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Survivors met symptom criteria for depression at higher rates than partners (23.5% (95%\u2009CI 18.0 to 29.1) vs 5.7 (1.2 to 10.1); p&lt;0.001). PTSD symptom criteria for survivors (24.1%, 95%\u2009CI 18.5% to 29.7%) and partners (16.7%, 95%\u2009CI 9.4% to 23.9%) were four times greater than the comparison participants (6.0%, 95%\u2009CI 0.6% to 11.4%). Two times as many survivors as partners reported that sexual activity precautions were discussed at discharge (71.5% (95% CI 65.6 to 77.5) vs 36.2% (95% CI 26.9 to 45.5); p&lt;0.001). The majority of survivors (95.0 (95% CI 85.1% to 98.5%) and partners 98.5% (95% CI 89.6% to 99.8%; p=0.26) participated in risky sexual behaviour after the survivor left the Ebola treatment centre. The ability to refuse sex or insist on condom use before Ebola had a threefold increase in the odds of condom use (adjusted OR 3.3, 95%\u2009CI 1.7 to 6.1, p&lt;0.001). Up to 36% of the comparison group held discriminatory views of survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The new outbreaks in both Guinea and DRC show Ebola remains in semen longer than previously known. Understanding and addressing condom non-use and updating condom use guidelines are necessary to protect against future Ebola outbreaks, especially among sexual partners who did not have similar access to health information regarding sexual transmission of Ebola. Mental health treatment and decreasing stigma in Ebola areas is a priority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-052306","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T10:30:33Z","timestamp":1643797833000},"page":"e052306","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Cross-sectional study of mental health and sexual behaviours for Ebola Survivors in Beni, Butembo and Katwa health zones of the Democratic Republic of Congo"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8229-8768","authenticated-orcid":false,"given":"Lynn","family":"Lieberman Lawry","sequence":"first","affiliation":[{"name":"Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Stroupe Kannappan","sequence":"additional","affiliation":[{"name":"Monitoring, Evaluation, Research and Learning, IMA World Health, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Covadonga","family":"Canteli","sequence":"additional","affiliation":[{"name":"Consulting Statistician, Perales de Taju\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Clemmer","sequence":"additional","affiliation":[{"name":"Health, IMA World Health, Goma, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"key":"2025121602425453000_12.2.e052306.1","unstructured":"World Health Organization . 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