Prevalence And Risk Behavior For Transmission Of Viral Diseases Observed Among Sexual Minorities In Kinshasa: Cross-Sectional Study.

Kapitene Kamuanga Michael, Jean-Pierre Lubaki Fina, Junior Mayindu Landu, Aliocha Nkodila Natuhoyila, Philippe Nguala Lukanu, Ernest Kiswaya Sumaili

Abstract


Context

The prevalence of homosexuality is not exactly known, it always remains approximate in different countries. Many do not readily declare their sexual orientation for their safety or reputation. Africa is poor in studies on the epidemiology of homosexuals. Alongside the growing number of sexual minorities, there are risk behaviors for transmission of viral diseases observed among sexual minorities. The aim of this study was to describe the extent of homosexuality, and to determine risky behaviors among sexual minorities.

 

Method

The present study was transversal and analytical, conducted from February 1, 2021 to March 30, 2022, in the homosexual, bisexual and transgender population of the city of Kinshasa. The selection was made from homosexual associations and the snowball method was used to constitute the sample. The statistical significance level is P < 0.05.

 

Results

Sexual attraction to people of the same sex (gay, lesbian and transgender) was predominant at 65.0%. Concerning sexual orientation, bisexuals represent 35.0%, compared to 26.3% for transgenders. The most common risk behaviors for transmission of HIV, Hepatitis B and C included sexually transmitted infections (75.9%), tattoos (73.3%), piercing (55.9%) and non-use or refusal of condoms (58.6%), while blood transfusion was rather marginal (14.2%). The fact that I hated condoms was very significant.

 

Conclusion

The extent of homosexuality is very considerable in the City of Kinshasa, with a predominance of sexual attitudes towards people of the same sex (gay, lesbian and transgender). In the majority, they adoptrisky behaviors such as the presence of tattoos, non-use and refusal of condoms, and the presence of STIs.


Keywords


Prevalence, risk behavior, viral diseases, sexual minorities, homosexuals, bisexuals, transgender, Kinshasa, DRC.

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References


. Katsura R. Congo-Kinshasa: Open heart with Patou, the most open Congolese homosexual. https://fr.allafrica.com/stories/201709150953.html. Accessed on 04/06/2019

. Awondo P, Geschiere P, Reid G. A homophobic Africa? On some trajectories of politicization of homosexuality: Cameroon, Uganda, Senegal and South Africa. Political reasons. 2013; 49:95-118.

. American Psychological Association. Answers to your questions for a better understanding of sexual orientation and homosexuality. https://www.apa.org/topics/lgbtq/orientation. Accessed 09/21/2019

. Kinsey Institute. Diversity of sexual orientations.https://kinseyinstitute.org/research/publications/historical-report-diversity-of-sexual-orientation.php Accessed in 2021

. Sylvie, C. (2002),''Kinsey in France: female and male sexuality under debate'', The social movement,No. 198, Feminine and Masculine (January - March 2002), pp. 91-110 (20 pages), Published by: Editions l'Atelier,https://doi.org/10.2307/3780254

. Hakim A1, Patnaik P, Telly N, Ballo T, Traore B, Doumbia S, Lahuerta M. High prevalence of concurrent male-female partnerships in the context of low immunodeficiency testing among men who have sex with men in Bamako , in Mali, sexually transmitted diseases: 2017 - 44 - 9 - p 565-570

. Lawton Y. Country progress reports- Global progress report on AIDS in Burkina Faso.https://www.unaids.org/sites/default/files/country/documents/BFA_2020_countryreport.pdfAccessed on 01/09/2019

. Laumann, EO Gagnon, JH Michael, RT Michaels, S. (1997), “The social organization of sexuality. Sexual practices in the United States'',Population52-6 pages 1548-1551

. Seidman, SN and Rieder, RO (1994), “A review of sexual behavior in the United States”, The American Journal of Psychiatry, 151(3), 330-341. Available on: https://doi.org/10.1176/ajp.151.3.330

. Parker BYK, Horowitz J, Stepler R. On gender differences, no consensus on nature versus nurture. Res Cent Bench. 2017; 5: December 1-7.

