1. Objectifs

Intentions :
Dans cette thèse composée par articles portant sur différentes interventions visant à prévenir le VIH chez les travailleuses du sexe en Afrique subsaharienne, le troisième article vise à «[...] estimer la fréquence d’utilisation systématique du préservatif avec les partenaires clients et non-clients des femmes TS [travailleuses du sexe] et d’étudier l’importance du désir d’enfant dans l’utilisation non systématique du préservatif avec le principal partenaire régulier non-client» (résumé).

2. Méthode

Échantillon/Matériau :
«We conducted an investigation of the acceptability and consequences of voluntary counseling and testing (VCT) of HIV in a cohort of 421 FSW [female sex workers] in Conakry, Guinea in 2005-2006 (Aho, 2007). A cross sectional analysis of the 223 women that participated in the follow-up visit was conducted one year after recruitment for the VCT acceptability study. Participants in this study were initially recruited at three private or public health centers that offer adapted healthcare (AHC) for FSW in Conakry, Guinea (Aho, 2007).» (p. 173) «After [an] interview, a nurse or a midwife collected one blood and two vaginal samples.» (p. 174)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé

The results show that «[i]nconsistent condom use was highly frequent with the RNCSP [regular non client sexual partner] but rare with the client (80,4% vs 1,3%). Desire for children of the FSW, but not links of the RNCSP to commercial sex work, was strongly associated with inconsistent condom use with the RNCS.» (p. 170) «Among a high risk population such as FSW and at risk intercourses like those with RNCSP that have other links to commercial sex work, [taking the desire of children into account for HIV prevention] may be of paramount importance especially as getting married and potentially motherhood can be means to escape sex work (Mantoura, Fournier et al., 2003).» (p. 188)