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Knowledge of HIV, sexual behavior and correlates of risky sex among street children in Kinshasa, Democratic Republic of Congo.
East Afr J Public Health. 2008 Dec; 5(3):186-92.EA

Abstract

CONTEXT

Homeless children are at risk of getting many diseases, including sexually transmitted infections (STI). The number of street children is on the rise in the Democratic Republic of Congo (DRC), while very little is known about their health problems.

OBJECTIVES

To determine knowledge of HIV (transmission and prevention means), sexual activity, exposure to HIV-prevention services, and to identify correlates of risky sexual behaviour (not having used a condom at first or last sexual encounter and/or having multiple sexual partners over a 12-month period) among street children in Kinshasa.

RESULTS

At the time of the survey, most participants (85.8%, 95% CI = 83.5-88.1) were sexually experienced and 55.8% had their first sexual intercourse when they were already living on the streets. The median age at first sexual activity was 14.3 years for males and 13.5 years for females. Compared to males (median number of sexual partners = 1), females tended to be more involved with multiple sexual partners (median = 12). Condoms were used less at the fist sexual encounter (20.2%; 95% CI = 17.3-23.1) and the pattern of condom use depended on the type of sexual partners (61.1% at last sexual encounter with a paid/paying partner and 23.1% at last sexual encounter with a non-paid/non-paying partner). In males, sleeping in a NGO-provided night shelter (OR = 0.47; 95% CI = 0.27-0.79), and having had the first sexual intercourse while living on the streets (OR = 0.55; 95% CI = 0.35-0.88) were protective of risky sexual behaviour, while a history of drug use (OR = 3.00; 95% CI = 1.46-6.18), and being aged 20 to 24 years (OR = 1.59; 95% 1.00-2.55) increased the likelihood of displaying risky sexual behaviour. In females, not knowing where to get a condom (OR = 0.04; 95% CI = 0.005-0.29), having started sexual activity when living on the streets (OR = 0.10; 95% CI = 0.01-0.73) and not having an income-generating activity (OR = 0.09; 95% CI = 0.01-0.44) were protective of risky sexual behaviour.

CONCLUSION

Street children need to be regarded as a high-risk group for acquiring HIV. The potential benefit of providing homeless youth with night-shelters should be explored more since this could be an opportunity to integrate risk-reduction programmes that take into account all problematic behaviors such as risky sexual behaviour and drug use.

Authors+Show Affiliations

Department of Epidemiology and Biostatiscs, Kinsasa School of Public Health, University of Kinsasha, DRC. patkayembe@yahoo.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

19374322

Citation

Kayembe, Patrick K., et al. "Knowledge of HIV, Sexual Behavior and Correlates of Risky Sex Among Street Children in Kinshasa, Democratic Republic of Congo." East African Journal of Public Health, vol. 5, no. 3, 2008, pp. 186-92.
Kayembe PK, Mapatano MA, Fatuma AB, et al. Knowledge of HIV, sexual behavior and correlates of risky sex among street children in Kinshasa, Democratic Republic of Congo. East Afr J Public Health. 2008;5(3):186-92.
Kayembe, P. K., Mapatano, M. A., Fatuma, A. B., Nyandwe, J. K., Mayala, G. M., Kokolomami, J. I., & Kibungu, J. P. (2008). Knowledge of HIV, sexual behavior and correlates of risky sex among street children in Kinshasa, Democratic Republic of Congo. East African Journal of Public Health, 5(3), 186-92.
Kayembe PK, et al. Knowledge of HIV, Sexual Behavior and Correlates of Risky Sex Among Street Children in Kinshasa, Democratic Republic of Congo. East Afr J Public Health. 2008;5(3):186-92. PubMed PMID: 19374322.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Knowledge of HIV, sexual behavior and correlates of risky sex among street children in Kinshasa, Democratic Republic of Congo. AU - Kayembe,Patrick K, AU - Mapatano,Mala A, AU - Fatuma,Alphonsine B, AU - Nyandwe,Jean K, AU - Mayala,Godefroid M, AU - Kokolomami,Jacques I, AU - Kibungu,Jocelyne P, PY - 2009/4/21/entrez PY - 2009/4/21/pubmed PY - 2009/5/5/medline SP - 186 EP - 92 JF - East African journal of public health JO - East Afr J Public Health VL - 5 IS - 3 N2 - CONTEXT: Homeless children are at risk of getting many diseases, including sexually transmitted infections (STI). The number of street children is on the rise in the Democratic Republic of Congo (DRC), while very little is known about their health problems. OBJECTIVES: To determine knowledge of HIV (transmission and prevention means), sexual activity, exposure to HIV-prevention services, and to identify correlates of risky sexual behaviour (not having used a condom at first or last sexual encounter and/or having multiple sexual partners over a 12-month period) among street children in Kinshasa. RESULTS: At the time of the survey, most participants (85.8%, 95% CI = 83.5-88.1) were sexually experienced and 55.8% had their first sexual intercourse when they were already living on the streets. The median age at first sexual activity was 14.3 years for males and 13.5 years for females. Compared to males (median number of sexual partners = 1), females tended to be more involved with multiple sexual partners (median = 12). Condoms were used less at the fist sexual encounter (20.2%; 95% CI = 17.3-23.1) and the pattern of condom use depended on the type of sexual partners (61.1% at last sexual encounter with a paid/paying partner and 23.1% at last sexual encounter with a non-paid/non-paying partner). In males, sleeping in a NGO-provided night shelter (OR = 0.47; 95% CI = 0.27-0.79), and having had the first sexual intercourse while living on the streets (OR = 0.55; 95% CI = 0.35-0.88) were protective of risky sexual behaviour, while a history of drug use (OR = 3.00; 95% CI = 1.46-6.18), and being aged 20 to 24 years (OR = 1.59; 95% 1.00-2.55) increased the likelihood of displaying risky sexual behaviour. In females, not knowing where to get a condom (OR = 0.04; 95% CI = 0.005-0.29), having started sexual activity when living on the streets (OR = 0.10; 95% CI = 0.01-0.73) and not having an income-generating activity (OR = 0.09; 95% CI = 0.01-0.44) were protective of risky sexual behaviour. CONCLUSION: Street children need to be regarded as a high-risk group for acquiring HIV. The potential benefit of providing homeless youth with night-shelters should be explored more since this could be an opportunity to integrate risk-reduction programmes that take into account all problematic behaviors such as risky sexual behaviour and drug use. SN - 0856-8960 UR - https://www.unboundmedicine.com/medline/citation/19374322/Knowledge_of_HIV_sexual_behavior_and_correlates_of_risky_sex_among_street_children_in_Kinshasa_Democratic_Republic_of_Congo_ L2 - http://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -