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High Prevalence of Musculoskeletal Disorders and self-Medication among street Vendors in Bangui, Central African Republic (CAR)

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Occupational Diseases and Environmental Medicine 2023年第4期11卷 199-212页

作者： H.D. Mossoro-Kpinde Perrin Ariel Kongbanda Augustin Balekouzou Henri saint Calvaire Diemer julienne anaïs.paola demba yabada Chloé Naïgha Liliane Dengue Nzobe Gerard Grésenguet Mor Ndiaye Direction de la Médecine du Travail Ministère du Travail de l’Emploi de la Protection Sociale et de la Formation Professionnelle Bangui Central African Republic Département de santé Publique Faculté des Sciences de la Santé Université de Bangui Bangui Central African Republic Faculté des sciences de la santé Université de Bangui Bangui Central African Republic Comité National de Lutte contre le sIDA Bangui Central African Republic service de Médecine du Travail et de Médecine Légale Faculté de Médecine de Pharmacie et d’Odontologie Université Cheick Anta Diop Dakar Senegal

Introduction: Musculoskeletal disorders (MsDs) are a set of peri-articular conditions that result mainly in pain and functional discomfort. They represent a major occupational health problem in all areas of activity. The objective of this work was to determine the prevalence of MsDs among street vendors in the city of Bangui in the Central African Republic (CAR). Methods: A cross-sectional study was conducted from september 01 to October 31, 2021 in Bangui, the capital of CAR. The study population consisted of street vendors which were included at the entrance of 4 large markets of Bangui after giving informed consent. The sample size, calculated according to the schwartz formula, was 384. sociodemographic data (age, gender, level of education, marital status), professional data (the duration of sale in hours, the distance traveled per day);and health data (the health problems suffered by itinerant sellers and the means of dealing with them) were collected using a pre-established self-questionnaire. This collected data was processed using Microsoft Excel 2013 and Epi-Info version 7 software. Results: Among 384 street vendors included, women represented a quarter (24.9%). The average age was 27 years;the 25-34 age group was the most represented (50%). About two-thirds (64.8%) sold for at least 12 hours and traveled more than 10 km (69.3%) per day. The main health problems reported by street vendors were musculoskeletal disorders (95.8%). Their locations concerned the upper limbs shoulder 65.36% (251), elbow 24.22% (93). Non-ergonomic postures that stress the back and joints all day long, causing pain are risk factors for MsDs. These MsDs were treated by self-medication with non-steroidal anti-inflammatory drugs (22.0%), mainly sold on the street. Conclusion: MsDs dominated the health problems of street vendors. These problems raise the need for recognition and support for these workers to optimize their performance while preserving their health through awareness and

关键词： street Vendors Musculoskeletal Disorders Ergonomy self-Medication Central African Republic

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Epidemiological Profile of Men Who Have sex with Men: First Data about Male sex Workers in Central African Republic (CAR)

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Advances in sexual Medicine 2024年第1期14卷 1-11页

作者： Hermione Dahlia Mossoro-Kpinde Balekouzou Augustin paola julienne demba Henri saint Calvaire Diemer Direction de la Médecine du Travail Ministère du Travail de l’Emploi de la Protection Sociale et de la Formation Professionnelle Ban-gui République Centrafricaine Comité National de Lutte contre le sida Bangui République Centrafricaine Faculté des sciences de la santé Université de Bangui Bangui République Centrafricaine Département de santé Publique Faculté des Sciences de la Santé Université de Bangui Bangui République Centrafricaine

Objectives: sex work is not well documented among African men. The aim of this study was to describe the epidemiological profile of men who have sex with men (MsM) and eventually to determine the proportion of sex workers (sW) among them, as well as the proportion of MsM who have been victims of gender-based violence (GBV). Material and Methods: A cross-sectional study coordinated by the Direction de la Médecine du Travail was carried out at the headquarters of the association ALTERNATIVEs in Bangui Bangui from July 1 to October 31, 2021. Consenting MsM present during the study period were systematically included. sociodemographic variables, those relating to the future vision of the activity and to GBV were collected and analyzed using Epi-Info version 7 software. Results: Forty MsM with an average age of 23 years and mainly secondary education (75.0%) were included. The vast majority of MsM were unemployed (85.0%). 45.0% had been victims of GBV and wanted to stop working as an MsM (47.5%), and almost 2/3 (65.0%) would accept another income-generating activity in exchange for the MsM. Violence was sexual (32.5%), economic (22.5%), physical (20.0%), verbal (12.5%) and psychological (12.5%). Conclusion: The MsM were mainly young, poorly educated, unemployed, and almost half were victims of GBV. The desire to change MsM activity to another income-generating activity alongside that of MsM shows that many of them are sW, workers in the informal sector. This must be taken into account in prevention activities, even if the data needs to be confirmed on a much larger sample.

关键词： Men Who Have sex with Men sex Workers Gender-Based Violence Informal sector Central Africa

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