@article{fdi:010090223,
  title = {{B}ridging the knowledge gap of biomedical {HIV} prevention tools among sub-saharan african immigrants in {F}rance : results from an empowerment-based intervention},
  author = {{C}oulibaly, {K}. and {B}ousmah, {M}arwan-al-{Q}ays and {R}avalihasy, {A}ndrainolo and {T}a{\'e}ron, {C}. and {M}biribindi, {R}. and {S}enne, {J}. {N}. and {G}ubert, {F}lore and {G}osselin, {A}. and {D}esgr{\'e}es du {L}oû, {A}nnabel},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction: {B}iomedical {HIV} prevention tools are available in {F}rance to prevent new infections. {H}owever, evidence suggests a lack of knowledge of these tools among sub-{S}aharan {A}frican immigrants, who are particularly affected by {HIV} due to social hardship, an indirect factor of {HIV} acquisition. {W}e analysed the impact of an empowerment-based intervention on the knowledge of treatment as prevention ({T}as{P}), pre-exposure prophylaxis ({P}r{EP}) and post-exposure prophylaxis ({PEP}) in a population of precarious sub-{S}aharan {A}frican immigrants. {M}ethods: {D}ata were collected throughout the {MAKASI} project. {F}ollowing an outreach approach, participants were recruited in public places based on their precarious situations and followed for six months (0, 3, 6 months) between 2018 and 2021. {P}articipants were randomized into two groups and received an empowerment intervention sequentially (stepped wedge design). {W}e used random-effects logistic regression models to evaluate the intervention effect on the knowledge of biomedical {HIV} prevention tools. {C}linical{T}rials.gov {I}dentifier: {NCT}04468724. {R}esults: {T}he majority of the participants were men (77.5%), and almost half of them had arrived in {F}rance within 2 years prior to inclusion (49.3%). {A}t baseline, 56% of participants knew about {T}as{P}, 6% knew about {PEP} and 4% knew about {P}r{EP}. {R}eceiving the intervention increased the odds of knowing about {PEP} (a{OR} = 2.02 [1.09-3.75]; p < 0.026). {I}ntervention effects were observed for {T}as{P} and {P}r{EP} only after 6 months. {W}e found significant time effects for {PEP} (at 3 months, a{OR} = 4.26 [2.33-7.80]; p < 0.001; at 6 months, a{OR} = 18.28 [7.39-45.24]; p < 0.001) and {P}r{EP} (at 3 months, a{OR} = 4.02 [2.10-7.72]; p < 0.001; at 6 months, a{OR} = 28.33 [11.16-71.91]; p < 0.001).{C}onclusions: {W}e showed that the intervention increased the knowledge of biomedical {HIV} prevention tools. {T}he effect of the intervention was coupled with an important time effect. {T}his suggested that exposure to the intervention together with other sources of information contributed to increased knowledge of biomedical {HIV} prevention tools among precarious sub-{S}aharan {A}frican immigrants.},
  keywords = {{T}reatment as prevention ; {P}re-exposure prophylaxis ; {P}ost-exposure ; prophylaxis ; {E}mpowerment intervention ; {S}ub-saharan african ; {I}mmigrants ; {F}rance ; {FRANCE} ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{SSM} : {P}opulation {H}ealth},
  volume = {23},
  numero = {},
  pages = {101468 [12 ]},
  ISSN = {2352-8273},
  year = {2023},
  DOI = {10.1016/j.ssmph.2023.101468},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090223},
}