Malama Kalonde, Price Matt A, Sagaon-Teyssier Luis, Parker Rachel, Wall Kristin M, Tichacek Amanda, Sharkey Tyronza, Kilembe William, Inambao Mubiana, Spire Bruno, Allen Susan
Aix-Marseille University, INSERM, IRD, SESSTIM, ORS PACA, Institut Hospitalo-Universitaire, 19-21 Boulevard Jean Moulin, 13005, Marseille, France.
Center for Family Health Research in Zambia, Rwanda Zambia HIV Research Group, Lusaka, Zambia.
AIDS Behav. 2022 Feb;26(2):470-477. doi: 10.1007/s10461-021-03403-9. Epub 2021 Jul 31.
Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Participants were recruited into an HIV incidence cohort from 2012 to 2017. At each visit, women received HIV counselling and testing, screening for sexually transmitted infections (STIs) and free condoms. Our outcome was reported consistent (100%) condom use in the previous month with steady partners, repeat clients, and non-repeat clients. Consistent condom use at baseline was highest with non-repeat clients (36%) followed by repeat clients (27%) and steady partners (17%). Consistent condom use between baseline and Month 42 increased by 35% with steady partners, 39% with repeat clients and 41% with non-repeat clients. Access to condoms, HIV/STI counselling and testing promoted positive sexual behaviour change.
观察性行为随时间的变化有助于为赞比亚的女性性工作者制定预防艾滋病毒的行为干预措施，而该国目前缺乏此类干预措施。我们调查了女性性工作者及其客户和固定伴侣中坚持使用避孕套的情况变化。参与者于2012年至2017年被招募进入一个艾滋病毒发病率队列。每次随访时，女性都接受艾滋病毒咨询和检测、性传播感染筛查以及免费避孕套。我们的观察指标是报告在前一个月与固定伴侣、回头客和新客户始终（100%）使用避孕套的情况。基线时，与新客户始终使用避孕套的比例最高（36%），其次是回头客（27%）和固定伴侣（17%）。在基线和第42个月之间，与固定伴侣始终使用避孕套的比例增加了35%，与回头客增加了39%，与新客户增加了41%。获得避孕套、艾滋病毒/性传播感染咨询和检测促进了积极的性行为改变。
