%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Nouaman, M.N.
%A Becquet, V.
%A Plazy, M.
%A Coffie, P.A.
%A Zébago, C.
%A Montoyo, A.
%A Anoma, C.
%A Eholié, S.
%A Dabis, F.
%A Larmarange, Joseph
%T Incidence of HIV infection and associated factors among female sex workers in Côte d'Ivoire, results of the ANRS 12361 PrEP-CI study using recent infection assays
%D 2022
%L fdi:010087013
%G ENG
%J PLoS One
%@ 1932-6203
%K COTE D'IVOIRE ; ABIDJAN ; SAN PEDRO COTE D'IVOIRE
%M ISI:000959278200001
%N 11
%P e0271988 [13 ]
%R 10.1371/journal.pone.0271988
%U https://www.documentation.ird.fr/hor/fdi:010087013
%> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/2023-07/010087013.pdf
%V 17
%W Horizon (IRD)
%X Background : This study aimed to estimate, using an HIV Recent Infection Testing Algorithm (RITA), the HIV incidence and its associated factors among female sex workers (FSW) in Côte d'Ivoire. Methods : A cross-sectional study was conducted in 2016-2017 in Abidjan and San Pedro's region among FSW aged sup. or eq. 18 years. In addition, a sociodemographic questionnaire, HIV screening was carried out by two rapid tests. In the event of a positive result, a dried blood spot sample was taken to determine, using a RITA adapted to the Ivorian context, if it was a recent HIV infection. Results: 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. The 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-Ivorian 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%). The 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%). Conclusion: This study confirms that FSW remain highly exposed to HIV infection. Exposure to HIV is also clearly associated with certain sex-work factors and the material conditions of sex work. Efforts in the fight against HIV infection must be intensified to reduce new infections among FSW.
%$ 052MALTRA03 ; 050MEDECI ; 108DEMOG1 ; 056SOCSAN