@article{fdi:010069401,
  title = {{P}revalence of {HIV} infection among people with disabilities : a population-based observational study in {Y}aounde, {C}ameroon ({H}andi{VIH})},
  author = {{B}eaudrap, {P}ierre de and {B}eninguisse, {G}. and {P}asquier, {E}. and {T}choumkeu, {A}. and {T}ouko, {A}. and {E}ssomba, {F}. and {B}rus, {A}. and {A}deremi, {T}. {J}. and {H}anass-{H}ancock, {J}. and {E}ide, {A}. {H}. and {M}ac-{S}eing, {M}. and {M}ont, {D}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {I}n resource-limited settings, people with disabilities have been left behind in the response to {HIV}. {I}n the {H}andi{VIH} study, we estimate and compare {HIV} prevalence and associated risk factors between people with and without disabilities. {M}ethods {I}n this cross-sectional, population-based, observational study, we used two-phase random sampling to recruit adults with disabilities and a control group matched for age, sex, and residential location from households of the general population. {W}e used the {W}ashington {G}roup {S}hort {S}et of {Q}uestions on {D}isability to identify people with disabilities. {W}e administered an {HIV} test and a life-course history interview to participants. {T}he primary outcome was the prevalence of {HIV} among participants with and without disabilities. {F}indings {B}etween {O}ct 2, 2014, and {N}ov 30, 2015, we recruited 807 people with disabilities and 807 participants without disabilities from {Y}aounde, {C}ameroon. 28 of 716 people in the control population had a positive {HIV} test result (crude prevalence 3.9%, 95% {CI} 2.9-5.3) compared with 50 of 739 people with disabilities (6.8%, 5.0-8.6; conditional odds ratio [{OR}] 1.7; p=0.04). {W}omen with disabilities were more often involved in paid sexual relationships than were women without disabilities (2.5% vs 0.5%, p=0.05). {P}eople with disabilities were also at increased risk of sexual violence than were women without disabilities (11.0% vs 7.5%, {OR} 1.5; p=0.01). {S}exual violence and sex work were strongly associated with increased risk of {HIV} infection among participants with disabilities but not among controls ({OR} 3.0, 95% {CI} 1.6-5.6 for sexual violence and 12.3, 4.4-34.6 for sex work). {A}nalyses were done in men and women. {I}nterpretation {T}he higher prevalence of {HIV} infection in people with disabilities than people without disabilities reflects a higher exposure to {HIV} infection as well as the presence of disability-associated {HIV} infection. {T}he susceptibility of people with disabilities to {HIV} infection seems to be shaped by social and environmental factors. {R}esearch is needed to inform firm recommendations on how to protect this vulnerable population.},
  keywords = {{CAMEROUN} ; {YAOUNDE}},
  booktitle = {},
  journal = {{L}ancet {H}iv},
  volume = {4},
  numero = {4},
  pages = {{E}161--{E}168},
  ISSN = {2405-4704},
  year = {2017},
  DOI = {10.1016/s2352-3018(16)30209-0},
  URL = {https://www.documentation.ird.fr/hor/fdi:010069401},
}