@article{fdi:010082157,
  title = {{A}dherence to quarterly {HIV} prevention services and its impact on {HIV} incidence in men who have sex with men in {W}est {A}frica ({C}oh{MSM} {ANRS} 12324-{E}xpertise {F}rance)},
  author = {{D}ah, {T}. {T}. {E}. and {Y}aya, {I}ssifou and {S}agaon {T}eyssier, {L}uis and {C}oulibaly, {A}. and {K}ouame, {M}. {J}. {B}. and {A}gboyibor, {M}. {K}. and {M}aiga, {K}. and {T}raore, {I}. and {M}ora, {M}. and {P}alvadeau, {P}. and {R}ojas-{C}astro, {D}. and {D}iallo, {F}. and {M}ensah, {E}. and {A}noma, {C}. and {K}eita, {B}. {D}. and {S}pire, {B}. and {L}aurent, {C}hristian and {C}oh{MSM} {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {A}ccess to tailored {HIV} prevention services remains limited for {W}est {A}frican {MSM}. {W}e assessed adherence to quarterly {HIV} prevention services and its impact on {HIV} incidence in {MSM} followed up in four cities in {B}urkina {F}aso, {C}ote d'{I}voire, {M}ali, and {T}ogo. {M}ethods {W}e performed a prospective cohort study between 2015 and 2018. {HIV}-negative {MSM} aged over 18 benefited from quarterly medical visits which included a clinical examination, {HIV} testing, screening and treatment for other sexually transmitted infections, peer-led counselling and support, and the provision of condoms and lubricants. {D}eterminants of adherence to quarterly follow-up visits and incident {HIV} infections were identified using generalized estimating equation models and {C}ox proportional hazard models, respectively.{R}esults618 {MSM} were followed up for a median time of 20.0months (interquartile range 15.2-26.3). {O}verall adherence to quarterly follow-up visits was 76.5% (95% confidence interval [{CI}] 75.1-77.8), ranging from 66.8% in {A}bidjan to 87.3% in {L}ome (p<0.001). 78 incident {HIV} infections occurred during a total follow-up time of 780.8 person-years, giving an overall incidence of 10.0 per 100 person-years (95% {CI} 8.0-12.5). {A}dherence to quarterly follow-up visits was not associated with the risk of incident {HIV} infection (adjusted hazard ratio 0.80, 95% {CI} 0.44-1.44, p=0.545).{C}onclusions {S}trengthening {HIV} prevention services among {MSM} in {W}est {A}frica, including the use of {P}r{EP}, will be critical for controlling the epidemic, not only in this key population but also in the general population. {Q}uarterly follow-up of {MSM}, which is essential for {P}r{EP} delivery, appears feasible.{T}rial registration{C}linical{T}rials.gov, number {NCT}02626286 ({D}ecember 10, 2015).},
  keywords = {{HIV} ; {P}revention ; {I}ncidence ; {MSM} ; {A}frica ; {BURKINA} {FASO} ; {COTE} {D}'{IVOIRE} ; {MALI} ; {TOGO} ; {ABIDJAN} ; {BAMAKO} ; {LOME} ; {OUAGADOUGOU}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {21},
  numero = {1},
  pages = {972 [13 ]},
  year = {2021},
  DOI = {10.1186/s12889-021-10994-4},
  URL = {https://www.documentation.ird.fr/hor/fdi:010082157},
}