Vandepitte Judith M, Malele Faustin, Kivuvu Dieu-Merçi, Edidi Samuel, Muwonga Jérémie, Lepira François, Abdellati Said, Kabamba Joelle, Van Overloop Catherine, Buvé Anne
Institute of Tropical Medicine, STD/HIV Research & Intervention Unit, Antwerp, Belgium.
Sex Transm Dis. 2007 Apr;34(4):203-8. doi: 10.1097/01.olq.0000233743.57334.6a.
The objective of this study was to determine the prevalence and risk factors of HIV and other sexually transmitted infections (STIs) among female sex workers (FSWs) in Kinshasa, Democratic Republic of the Congo, in 2002.
A cross-sectional study was conducted among FSWs presenting for the first time at the STI clinic of Matonge, Kinshasa. The women were interviewed about sociodemographic characteristics, type of sex work, and sexual behavior. Blood was taken for HIV, syphilis, and herpes simplex virus type 2 serology. Vaginal secretions were collected on swabs for the diagnosis of gonorrhea, chlamydia, and trichomoniasis.
The overall HIV prevalence was 12.4% but varied within the different categories of FSWs: 11.8% in hotel-based, 24.0% in home-based, and 20.0% in street-based FSWs; 10.0% in homeless FSWs; and 6.6% in Masquées (clandestine sex workers). The overall herpes simplex virus type 2 seroprevalence was 58.5%.
The prevalence of HIV and other STIs seems to have stabilized since the beginning of the project in 1988.
本研究的目的是确定2002年刚果民主共和国金沙萨女性性工作者中艾滋病毒及其他性传播感染（STIs）的流行率和危险因素。
对首次到金沙萨马通杰性传播感染诊所就诊的女性性工作者进行了一项横断面研究。对这些女性进行了关于社会人口学特征、性工作类型和性行为的访谈。采集血液进行艾滋病毒、梅毒和2型单纯疱疹病毒血清学检测。用拭子收集阴道分泌物以诊断淋病、衣原体和滴虫病。
艾滋病毒总体流行率为12.4%，但在不同类型的女性性工作者中有所不同：以酒店为基础的为11.8%，以家庭为基础的为24.0%，以街头为基础的为20.0%；无家可归的女性性工作者为10.0%；“面具女”（秘密性工作者）为6.6%。2型单纯疱疹病毒总体血清流行率为58.5%。
自1988年项目开始以来，艾滋病毒和其他性传播感染的流行率似乎已趋于稳定。
