@article{fdi:010071271,
  title = {{P}revalence of {HIV} at the {K}okoyo informal gold mining site : what lies behind the glitter of gold with regard to {HIV} epidemics in {M}ali ? {A} community-based approach (the {ANRS}-12339 {S}anu {G}undo cross-sectional survey)},
  author = {{S}agaon {T}eyssier, {L}uis and {B}alique, {H}. and {D}iallo, {F}. and {K}alampalikis, {N}. and {M}ora, {M}. and {B}ourrelly, {M}. and {S}uzan-{M}onti, {M}. and {S}pire, {B}. and {K}eita, {B}. {D}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjectives {T}he aim of this article was to estimate {HIV} prevalence and the factors associated with {HIV} seropositivity in the population living and working at the informal artisanal small-scale gold mining ({IASGM}) site of {K}okoyo in {M}ali, using data from the {S}anu {G}undo survey. {O}ur main hypothesis was that {HIV} prevalence is higher in the context of {IASGM} than in the country as a whole. {D}esign {T}he {ANRS}-12339 {S}anu {G}undo was a cross-sectional survey conducted in {D}ecember 2015. {T}he quantitative survey consisted of face-to-face administration of questionnaires. {F}ive focus groups were conducted for the qualitative survey. {HIV} prevalence was calculated for the sample, and according to the type of activity performed in {IASGM}. {S}ettings {T}he {IASGM} site of {K}okoyo, one of the largest sites in {M}ali (between 6000 and 1000 people). {P}articipants 224 respondents: 37.5% were gold-diggers, 33% retail traders, 6.7% tombolomas (ie, traditional guards) and 9% female sex workers. {T}he remaining 13.8% reported another activity (mainly street vending). {P}rimary and secondary outcome measures {HIV} prevalence and {HIV} prevalence according to subgroup, as defined by their activity at the {K}okoyo {IASGM}. {A} probit logistic regression was implemented to estimate the characteristics associated with {HIV} seropositivity. {R}esults {HIV} prevalence for the total sample was 8% (95% {CI} 7.7% to 8.3%), which is much higher than the 2015 national prevalence of 1.3% {J}oint {U}nited {N}ations {P}rogramme on {HIV}/{AIDS} ({UNAIDS}). {T}he probability of {HIV} seropositivity was 7.8% (p=0.037) higher for female non-sex workers than for any other category, and this probability increased significantly with age. {Q}ualitative data revealed the non-systematic use of condoms with sex workers; and long distance from health services was the main barrier to accessing care. {C}onclusions {I}ntegrated policymaking should pay special attention to infectious diseases among populations in {IASGM} zones. {B}ringing information/prevention activities closer to people working in gold mining zones is an urgent public health action.},
  keywords = {{MALI} ; {BURKINA} {FASO} ; {GUINEE} ; {NIGERIA} ; {NIGER}},
  booktitle = {},
  journal = {{BMJ} {O}pen},
  volume = {7},
  numero = {8},
  pages = {e016558 [7 p.]},
  ISSN = {2044-6055},
  year = {2017},
  DOI = {10.1136/bmjopen-2017-016558},
  URL = {https://www.documentation.ird.fr/hor/fdi:010071271},
}