SidaSubSaharaV1, Main, Exploration, bibRecord, 000F52

Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France

Identifieur interne : 000F52 ( Main/Exploration ); précédent : 000F51; suivant : 000F53

Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France

Auteurs : Annabel Desgrees-Du-Lou [France] ; Julie Pannetier [France] ; Andrainolo Ravalihasy [France] ; Mireille Le Guen [France] ; Anne Gosselin [France] ; Henri Panjo ; Nathalie Bajos ; Nathalie Lydie ; France Lert ; Rosemary Dray-Spira [France]

Source :

AIDS (London, England) [ 0269-9370 ] ; 2016.

RBID : PMC:4732006

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (transmission), Infections à VIH (épidémiologie), Isolement social (psychologie), Jeune adulte, Mâle, Paris, Population de passage et migrants, Transmission de maladie infectieuse, Études rétrospectives.
MESH :
- psychologie : Isolement social.
- épidémiologie : Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel, Facteurs socioéconomiques, Femelle, Humains, Jeune adulte, Mâle, Paris, Population de passage et migrants, Transmission de maladie infectieuse, Études rétrospectives.

English descriptors

KwdEn :
- Adolescent, Adult, Disease Transmission, Infectious, Female, HIV Infections (epidemiology), HIV Infections (transmission), Humans, Male, Middle Aged, Paris, Retrospective Studies, Sexual Behavior, Social Isolation (psychology), Socioeconomic Factors, Transients and Migrants, Young Adult.
MESH :
- epidemiology : HIV Infections.
- psychology : Social Isolation.
- transmission : HIV Infections.
- Adolescent, Adult, Disease Transmission, Infectious, Female, Humans, Male, Middle Aged, Paris, Retrospective Studies, Sexual Behavior, Socioeconomic Factors, Transients and Migrants, Young Adult.

Abstract

Objectives:

In Europe, sub-Saharan African migrants are a key population for HIV infection. We analyse how social hardships during settlement in France shape sexual partnerships and HIV risk.

Design:

PARCOURS is a life-event survey conducted in 2012–2013 in 74 health-care facilities in the Paris region, among three groups of sub-Saharan migrants: 926 receiving HIV care (296 acquired HIV in France), 779 with chronic hepatitis B, and 763 with neither HIV nor hepatitis B (reference group).

Methods:

Hardships (lack of residence permit, economic resources and housing) and sexual partnerships were documented for each year since arrival in France. For each sex, reported sexual partnerships were compared by group and their associations with hardships each year analysed with mixed-effects logistic regression models.

Results:

Hardships were frequent: more than 40% had lived a year or longer without a residence permit, and more than 20% without stable housing. Most of the migrants had nonstable and concurrent partnerships, more frequent among those who acquired HIV in France compared with reference group, as were casual partnerships among men (76.7 vs. 54.2%; P = 0.004) and women (52.4 vs. 30.5%; P = 0.02), concurrent partnerships among men (69.9 vs. 45.8%; P = 0.02), and transactional partnerships among women (8.6 vs. 2.3%; P = 0.006). Hardship increased risky behaviours: in women, lacking a residence permit increased casual and transactional partnerships [resp. odds ratio (OR) = 2.01(1.48–2.72) and OR = 6.27(2.25–17.44)]. Same trends were observed for lacking stable housing [OR = 3.71(2.75–5.00) and OR = 10.58 (4.68–23.93)].

Conclusion:

Hardships faced by migrants increase HIV risks. Women, especially during the period without stable housing, appear especially vulnerable.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732006

DOI: 10.1097/QAD.0000000000000957
PubMed: 26558722
PubMed Central: 4732006

Affiliations:

Le document en format XML

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<term>HIV Infections (transmission)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à VIH (transmission)</term>
<term>Infections à VIH (épidémiologie)</term>
<term>Isolement social (psychologie)</term>
<term>Jeune adulte</term>
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<term>Population de passage et migrants</term>
<term>Transmission de maladie infectieuse</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Social Isolation</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Disease Transmission, Infectious</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Facteurs socioéconomiques</term>
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<term>Jeune adulte</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives:</title>
<p>In Europe, sub-Saharan African migrants are a key population for HIV infection. We analyse how social hardships during settlement in France shape sexual partnerships and HIV risk.</p>
</sec>
<sec><title>Design:</title>
<p>PARCOURS is a life-event survey conducted in 2012–2013 in 74 health-care facilities in the Paris region, among three groups of sub-Saharan migrants: 926 receiving HIV care (296 acquired HIV in France), 779 with chronic hepatitis B, and 763 with neither HIV nor hepatitis B (reference group).</p>
</sec>
<sec sec-type="methods"><title>Methods:</title>
<p>Hardships (lack of residence permit, economic resources and housing) and sexual partnerships were documented for each year since arrival in France. For each sex, reported sexual partnerships were compared by group and their associations with hardships each year analysed with mixed-effects logistic regression models.</p>
</sec>
<sec sec-type="results"><title>Results:</title>
<p>Hardships were frequent: more than 40% had lived a year or longer without a residence permit, and more than 20% without stable housing. Most of the migrants had nonstable and concurrent partnerships, more frequent among those who acquired HIV in France compared with reference group, as were casual partnerships among men (76.7 vs. 54.2%; <italic>P</italic>
 = 0.004) and women (52.4 vs. 30.5%; <italic>P</italic>
 = 0.02), concurrent partnerships among men (69.9 vs. 45.8%; <italic>P</italic>
 = 0.02), and transactional partnerships among women (8.6 vs. 2.3%; <italic>P</italic>
 = 0.006). Hardship increased risky behaviours: in women, lacking a residence permit increased casual and transactional partnerships [resp. odds ratio (OR) = 2.01(1.48–2.72) and OR = 6.27(2.25–17.44)]. Same trends were observed for lacking stable housing [OR = 3.71(2.75–5.00) and OR = 10.58 (4.68–23.93)].</p>
</sec>
<sec sec-type="conclusion"><title>Conclusion:</title>
<p>Hardships faced by migrants increase HIV risks. Women, especially during the period without stable housing, appear especially vulnerable.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Le Vu, S" uniqKey="Le Vu S">S Le Vu</name>
</author>
<author><name sortKey="Le Strat, Y" uniqKey="Le Strat Y">Y Le Strat</name>
</author>
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</author>
<author><name sortKey="Pillonel, J" uniqKey="Pillonel J">J Pillonel</name>
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</analytic>
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<biblStruct><analytic><author><name sortKey="Del Amo, J" uniqKey="Del Amo J">J Del Amo</name>
</author>
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</author>
<author><name sortKey="Perez Cachafeiro, S" uniqKey="Perez Cachafeiro S">S Perez-Cachafeiro</name>
</author>
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</author>
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</analytic>
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</author>
<author><name sortKey="Downs, Am" uniqKey="Downs A">AM Downs</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Prost, A" uniqKey="Prost A">A Prost</name>
</author>
<author><name sortKey="Elford, J" uniqKey="Elford J">J Elford</name>
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France

Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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