Replication Data for: Prevalence of paid sex and associated factors among women and men from the general population attending Human Immunodeficiency Virus Voluntary Counseling and Testing in Kinshasa: data from the OKAPI prospective cohort

Résumé

From 2016 to 2018, OKAPI cohort participants aged 15-69 years were HIV tested and interviewed at baseline and at 6- and 12-month follow-ups. OKAPI analyzes the impact of HIV VCT on changes in HIV knowledge, attitudes and sexual behaviors at follow-up. At baseline participants were asked about having `ever´ had sex exchanged for money and at both follow-ups the frequence of this practice was referred to `the previous 6 months´. Among 797 participants at baseline, 10% of those sexually experienced reported having ever had transactional sex (18% men and 4% women, p<0,001). At 6 and 12-month follow up, 5% and 2%, respectively. Paid sex was significantly and independently associated with being male (aOR=2.7; 95%CI=1.4-5.2), working or studying (aOR=2.8; 95%CI=1.5-5.0), daily newspaper reading (aOR=4.4; 95%CI=1.7-11.2); daily/weekly alcohol consumption (aOR=3.3; 95%CI=1.8-6.1), first sexual intercourse before age 15 years (aOR=2.3; 95%CI=1.1-5.0), multiple sexual partners (aOR=4.1; 95%CI=2.2-7.7) and extragenital sexual practices (aOR=2.4; 95%CI=1.3-4.4). A high religiosity (daily/weekly church attendance and praying) was inversely associated with paid sex (aOR=0.1; 95%CI=0.0-0.4). The high prevalence of paid sex among people attending HIV VCT in Kinshasa, associated with other sexual and consumption risk behaviors, highlights the need of including paid sex among the risk factors mentioned in HIV prevention counseling.