@article{fdi:010075706,
  title = {{S}ocial and structural factors and engagement in {HIV} care of sub-{S}aharan {A}frican migrants diagnosed with {HIV} in the {P}aris region},
  author = {{V}ignier, {N}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {P}annetier, {J}. and {R}avalihasy, {A}ndrainolo and {G}osselin, {A}. and {L}ert, {F}. and {L}ydie, {N}. and {B}ouchaud, {O}. and {S}pira, {R}. {D}. and {C}hauvin, {P}. and {B}ajos, {N}. and {R}odary, {E}. and {P}ourette, {D}olores and {S}itu, {J}. and {R}evault, {P}. and {S}ogni, {P}. and {G}elly, {J}. and {L}e {S}trat, {Y}. and {R}azafindratsima, {N}. and {P}arcours {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{M}igrants from sub-{S}aharan {A}frica ({SSA}) are often diagnosed at an advanced stage of {HIV}, and many of them have harsh living conditions. {W}e aimed to evaluate the entry into care after {HIV} diagnosis and examine the related social determinants. {T}he {ANRS} {PARCOURS} study is a life-event survey conducted in 2012-2013 in the {P}aris region among. {T}ime between {HIV} diagnosis of {SSA} migrants living diagnosed {HIV} positive in {F}rance and {HIV} care and the determinants was assessed yearly by using mixed-effects logistic regression models. {A}mong a total of 792 participants, 94.2% engaged in {HIV} care within the year of {HIV} diagnosis, 4.3% in the following year and 2.5% beyond the second year after diagnosis. {T}he participants were more likely to engage in {HIV} care during years when they were effectively covered by health insurance and if the {HIV} test was carried out at the initiative of the doctor. {I}mmigration for economic reasons or owing to threats in his/her country of origin was associated with delayed engagement in {HIV} care. {A}dditionally, 4.3% of treated participants discontinued {HIV} care at least once at the time of the survey and more often if diagnosed at an advanced {HIV} disease stage and financially dependent.},
  keywords = {{H}ealth insurance ; {A}frican migrants ; undocumented migrants ; {HIV} ; healthcare {Q}uality ; access ; and {E}valuation ; {FRANCE} ; {PARIS} ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{AIDS} {CARE}},
  volume = {31},
  numero = {7},
  pages = {897--907},
  ISSN = {0954-0121},
  year = {2019},
  DOI = {10.1080/09540121.2019.1576842},
  URL = {https://www.documentation.ird.fr/hor/fdi:010075706},
}