TY - JOUR TI - 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 AU - Nouaman, Marcellin N. AU - Becquet, Valentine AU - Plazy, Mélanie AU - Coffie, Patrick A. AU - Zébago, Clémence AU - Montoyo, Alice AU - Anoma, Camille AU - Eholié, Serge AU - Dabis, François AU - Larmarange, Joseph AU - for the ANRS 12361 PrEP-CI Study Group T2 - PLOS ONE AB - 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 ≥ 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. DA - 2022/11/17/ PY - 2022 DO - 10.1371/journal.pone.0271988 DP - PLoS Journals VL - 17 IS - 11 SP - e0271988 J2 - PLOS ONE LA - en SN - 1932-6203 UR - https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0271988 Y2 - 2022/11/19/09:00:34 KW - Epidemiology KW - HIV KW - HIV epidemiology KW - HIV infections KW - Medical risk factors KW - Sex work KW - Sexually transmitted diseases KW - Virus testing ER -