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Syndromic and biological screening for sexually transmitted infections in female sex workers in Côte d’Ivoire: the ANRS 12381 PRINCESSE cohort study

dc.rights.licenseopenen_US
hal.structure.identifierProgramme PAC-CI
hal.structure.identifierUniversité Félix Houphouët-Boigny [Abidjan, Côte d'Ivoire] [UFHB]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorNOUAMAN, Marcellin N’zebo
hal.structure.identifierProgramme PAC-CI
hal.structure.identifierUniversité Félix Houphouët-Boigny [Abidjan, Côte d'Ivoire] [UFHB]
dc.contributor.authorCOFFIE, Patrick Ahuatchi
hal.structure.identifierAprosam
dc.contributor.authorAGOUA, Aline
hal.structure.identifierAprosam
dc.contributor.authorZÉBAGO, Clémence
hal.structure.identifierAprosam
dc.contributor.authorDAO, Hervé
hal.structure.identifierProgramme PAC-CI
dc.contributor.authorKISSI, Evelyne
hal.structure.identifierProgramme PAC-CI
dc.contributor.authorLENAUD, Séverin
hal.structure.identifierProgramme PAC-CI
dc.contributor.authorANATOLE, Mian
hal.structure.identifierInstitut national d'études démographiques [INED]
hal.structure.identifierCentre Population et Développement [Ceped - UMR 196]
dc.contributor.authorBECQUET, Valentine
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorPLAZY, Mélanie
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorDABIS, François
hal.structure.identifierProgramme PAC-CI
hal.structure.identifierUniversité Félix Houphouët-Boigny [Abidjan, Côte d'Ivoire] [UFHB]
dc.contributor.authorEHOLIE, Serge
hal.structure.identifierCentre Population et Développement [Ceped - UMR 196]
dc.contributor.authorLARMARANGE, Joseph
dc.date.accessioned2025-05-28T11:23:03Z
dc.date.available2025-05-28T11:23:03Z
dc.date.issued2025-03-12
dc.identifier.issn2296-2565en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206770
dc.description.abstractEnBackground Female sex workers (FSWs) are at high risk of contracting STIs, in particular in Sub-Saharan Africa. The implementation of oral HIV pre-exposure prophylaxis provided an opportunity to draw attention to the sexual health needs of FSWs. Innovative strategies to screen for and reduce the burden of STIs is thus a priority. This study describes STI screening among FSWs enrolled in the PRINCESSE project in Côte d’Ivoire. Methods The PRINCESSE project (2019–2023) was an interventional cohort of FSWs ≥18 years, evaluating a comprehensive, community-based sexual and reproductive health care package, including the management of STIs, offered through mobile clinics operating on prostitution sites in San Pedro area. HIV testing and syndromic STI testing were offered at baseline and every 3 months. Biological testing of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) was offered annually. Clinical forms included sociodemographic, behavioral and sex-work-related characteristics. We describe baseline characteristics, coverage of clinical examination, and vaginal, anal swab collection. Social, behavioral and sex work-related factors associated with an STI syndromic diagnosis were explored. A multivariable logistic regression model was used to identify factors associated with diagnosing a symptomatic STI. Results 489 FSWs were included in the PRINCESSE cohort. Median age was 29 years (24–35 years), 28.6% had had sex without a condom in the last 7 days. The prevalence of HIV at baseline was 10.5%. Only one case of HIV seroconversion was observed during the project. The most frequent symptom was ano-vaginal discharge (19.1%). The prevalence of STI based on clinical symptoms was 26.6%. The proportion of vaginal swab samples for which the PCR result was positive was 8.0% for CT and 4.0% for NG. Only age remained significantly associated with diagnosing a symptomatic STI in the multivariable analysis. Conclusion This study revealed a high prevalence of HIV and STIs, similar to national estimates among FSWs enrolled in a sexual health cohort. Screening for these generically asymptomatic bacterial STIs must be combined with the syndromic approach used in key populations, especially with the introduction of new PrEP programs, to reduce the exposure of individuals in these populations to STIs.
dc.language.isoENen_US
dc.rights.urihttp://creativecommons.org/licenses/by/
dc.subject.enSub-Saharan Africa
dc.subject.enBiological Stis Screening
dc.subject.enFemale Sex Workers
dc.subject.enKey Population
dc.subject.enSexually Transmitted Infections
dc.subject.enSyndromic STI
dc.title.enSyndromic and biological screening for sexually transmitted infections in female sex workers in Côte d’Ivoire: the ANRS 12381 PRINCESSE cohort study
dc.title.alternativeFront Public Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.3389/fpubh.2025.1535122en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40144989en_US
bordeaux.journalFrontiers in Public Healthen_US
bordeaux.volume13en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamGHIGS_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut de Recherche pour le Développementen_US
bordeaux.identifier.funderIDAgence Nationale de Recherches sur le Sida et les Hépatites Viralesen_US
bordeaux.import.sourcehal
hal.identifierhal-04990223
hal.version1
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exportfalse
workflow.import.sourcehal
dc.rights.ccPas de Licence CCen_US
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