@article{fdi:010074771,
  title = {{R}efusal to provide healthcare to sub-{S}aharan migrants in {F}rance : a comparison according to their {HIV} and {HBV} status},
  author = {{V}ignier, {N}. and {S}pira, {R}. {D}. and {P}annetier, {J}. and {R}avalihasy, {A}ndrainolo and {G}osselin, {A}nne and {L}ert, {F}. and {L}ydie, {N}. and {B}ouchaud, {O}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {C}hauvin, {P}. and {P}arcours {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}n this study, we aim to measure and compare the frequency of reported denial of care in sub{S}aharan {A}frican migrants living in the {P}aris area, according to their {HIV} and {HBV} status and social and migration characteristics. {M}ethods: {T}he {ANRS}-{PARCOURS} study is a life-event survey conducted in 2012-13 in healthcare facilities in the {P}aris area, among three groups of sub-{S}aharan migrants recruited in primary care centres ({N}= 760; reference group), in dedicated centres for {HIV} care ({N}= 922; {HIV} group) and in centres for chronic hepatitis {B} care ({N}= 777; {CHB} group). {C}haracteristics associated with refusal of care since arrival in {F}rance were identified using a logistic regression model. {R}esults: {C}ompared to the reference group (6%, {P} < 0.001), the reported refusal of care was twice as high in the {HIV} group (12%) and the {CHB} group (10%). {I}n the multivariate analysis, men and women living with {HIV} were at greater risk of being denied care (a{OR} = 2.20[ 1.14-4.25] and 2.24[ 1.25-4.01]). {W}omen covered by the specific health insurance ({HI}) for precarious or undocumented migrants were also at higher risk (a{OR} = 2.07[ 1.10-3.89] and 2.69[ 1.18-6.10], respectively). {T}he risk was also increased in men who remained for at least one year without permit of residence or without {HI} and among those who were threatened in their country. {C}onclusion: {R}efusals to provide healthcare are frequent and deleterious situations especially for migrants living with {HIV}. {H}ealth decision makers, public insurance bodies and health professional councils must address this issue to improve equity in the healthcare system.},
  keywords = {{AFRIQUE} {SUBSAHARIENNE} ; {FRANCE}},
  booktitle = {},
  journal = {{E}uropean {J}ournal of {P}ublic {H}ealth},
  volume = {28},
  numero = {5},
  pages = {904--910},
  ISSN = {1101-1262},
  year = {2018},
  DOI = {10.1093/eurpub/cky118},
  URL = {https://www.documentation.ird.fr/hor/fdi:010074771},
}