@article{fdi:010087013,
  title = {{I}ncidence of {HIV} infection and associated factors among female sex workers in {C}{\^o}te d'{I}voire, results of the {ANRS} 12361 {P}r{EP}-{CI} study using recent infection assays},
  author = {{N}ouaman, {M}.{N}. and {B}ecquet, {V}. and {P}lazy, {M}. and {C}offie, {P}.{A}. and {Z}{\'e}bago, {C}. and {M}ontoyo, {A}. and {A}noma, {C}. and {E}holi{\'e}, {S}. and {D}abis, {F}. and {L}armarange, {J}oseph},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground : {T}his study aimed to estimate, using an {HIV} {R}ecent {I}nfection {T}esting {A}lgorithm ({RITA}), the {HIV} incidence and its associated factors among female sex workers ({FSW}) in {C}{\^o}te d'{I}voire. {M}ethods : {A} cross-sectional study was conducted in 2016-2017 in {A}bidjan and {S}an {P}edro's region among {FSW} aged sup. or eq. 18 years. {I}n addition, a sociodemographic questionnaire, {HIV} screening was carried out by two rapid tests. {I}n the event of a positive result, a dried blood spot sample was taken to determine, using a {RITA} adapted to the {I}vorian context, if it was a recent {HIV} infection. {R}esults: {A} total of 1000 {FSW} were surveyed with a median age of 25 years (interquartile range: 21-29 years). 39 (3.9%) tested positive for {HIV}. {T}he incidence of {HIV} was estimated to be 2.3 per 100 person-years, with higher incidence rates among those 24 years old or less (3.0% vs. 1.9%), non-{I}vorian {FSW} (3.2% vs. 1.9%) and those with the lowest education level (4.6% in {FSW} who never went to school vs. 2.6%). {T}he incidence seemed to be associated with the sex work practice conditions: higher incidence among {FSW} whose usual price was less than 3.50$ (4.3% vs.1.0%), {FSW} who had a larger number of clients on the last day of work (6.1% in those with 7 clients or more vs. 1.8%), {FSW} who reported not always using condoms with their clients (8.5% vs. 1.5%) and {FSW} who reported agreeing to sex without a condom in exchange for a large sum of money (10.1% vs. 1.2%). {C}onclusion: {T}his study confirms that {FSW} remain highly exposed to {HIV} infection. {E}xposure to {HIV} is also clearly associated with certain sex-work factors and the material conditions of sex work. {E}fforts in the fight against {HIV} infection must be intensified to reduce new infections among {FSW}.},
  keywords = {{COTE} {D}'{IVOIRE} ; {ABIDJAN} ; {SAN} {PEDRO} {COTE} {D}'{IVOIRE}},
  booktitle = {},
  journal = {{PL}o{S} {O}ne},
  volume = {17},
  numero = {11},
  pages = {e0271988 [13 ]},
  ISSN = {1932-6203},
  year = {2022},
  DOI = {10.1371/journal.pone.0271988},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087013},
}