TITLE:
Study of HIV Prevalence and Behaviors in Rural Areas of Goudomp Health District (Senegal)
AUTHORS:
Niang Khadim, Anne Malick, Sarr Assane, Thiam Ousmane, Ndiaye Papa
KEYWORDS:
HIV, Risky Behaviors, IST, Prevalence, Senegal
JOURNAL NAME:
World Journal of AIDS,
Vol.10 No.2,
May
7,
2020
ABSTRACT: This study aims to determine the factors related to HIV-positive status
in people aged 15 to 49 years of age in the commune of Niagha in Goudomp. The
study was descriptive and analytically cross-cutting and had taken place in a
release of 2018. The data was collected on anonymous questionnaires and then
analyzed using R software after entering with Epi 7 software. Bivariate
analyses and logistical modelling have been used to investigate the factors
associated with HIV status. The sample included 400 people, and a participation
rate of 100% was obtained in relation to the administration of the
questionnaire. For the detection of HIV infection, 318 people agreed to do so,
a proportion of 79.7%. The average age of the respondents was 27.8 years with a
standard deviation of 9.1 and extremes of 15 to 49 years. 21.5% of respondents
were under 20 years of age, the median was 26 years. With 58.8% of women, the
sex ratio (M/F) was 0.7. In this study, 11.5% of respondents did not believe in
the existence of HIV infection, 92.0% were sexually active, and 40.5% had sex
with casual partners. The main places for casual sex were cultural events
(84.0%), weekly markets (53.1%), religious events (27.8%) and during travel
(22.8%). Among them, only 20 respondents, or 12.3%, declared that they
systematically protect themselves with a condom during these occasional sexual
relations. This wearing of condoms was found in 20.7% of singles and 10.7% of
married couples having casual sex. In this study, 60.0% of the respondents
declared that they had paid for sex, although this practice is not cited in
income-generating activities. Non-consensual sex was found in 6.5% of the
respondents. In this study, 319 people agreed to be tested for HIV, or 79.7% of
the sample. HIV infection was found in 19 people, 6.0% seroprevalence, with 16
cases of HIV 1 infection and three cases of HIV 2 infection. Several risk
behaviors were found in this study. However, none of them had a statistically
significant link to HIV seropositivity. The prevalence of HIV infection in
Niagha common is very high compared to data from the Sedhiou region and
national level. Risky sexual behaviors are found in this population with no
statistically significant link to HIV. Studies with a mixed approach would be
more appropriate to study these relationships.