@article{fdi:010072384,
  title = {{P}revalence and circumstances of forced sex and post-migration {HIV} acquisition in sub-{S}aharan {A}frican migrant women in {F}rance : an analysis of the {ANRS}-{PARCOURS} retrospective population-based study},
  author = {{P}annetier, {J}. and {R}avalihasy, {A}ndrainolo and {L}ydie, {N}. and {L}ert, {F}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {P}arcours {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground : {S}ub-{S}aharan {A}frican migrant women are a key population at risk of {HIV} infection in {E}urope. {U}sing data from the {ANRS}-{PARCOURS} study, we aimed to assess the prevalence of forced sex after migration and its association with post-migration acquisition of {HIV} as well as the circumstances of forced sex after migration, including housing and administrative insecurity, among sub-{S}aharan {A}frican migrant women living in the {P}aris {R}egion, {F}rance. {M}ethods {T}he {ANRS}-{PARCOURS} study was a retrospective life-event survey done between {F}ebruary, 2012, and {M}ay, 2013, in health-care facilities in the {P}aris region of {F}rance. {W}omen were eligible if they were born in sub-{S}aharan {A}frica, aged between 18 and 59 years, and had been diagnosed with {HIV} infection at least 3 months earlier for women receiving {HIV} care or not diagnosed with {HIV}. {I}n this analysis, we used {ANRS}-{PARCOURS} study data to compare the incidence of forced sex after migration in three groups of sub-{S}aharan {A}frican migrant women: those who acquired {HIV} after migrating, those who acquired {HIV} before migrating, and those without {HIV}. {W}e assessed the associations between forced sex, sexual partnerships, and living conditions after migration with mixed-effects logistic regression and generalised structural equation models. {T}he study is registered with {C}linical{T}rials.gov, number {NCT}02566148. {F}indings {W}e obtained data from 980 eligible individuals who participated in the {ANRS}-{PARCOURS} study (407 without {HIV} and 573 {HIV}-positive) from 54 randomly selected health-care facilities. {W}e excluded 20 women whose {HIV} infection could not be dated and eight women with missing data from the analyses, for a total of 405 women in the reference group (without {HIV}) and 547 women in the {HIV} group (156 with post-migration {HIV} acquisition, 391 with pre-migration {HIV}). {W}omen who acquired {HIV} after migration experienced forced sex after migration more frequently than women without {HIV} (24 [15%] vs 18 [4%]; p=0.001). {F}orced sex after migration was associated with being hosted by family or friends (beta=0.95, 95% {CI} 0.19-1.72) and lack of stable housing (beta=1.10, 0.17-2.03). {L}ack of a residence permit was also associated with forced sex after migration. {I}nterpretation {T}he social hardships faced by sub-{S}aharan {A}frican migrant women after migration, especially a lack of housing or lack of a residence permit, increases their exposure to sexual violence and to {HIV} infection.},
  keywords = {{AFRIQUE} {SUBSAHARIENNE} ; {FRANCE}},
  booktitle = {},
  journal = {{L}ancet {P}ublic {H}ealth},
  volume = {3},
  numero = {1},
  pages = {{E}16--{E}23},
  ISSN = {2468-2667},
  year = {2018},
  DOI = {10.1016/s2468-2667(17)30211-6},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072384},
}