2TWVTWPJ
type: UserItem
resource: Accès aux soins des personnes originaires d'Afrique subsaharienne vivant avec une hépatite B chronique = Health care access of Sub-Saharan African migrants living with chronic hepatitis B
tagged: UserTag
  label: AFRIQUE SUBSAHARIENNE
tagged: UserTag
  label: France
tagged: UserTag
  label: Health Care Quality, Access, and Evaluation
tagged: UserTag
  label: Health insurance coverage
tagged: UserTag
  label: Hepatitis B
tagged: UserTag
  label: migrants
tagged: UserTag
  label: sub-Saharan Africa

Accès aux soins des personnes originaires d'Afrique subsaharienne vivant avec une hépatite B chronique = Health care access of Sub-Saharan African migrants living with chronic hepatitis B
type: AcademicArticle
abstract: Objective: The objective of this study was to analyse health care access of Sub-Saharan African migrants living with chronic hepatitis B (CHB) in France. Methods: The ANRS-Parcours survey was a life-event survey conducted in 2012-2013 among Sub-Saharan African migrants recruited by health care facilities managing CHB in the Paris region. Data were collected by face-to-face interview using a biographical grid and a standardized questionnaire. Results: 96.4% of the 619 participants basic health insurance coverage with CMU universal health insurance coverage in 18.6% of cases and AME state medical assistance in 23.4% of cases. One-third of basic health insurance beneficiaries did not have any complementary health insurance and 75.7% had long-term disease status. The median time to acquisition of health insurance cover after arrival in France was one year. 22.0% of participants reported delaying health care for financial reasons since their arrival in France and 9.7% reported being refused health care usually due to refusal of CMU or AME. Health care access was effective within one year of the diagnosis. Delayed health care access was more common among people without health insurance coverage in the year of diagnosis. Patients lost to follow-up for more than 12 months were rare. Conclusion: Sub-Saharan African migrants living with chronic hepatitis B rapidly access health insurance coverage and health care. However, barriers to health care access persist for some people, essentially due to absent or incomplete health insurance cover and refusal of care for AME or CMU beneficiaries.
pages: 361-370
doi: 10.3917/spub.173.0361
citation key: vignierAccesAuxSoins2017
language: FRE
creator: Person
author list: Person
is part of: Issue
  date: 2017
  volume: 3
  issue: 29
  is part of: Santé Publique
    type: Journal
    issn: 0995-3914

Person
given name: Nicolas
surname: Vignier

Person
given name: Rosemary
surname: Dray-Spira

Person
given name: France
surname: Lert

Person
given name: Julie
surname: Pannetier

Person
given name: Andrainolo
surname: Ravalihasy

Person
given name: Anne
surname: Gosselin

Person
given name: Nathalie
surname: Lydié

Person
given name: Olivier
surname: Bouchaud

Person
given name: Annabel
surname: Desgrées du Loû

Person
given name: Anrs-Parcours
surname: Grp