@article{fdi:010079084,
  title = {{W}hen and why ? : timing of post-migration {HIV} acquisition among sub-{S}aharan migrants in {F}rance},
  author = {{G}osselin, {A}. and {R}avalihasy, {A}ndrainolo and {P}annetier, {J}. and {L}ert, {F}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {PARCOURS} {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective {R}ecent studies highlighted that many {HIV}-positive migrants in {E}urope acquired their infections post-migration. {H}owever, the timing of these infections is not always known. {T}his study aims to estimate the timing of post-migration {HIV} acquisition among sub-{S}aharan migrants in {F}rance and to understand the correlates of post-migration infection. {M}ethods {W}ithin the {PARCOURS} retrospective survey conducted in 2012-2013 in 74 healthcare facilities in the {P}aris region, life-event data were collected among a random sample of 926 patients living with {HIV} in {HIV} services and 763 patients undiagnosed with {HIV} in primary care centres born in sub-{S}aharan {A}frica (reference group). {B}ased on previous analysis, we considered the first 6 years in {F}rance after migration as a settlement period. {A}mong the persons who acquired {HIV} after migration, we estimated the proportion of persons infected during settlement (0-6 years after migration) and after settlement (>6 years after migration) by using an algorithm that combines life-event data and a modelisation of {CD}4(+) {T}-cell count decline. {W}e then assessed the determinants of {HIV} acquisition during settlement and after settlement using bivariate logistic regression models. {R}esults {O}verall, 58% of sub-{S}aharan migrants who acquired {HIV} after migration were infected during the first 6 years in {F}rance. {HIV} acquisition during settlement was found to be linked to short/transactional partnerships and lack of a resident permit. 42% of migrants had contracted {HIV} after settlement. {A}fter settlement, {HIV} acquisition was associated with short/transactional but also with concurrent partnerships and not with social hardship. {C}onclusion {T}wo profiles of {HIV} post-migration acquisition emerged. {T}he majority of {HIV} post-migration acquisition occurs during the settlement period: comprehensive combination prevention programmes among recently arrived migrants are needed. {H}owever, long-term migrants are also at risk for {HIV} through multiple partnerships. {P}revention programmes should address the different profiles of migrants at risk for post-migration {HIV} acquisition.},
  keywords = {life-event history survey ; sub-saharan africa ; france ; prevention ; {FRANCE} ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{S}exually {T}ransmitted {I}nfections},
  volume = {96},
  numero = {3},
  pages = {227--231},
  ISSN = {1368-4973},
  year = {2020},
  DOI = {10.1136/sextrans-2019-054080},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079084},
}