. Lydié N et al. Estimated HIV prevalence among men who have sex with men attending gay friendly places in five French cities. – PREVAGAY 2015. Bull EpidemiolHebd. 2017;(18):347-54.

. Mérotte L. Sexuality in prison. The Psychiatrist's Letter Vol. X - n° 6 - November-December 2014;X:163-7.

. Blandine, G. (2021), ''1%, 4%, 10% ofhomosexuals in France... whocan do better?'', Available on: https://www.nouvelobs.com/rue89/rue89-rue69/20101017.RUE8996/1-4-10-d-homosexuals-en-france-qui-dit-mieux.html (Consulted in 2020)

. Jones CD, Ciais P, Davis SJ, Friedlingstein P, Gasser T, Peters GP et al. Simulation of the Earth system's response to negative emissions. About Res Lett. 2016;11.

. Lhomond B. Entry into sexuality – the behavior of young people in the context of AIDS. By Hugues Lagrange - Large Format - Book - Decitre. https://www.decitre.fr/livres/l-entree-dans-la-sexualite-9782707126733.html Accessed February 27, 2023.

. OECD (2019), ''Society at a Glance 2019. OECD social indicators'', Available on: http://marieannevalfort.com/wp-content/uploads/2020/08/ S@G2019-fr.pdf (Accessed 2020)

. Kapitene KM, Fina LJ-P, Ntotolo NP, Alyosha NN, Sumayili KE, Lukanu NP. Profile of homosexuals, bisexuals and transgender people in Kinshasa, Democratic Republic of Congo: a cross-sectional study. Cent Afr J Public Health. 2024;10(2):100-110. doi: 10.11648/j.cajph.20241002.15

. Brigitte L, and Stuart M. Homosexuality/heterosexuality: surveys on sexual behavior in France and the USA. Journal of Anthropologists. 2020; : 82-83 |2000.

. Canada. HIV/AIDS Epidemiology Update, July 2010 – HIV/AIDS infection among homosexual, bisexual and men who have sex with men in Canada. http://www.canada.ca/fr/santé-public/services/vih-aids/publications/actualites-epidemiologie/chapter-9-infection-hiv-aids-homosexual-bisexual-men-those-who-have- relationships-with-men.html.

. Remis, Lin J, Swanteec, Fischer M, Palmer RW Trenols in HIV incidenceamongmenwhohavesexwithmen in Ontario: update fromthe Laboratory Enhancementstudy (LES). Can J Infect Dis Med Microbiol 2007; March/April; 18 (Suppl B): 41B.

. Mehrabadi A, Tegee M, Moniruzzaman A, Pearce ME, Craib KJ, Spittal PM et al. Female gender associated with HIV seropositivity in a cohort of indigenous youth who use illicit drugs in Vancouver and Prince George, Canada. Can J Infect Dis Med Microbiol 2007; March/April 18 (Suppl B): 79 B.

. 20 minutes. HIV: Riskybehaviorand “worrying” situationamongyounghomosexuals. https://www.20minutes.fr/sante/2105827-20170718-vih-comportements-risk-situation-preoccupante-chez-jeunes-homosexuals.

. Twenge JM, Sherman RA, Wells BE. Changes in reported same-sex sexual experiences and attitudes among US adults, 1973-2014. Arch sexual behavior. 2016; 45:1713-30.

. Kajubi P. et al., 2008, “Gay and bisexual men in Kampala, Uganda”, AIDS and Behavior, 12(3), p. 492-504.

. Lane T., Shade SB, Mcintyre J., Morin ST, 2008, “Alcohol and sexual risk behavior among men who have sex with men in South African townships”, AIDS and Behavior, 12(4 Suppl), p. 78-85.DOI:10.1007/s10461-008-9389-x

. Norbert Adrawa, Jonathan Izudi, Kenneth Nyeko, Emma Welikhe, Bennet Joseph Kizito,and Francis Bajunirwe. High prevalence of sexual risk behaviors among key populations receiving antiretroviral treatment at a large HIV clinic in northern Uganda. AfrHealthSci. March 2023; 23(1): 362–372. DOI:10.4314/ahs.v23i1.38




DOI: http://dx.doi.org/10.52155/ijpsat.v56.2.7818

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