Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013Report as inadecuate




Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013 - Download this document for free, or read online. Document in PDF available to download.

* Corresponding author 1 CEPED - Centre population et développement 2 Parcours Santé Migration 3 iPLESP - Institut Pierre Louis d-Epidémiologie et de Santé Publique 4 CESP - Centre de recherche en épidémiologie et santé des populations 5 INPES - Institut national de prévention et d-éducation pour la santé

Abstract : We estimated the proportion of migrants from sub-Saharan Africa who acquired human immunodeficiency virus HIV while living in France. Life-event and clinical information was collected in 2012 and 2013 from a random sample of HIV-infected outpatients born in sub-Saharan Africa and living in the Paris region. We assumed HIV infection in France if at least one of the following was fulfilled: i HIV diagnosis at least 11 years after arrival in France, ii at least one negative HIV test in France, iii sexual debut after arrival in France. Otherwise, time of HIV infection was based on statistical modelling of first CD4 + T-cell count; infection in France was assumed if more than 50% median scenario or more than 95% conservative scenario of modelled infection times occurred after migration. We estimated that 49% of 898 HIV-infected adults born in sub-Saharan Africa 95% confidence interval CI: 45–53 in the median and 35% 95% CI: 31–39 in the conservative scenario acquired HIV while living in France. This proportion was higher in men than women 44% 95% CI: 37–51 vs 30% 95% CI: 25–35; conservative scenario and increased with length of stay in France. These high proportions highlight the need for improved HIV policies targeting migrants.

Mots-clés : AFRIQUE SUBSAHARIENNE FRANCE MIGRATION SIDA





Author: Annabel Desgrees-Du-Lou - J Pannetier - A Ravalihasy - A Gosselin - V Supervie - H Panjo - N Bajos - F Lert - N Lydié - R Dray-S

Source: https://hal.archives-ouvertes.fr/



DOWNLOAD PDF




Related documents