@article{fdi:010071981,
  title = {{D}ynamic of {HIV}-testing after arrival in {F}rance for migrants from sub-{S}aharan {A}frica : the role of both health and social care systems},
  author = {{L}imousi, {F}. and {L}ert, {F}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {D}ray-{S}pira, {R}. and {L}ydie, {N}. and {P}arcours {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective {HIV} testing is an important tool in the management of the {HIV} epidemic among key populations. {W}e aimed to explore the dynamic of first-time {HIV} testing in {F}rance for sub-{S}aharan migrants after their arrival. {M}ethods {ANRS}-{P}arcours is a retrospective life-event survey conducted from 2012 to 2013 in health-care facilities in the {P}aris region, among 926 sub-{S}aharan {HIV}-infected migrants and 763 non-infected migrants. {A}fter describing the time to first {HIV} test in {F}rance 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 {F}rance in migrants who arrived after 2000. {R}esults {M}edian first-time {HIV} testing occurred during the second year spent in {F}rance for noninfected men and women in both groups, and during the first year for men of the {HIV} group. {T}he probability of testing increased with hospitalization and pregnancy for women of both groups. {F}or 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)]. {U}nemployment 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)]. {O}ccasional 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)]. {C}onclusion {A}ccess to first {HIV} testing in {F}rance is promoted by contact with the health care system and is facilitated for unemployed and undocumented migrants after arrival. {H}owever, 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.},
  keywords = {{AFRIQUE} {SUBSAHARIENNE} ; {FRANCE}},
  booktitle = {},
  journal = {{PL}o{S} {O}ne},
  volume = {12},
  numero = {12},
  pages = {e0188751 [14 ]},
  ISSN = {1932-6203},
  year = {2017},
  DOI = {10.1371/journal.pone.0188751},
  URL = {https://www.documentation.ird.fr/hor/fdi:010071981},
}