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Limousi F., Lert F., Desgrées du Loû Annabel, Dray-Spira R., Lydie N., Parcours Study Group. (2017). Dynamic of HIV-testing after arrival in France for migrants from sub-Saharan Africa : the role of both health and social care systems. PLoS One, 12 (12), e0188751 [14 p.]. ISSN 1932-6203

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Lien direct chez l'éditeur doi:10.1371/journal.pone.0188751

Titre
Dynamic of HIV-testing after arrival in France for migrants from sub-Saharan Africa : the role of both health and social care systems
Année de publication2017
Type de documentArticle référencé dans le Web of Science WOS:000418587400014
AuteursLimousi F., Lert F., Desgrées du Loû Annabel, Dray-Spira R., Lydie N., Parcours Study Group.
SourcePLoS One, 2017, 12 (12), p. e0188751 [14 p.]. p. e0188751 [14 p.] ISSN 1932-6203
RésuméObjective HIV testing is an important tool in the management of the HIV epidemic among key populations. We aimed to explore the dynamic of first-time HIV testing in France for sub-Saharan migrants after their arrival. Methods ANRS-Parcours is a retrospective life-event survey conducted from 2012 to 2013 in health-care facilities in the Paris region, among 926 sub-Saharan HIV-infected migrants and 763 non-infected migrants. After describing the time to first HIV test in France and associated circumstances, we performed a discrete-time logistic regression to analyze the influence of socioeconomic position, contact with the healthcare system and sexual behaviors, on first-time HIV testing in France in migrants who arrived after 2000. Results Median first-time HIV testing occurred during the second year spent in France for noninfected men and women in both groups, and during the first year for men of the HIV group. The probability of testing increased with hospitalization and pregnancy for women of both groups. For non-infected men unemployment and absence of a residence permit were associated with an increased probability of HIV testing [respectively, OR = 2.2 (1.2-4.1) and OR = 2.0 (1.1-3.5)]. Unemployment was also associated with an increased probability of first-time HIV-testing for women of the HIV group [OR: 1.7 (1.0-2.7)]. Occasional and multiple sexual relationships were associated with an increased probability of first-time testing only for HIV-infected women [OR: 2.2 (1.2-4.0) and OR = 2.4 (1.3-4.6)]. Conclusion Access to first HIV testing in France is promoted by contact with the health care system and is facilitated for unemployed and undocumented migrants after arrival. However, testing should be offered more systematically and repeated in order to reduce time between HIV infection and diagnosis, especially for deprived people which are particularly vulnerable regarding HIV infection.
Plan de classementEntomologie médicale / Parasitologie / Virologie [052] ; Démographie [108] ; Santé : aspects socioculturels, économiques et politiques [056]
Descr. géo.AFRIQUE SUBSAHARIENNE ; FRANCE
LocalisationFonds IRD [F B010071981]
Identifiant IRDfdi:010071981
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010071981

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