@article{fdi:010079685,
  title = {{F}inding the missing link : when community-based outreach in public space is key to engage migrants in health prevention programmes in {P}aris, {F}rance},
  author = {{G}osselin, {A}. and {C}oulibaly, {K}. and {R}avalihasy, {A}ndrainolo and {C}arillon, {S}{\'e}verine and {R}idde, {V}al{\'e}ry and {D}erche, {N}. and {M}biribindi, {R}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {M}akasi {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {O}ne of the classic challenges for prevention programmes is reaching the populations they serve. {I}n {F}rance, a substantial number of {A}frican migrants living with {HIV} acquired their infection after migrating. {T}he aim of this paper is to better understand the characteristics of the population reached by a community-based outreach approach. {M}ethods {W}e compared sociodemographic characteristics across three different groups in the {P}aris greater area: (1) the general {A}frican migrant population ({P}opulation census), (2) the {A}frican migrant population using either the regular healthcare system or the system for vulnerable populations ({PARCOURS} {S}urvey) and (3) the {A}frican migrant population reached through a community-based mobile unit ({A}frique {A}venir). {C}omparisons were conducted according to sex, age, region of origin, duration of residence and occupational and legal statuses using chi(2) tests. {R}esults {T}he migrants reached by the mobile unit were mostly men (69%), 52% of whom were younger than 35 years old. {T}hey more often lived in precarious situations than did the general sub-{S}aharan population (49% vs 35% were unemployed, respectively, p<0.001) and the ones accessing the regular healthcare system. {F}ewer of them lived in precarious situations than did migrants seeking healthcare consultations for vulnerable populations (42% in the mobile unit vs 54% in healthcare consultations were undocumented, p<0.028). {C}onclusion {O}ur study shows that the outreach approach can constitute a missing link in the prevention chain among sub-{S}aharan {A}frican migrants, reaching a group that differs from the general migrant population and from the migrant population in healthcare services-not only the newly arrived migrants who live in more precarious situations but also those who have been in {F}rance for several years and are still affected by social hardship.},
  keywords = {{FRANCE} ; {PARIS} ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{J}ournal of {E}pidemiology and {C}ommunity {H}ealth},
  volume = {74},
  numero = {8},
  pages = {668--675},
  ISSN = {0143-005{X}},
  year = {2020},
  DOI = {10.1136/jech-2019-213394},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079685},
}