Diseases Research Group, Kongo central, Democratic Republic of the Congo (DR Congo)./Department of Public Health, University of Kamina, Kamina, DR Congo. ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  선문효정학술연구회 학술대회 프로시딩

• 간기

  반년간

• 수록기간

  2023~2026

• 십진분류

  KDC 238 DDC 289