Nouaman M.N. auteur aut IRD Becquet V. auteur aut IRD Plazy M. auteur aut IRD Coffie P.A. auteur aut IRD Zébago C. auteur aut IRD Montoyo A. auteur aut IRD Anoma C. auteur aut IRD Eholié S. auteur aut IRD Dabis F. auteur aut IRD Larmarange Joseph auteur aut IRD text journalArticle eng text/pdf reformatted digital access 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. specialized COTE D'IVOIRE ABIDJAN SAN PEDRO COTE D'IVOIRE 052MALTRA03 050MEDECI 108DEMOG1 056SOCSAN 17 11 e0271988 [13 ] 2022 1932-6203 https://www.documentation.ird.fr/hor/fdi:010087013 10.1371/journal.pone.0271988 1932-6203 [F B010087013] https://www.documentation.ird.fr/hor/fdi:010087013 https://horizon.documentation.ird.fr/exl-doc/pleins_textes/2023-07/010087013.pdf IRD - Base Horizon / Pleins textes 2022-12-14 2025-02-24 fdi:010087013 fre