Prevalence and Factors Associated With HIV and Sexually Transmitted Infections Among Female Sex Workers in Bamako, Mali

Tounkara, Fatoumata Korika; Teguété, Ibrahima; Keïta, Bintou Dembélé; Alary, Michel

doi:10.1097/olq.0000000000001231

Cited by 13 publications

(18 citation statements)

References 24 publications

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“…Unexpectedly, we noted an inverse association between the high number of sexual partners and HPV infections. This is probably due to the high HIV prevalence among FSWs with < 5 clients as observed in our data publish elsewhere [25].…”

Section: Plos Onesupporting

confidence: 71%

“…These NGOs are the most active in the field of STI/HIV prevention in Mali, with a recognized leadership and trusted by FSWs. The details of NGOs from Mali are shown in a previous publication [25]. In Benin, we collaborated with "Santé et Développement (SED)", a NGO working with FSWs for over 20 years with confirmed proficiency in STI/HIV prevention and "SOLIDARITÉ", the local association of women practicing sex work, which operates a network of peer-educators (PEs).…”

Section: Study Design and Settingsmentioning

confidence: 99%

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Human papillomavirus genotype distribution and factors associated among female sex workers in West Africa

et al. 2020

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Objectives This study aimed to: (1) Estimate HPV prevalence and genotype distribution among female sex workers (FSWs) in Mali and Benin as well as the prevalence of multiple HPV type infections in this group, and (2) Identify potential risk factors associated with high-risk (HR) HPV infections. Methods We analyzed baseline data of 665 FSWs aged ≥ 18 years recruited during a prospective cohort of cervical cancer screening in Cotonou (Benin) and Bamako (Mali) from 2017 to 2018. The Linear Array HPV genotyping test was used to identify HPV genotypes. Descriptive statistics and multivariate log-binomial regression were used. Adjusted prevalence ratios (APR) with 95% confidence intervals (95%CI) were estimated to identify risk factors associated with HR-HPV infections. Results HPV data were available for 659 FSWs (Benin: 309; Mali: 350). The mean age was 35.0 years (± 10.7) in Benin and 26.8 years (± 7.6) in Mali. The overall HPV prevalence rates were 95.5% in Benin and 81.4% in Mali. About 87.7% and 63.4% of FSWs harbored ≥ 2 HPV types in Benin and Mali, respectively. The top three prevalent HR-HPV among FSWs in Benin were: HPV58 (37.5%), HPV16 (36.6%) and HPV52 (28.8%). Corresponding patterns in Mali were HPV16 (15.7%), HPV51 (14.3%) and HPV52 (12.9%). In Benin, the main factors associated with HR-HPV were vaginal douching (APR = 1.17; 95%CI:1.02–1.34) and gonococcal infection (APR = 1.16; 95%CI:1.04–1.28), while in Mali they were sex work duration ≤ 1 year (APR = 1.35; 95%CI:1.10–1.65) and HIV infection (APR = 1.26; 95%CI: 1.06–1.51). Conclusion Our study found a very high prevalence of HPV infection as well as high frequency of multiple HPV type infections in FSWs in two countries in West Africa. These findings suggest the necessity to emphasize cervical cancer prevention in this high-risk group.

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Section: Plos Onesupporting

confidence: 71%

Section: Study Design and Settingsmentioning

confidence: 99%

Human papillomavirus genotype distribution and factors associated among female sex workers in West Africa

et al. 2020

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“…At each visit, a structured questionnaire was administered face-to-face by qualified interviewers. Data on sociodemographic, behavioral and sex work characteristics were collected, as well as obstetrical and reproductive history (see previous papers for more details (Tounkara et al 2020a, Tounkara et al 2020b. Each visit also included gynecological examination, vaginal and cervical swabs collection for curable STI testing.…”

Section: Data Collectionmentioning

confidence: 99%

“…All women were screened for abnormal cervical lesions using visual inspection with acetic acid and Lugol's iodine (VIA/VILI). A venous blood sample (3 ml) was collected for HIV testing (see previous papers for more details on storage process and banking of specimens (Tounkara et al 2020a, Tounkara et al 2020b.…”

Section: Data Collectionmentioning

confidence: 99%

Type-specific incidence, persistence and factors associated with human papillomavirus infection among female sex workers in Benin and Mali, West Africa

Tounkara

Teguété

Talbot

et al. 2021

International Journal of Infectious Diseases

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Tounkara, et al [144] reported that overall HPV prevalence rates in Mali and Benin were 81.4% and 95.5%, respectively. Again, the top three high risk HPV genotypes in Mali were HPV-52 (12.9%), HPV-51 (14.3%) and HPV-16 (15.7%) whereas that of Benin was HPV-52 (28.8%), HPV-16 (36.6%) and HPV-58 (37.5%).…”

Section: Hpv Prevalence In Africamentioning

confidence: 99%

The State of Cervical Cancer Screening and HPV Vaccination in Africa: In the Advent of Advanced Health Care

Drokow¹,

Effah²,

Agboyibor³

et al. 2021

J Biomed Res Environ Sci

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Cervical cancer if not detected and treated promptly can be lethal to females. In several advanced nations, the relevance of coordinated screening services has been implemented. Nevertheless, most developing nations have not implemented a nationwide screening and vaccination programme accessible to all women owing to inadequate screening and vaccination services coupled with vaccine scepticism, misconception concerning vaccination, and lack of awareness are causing an upsurge in Africa's cervical cancer cases. Cervical cancer could be greatly reduced if comprehensive screening services and HPV vaccination are implemented. In this review, we discussed the cervical cancer incidence in Africa, factors influencing the high rate of cervical cancer in Africa, screening and HPV vaccination programs and the potential intervention and recommendations to reduce the incident and mortality rates of cervical cancer in Africa. Also, we highlighted the disadvantages and advantages of widely accessible screening tests in Africa.

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Prevalence and Factors Associated With HIV and Sexually Transmitted Infections Among Female Sex Workers in Bamako, Mali

Abstract: We found a high prevalence of HIV and other STIs among female sex workers in Bamako, Mali. Contrary association with age and number of clients were observed for these outcomes.

Cited by 13 publications

References 24 publications

Human papillomavirus genotype distribution and factors associated among female sex workers in West Africa

Human papillomavirus genotype distribution and factors associated among female sex workers in West Africa

Type-specific incidence, persistence and factors associated with human papillomavirus infection among female sex workers in Benin and Mali, West Africa

The State of Cervical Cancer Screening and HPV Vaccination in Africa: In the Advent of Advanced Health Care

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