Publications des scientifiques de l'IRD

Pannetier J., Gigonzac V., Lydie N., Desgrées du Loû Annabel, Spira R. D. (2017). Timing of chronic hepatitis B diagnosis after migration and its determinants among Sub-Saharan African migrants living in France. PLoS One, 12 (12), e0189196 [14 p.]. ISSN 1932-6203.

Titre du document
Timing of chronic hepatitis B diagnosis after migration and its determinants among Sub-Saharan African migrants living in France
Année de publication
2017
Type de document
Article référencé dans le Web of Science WOS:000419033400006
Auteurs
Pannetier J., Gigonzac V., Lydie N., Desgrées du Loû Annabel, Spira R. D.
Source
PLoS One, 2017, 12 (12), e0189196 [14 p.] ISSN 1932-6203
Objective In European countries, chronic hepatitis B (CHB) disproportionately affects migrants from medium-and high-endemic areas and is largely underdiagnosed. To inform policy and improve screening strategies, we measured the timing of CHB diagnosis after migration and its determinants among sub-Saharan migrants living in the Paris metropolitan area (France). Design The PARCOURS study is a retrospective life-event history survey conducted in health care services in 2012-2013 among 779 migrants from sub-Saharan Africa who were receiving care for CHB. We investigated the timing of CHB diagnosis from the time of arrival in France using the Kaplan-Meier method and characteristics associated with CHB diagnosis since the time of arrival in France using discrete-time multivariate logistic regression models. Results The median CHB diagnosis occurred during the fourth year spent in France for men and during the second year spent in France for women. Among men, the probability of CHB diagnosis increased during years with (versus without) a temporary resident permit (aOR: 1.6, 95% CI: 1.1-2.2), a precarious accommodation (aOR: 1.7, 95% CI: 1.1-2.6), and hospitalization (aOR: 7.7, 95% CI: 3.4-15.1). Among women, CHB diagnosis was more likely to occur during years with unemployment (aOR: 1.9, 95% CI: 1.1-3.94), pregnancy (aOR: 6.6, 95% CI: 3.5-12.5) and hospitalization (aOR: 9.0, 95% CI: 2.95-32.3). For both sexes, the probability of CHB diagnosis was higher among those who migrated to France because they were threatened in their country. Conclusion This study shows that social hardships (residential, economic, administrative) and contact with the health care system after arrival in France hasten access to a CHB diagnosis.
Plan de classement
Entomologie médicale / Parasitologie / Virologie [052] ; Santé : aspects socioculturels, économiques et politiques [056] ; Démographie [108]
Description Géographique
AFRIQUE SUBSAHARIENNE ; FRANCE ; PARIS
Localisation
Fonds IRD [F B010071958]
Identifiant IRD
fdi:010071958
Contact