Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France
Identifieur interne : 003435 ( Ncbi/Curation ); précédent : 003434; suivant : 003436Is 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.
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 :
- 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
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.
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).
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.
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%;
Hardships faced by migrants increase HIV risks. Women, especially during the period without stable housing, appear especially vulnerable.
Url:
DOI: 10.1097/QAD.0000000000000957
PubMed: 26558722
PubMed Central: 4732006
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Mireille Le Guen<affiliation><nlm:aff id="aff3">INSERM, CESP-U 1018, Villejuif</nlm:aff>
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<author><name sortKey="Bajos, Nathalie" sort="Bajos, Nathalie" uniqKey="Bajos N" first="Nathalie" last="Bajos">Nathalie Bajos</name>
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<author><name sortKey="Lydie, Nathalie" sort="Lydie, Nathalie" uniqKey="Lydie N" first="Nathalie" last="Lydie">Nathalie Lydie</name>
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<series><title level="j">AIDS (London, England)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Disease Transmission, Infectious</term>
<term>Female</term>
<term>HIV Infections (epidemiology)</term>
<term>HIV Infections (transmission)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Paris</term>
<term>Retrospective Studies</term>
<term>Sexual Behavior</term>
<term>Social Isolation (psychology)</term>
<term>Socioeconomic Factors</term>
<term>Transients and Migrants</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Comportement sexuel</term>
<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>
<term>Mâle</term>
<term>Paris</term>
<term>Population de passage et migrants</term>
<term>Transmission de maladie infectieuse</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Isolement social</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Social Isolation</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term>
</keywords>
<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>
<term>Paris</term>
<term>Retrospective Studies</term>
<term>Sexual Behavior</term>
<term>Socioeconomic Factors</term>
<term>Transients and Migrants</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Comportement sexuel</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Paris</term>
<term>Population de passage et migrants</term>
<term>Transmission de maladie infectieuse</term>
<term>Études rétrospectives</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>
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