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Forced sexual intercourse and its association with HIV status among people attending HIV Voluntary Counseling and Testing in a healthcare center in Kinshasa (DRC).

Abstract Sexual violence, an HIV determinant, is an integrated behavior in the D.R.Congo. We aimed to analyze the prevalence of forced sexual intercourse (FSI) among people receiving HIV Voluntary Counseling and Testing in a hospital in Kinshasa, and its association with socio-demographics, behaviors and HIV status.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos one
Publication Year Start




PMID- 29253857
OWN - NLM
STAT- In-Process
LR  - 20171224
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 12
DP  - 2017
TI  - Forced sexual intercourse and its association with HIV status among people
      attending HIV Voluntary Counseling and Testing in a healthcare center in Kinshasa
      (DRC).
PG  - e0189632
LID - 10.1371/journal.pone.0189632 [doi]
AB  - INTRODUCTION: Sexual violence, an HIV determinant, is an integrated behavior in
      the D.R.Congo. We aimed to analyze the prevalence of forced sexual intercourse
      (FSI) among people receiving HIV Voluntary Counseling and Testing in a hospital
      in Kinshasa, and its association with socio-demographics, behaviors and HIV
      status. METHODOLOGY: Case-control study (2010-2012). Two-hundred and seventy-four
      cases with a new HIV+ test and 1,340 controls with an HIV- test were interviewed 
      about HIV-related knowledge, attitudes and behaviors, including FSI. RESULTS:
      Thirty-four percent of the participants declared having had FSI (38% of women and
      32% of men). Being a woman, aged 25-49 and reporting multiple sexual partners
      were associated with reporting FSI. For men, being single was protective against 
      FSI; and cohabiting, having a high socioeconomic status, and alcohol consumption 
      increased the odds. For women, being single, divorced/separated and widow was
      associated with reporting FSI. A significant positive association was found
      between FSI and an HIV positive test. CONCLUSION: Among our Congolese population,
      FSI was strongly associated with HIV infection and it was also associated with
      alcohol consumption and multiple sexual partnerships, other key HIV determinants.
      These behaviors need to be identified as potential risk factors of FSI during
      counseling interventions. Researchers, practitioners and decision-makers should
      work together to get violence prevention integrated into health, social and
      educational policies.
FAU - Burgueno, Eduardo
AU  - Burgueno E
AD  - CEFA-Monkole, Kinshasa, Democratic Republic of the Congo.
AD  - School of Medicine, University of Mwene-Ditu, Mwene-Ditu, Democratic Republic of 
      the Congo.
FAU - Carlos, Silvia
AU  - Carlos S
AUID- ORCID: http://orcid.org/0000-0002-4968-7080
AD  - Preventive Medicine and Public Health Department, University of Navarra,
      Pamplona, Spain.
AD  - IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
FAU - Lopez-Del Burgo, Cristina
AU  - Lopez-Del Burgo C
AD  - Preventive Medicine and Public Health Department, University of Navarra,
      Pamplona, Spain.
AD  - IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
FAU - Osorio, Alfonso
AU  - Osorio A
AD  - IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
AD  - School of Education and Psychology, University of Navarra, Pamplona, Spain.
FAU - Stozek, Maria
AU  - Stozek M
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
FAU - Ndarabu, Adolphe
AU  - Ndarabu A
AD  - Monkole Hospital, Kinshasa, Democratic Republic of the Congo.
FAU - Muamba, Philemon
AU  - Muamba P
AD  - School of Law and Politics, Catholic University of Congo, Kinshasa, Democratic
      Republic of the Congo.
FAU - Tshisuaka, Philomene
AU  - Tshisuaka P
AD  - ISSI-Monkole Nursing School, Kinshasa, Democratic Republic of the Congo.
FAU - De Irala, Jokin
AU  - De Irala J
AD  - Preventive Medicine and Public Health Department, University of Navarra,
      Pamplona, Spain.
AD  - IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
LA  - eng
PT  - Journal Article
DEP - 20171218
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
PMC - PMC5734756
EDAT- 2017/12/19 06:00
MHDA- 2017/12/19 06:00
CRDT- 2017/12/19 06:00
PHST- 2017/08/02 00:00 [received]
PHST- 2017/11/29 00:00 [accepted]
PHST- 2017/12/19 06:00 [entrez]
PHST- 2017/12/19 06:00 [pubmed]
PHST- 2017/12/19 06:00 [medline]
AID - 10.1371/journal.pone.0189632 [doi]
AID - PONE-D-17-28408 [pii]
PST - epublish
SO  - PLoS One. 2017 Dec 18;12(12):e0189632. doi: 10.1371/journal.pone.0189632.
      eCollection 2017.