Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region

Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region Vignier N. auteur aut IRD Desgrées du Loû Annabel auteur aut IRD Pannetier J. auteur aut IRD Ravalihasy Andrainolo auteur aut IRD Gosselin A. auteur aut IRD Lert F. auteur aut IRD Lydie N. auteur aut IRD Bouchaud O. auteur aut IRD Spira R. D. auteur aut IRD Chauvin P. auteur aut IRD Bajos N. auteur aut IRD Rodary E. auteur aut IRD Pourette Dolores auteur aut IRD Situ J. auteur aut IRD Revault P. auteur aut IRD Sogni P. auteur aut IRD Gelly J. auteur aut IRD Le Strat Y. auteur aut IRD Razafindratsima N. auteur aut IRD Parcours Study Group auteur aut IRD text journalArticle eng text/pdf born digital access Migrants from sub-Saharan Africa (SSA) are often diagnosed at an advanced stage of HIV, and many of them have harsh living conditions. We aimed to evaluate the entry into care after HIV diagnosis and examine the related social determinants. The ANRS PARCOURS study is a life-event survey conducted in 2012-2013 in the Paris region among. Time between HIV diagnosis of SSA migrants living diagnosed HIV positive in France and HIV care and the determinants was assessed yearly by using mixed-effects logistic regression models. Among 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. The 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. Immigration for economic reasons or owing to threats in his/her country of origin was associated with delayed engagement in HIV care. Additionally, 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. specialized Health insurance African migrants undocumented migrants HIV healthcare Quality access and Evaluation FRANCE PARIS AFRIQUE SUBSAHARIENNE 108 056 AIDS CARE 31 7 897-907 2019 0954-0121 https://www.documentation.ird.fr/hor/fdi:010075706 10.1080/09540121.2019.1576842 0954-0121 [F B010075706] https://www.documentation.ird.fr/hor/fdi:010075706 https://www.documentation.ird.fr/intranet/publi/2019/06/010075706.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2019-07-05 2025-02-24 fdi:010075706 fre