http://zotero.org/groups/70553/items/BB6FDDCB
type: UserItem
resource: When and why? Timing of post-migration HIV acquisition among sub-Saharan migrants in France
access date: 2019-07-29 10:49:05
repository: sti.bmj.com
rights: © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
tagged: AutoTag
  label: france
tagged: AutoTag
  label: life-event history survey
tagged: AutoTag
  label: prevention
tagged: AutoTag
  label: sub-saharan africa

When and why? Timing of post-migration HIV acquisition among sub-Saharan migrants in France
type: AcademicArticle
abstract: Objective Recent studies highlighted that many HIV-positive migrants in Europe acquired their infections post-migration. However, the timing of these infections is not always known. This study aims to estimate the timing of post-migration HIV acquisition among sub-Saharan migrants in France and to understand the correlates of post-migration infection. Methods Within the PARCOURS retrospective survey conducted in 2012–2013 in 74 healthcare facilities in the Paris region, life-event data were collected among a random sample of 926 patients living with HIV in HIV services and 763 patients undiagnosed with HIV in primary care centres born in sub-Saharan Africa (reference group). Based on previous analysis, we considered the first 6 years in France after migration as a settlement period. Among the persons who acquired HIV after migration, we estimated the proportion of persons infected during settlement (0–6 years after migration) and after settlement (>6 years after migration) by using an algorithm that combines life-event data and a modelisation of CD4+ T-cell count decline. We then assessed the determinants of HIV acquisition during settlement and after settlement using bivariate logistic regression models. Results Overall, 58% of sub-Saharan migrants who acquired HIV after migration were infected during the first 6 years in France. HIV acquisition during settlement was found to be linked to short/transactional partnerships and lack of a resident permit. 42% of migrants had contracted HIV after settlement. After settlement, HIV acquisition was associated with short/transactional but also with concurrent partnerships and not with social hardship. Conclusion Two profiles of HIV post-migration acquisition emerged. The majority of HIV post-migration acquisition occurs during the settlement period: comprehensive combination prevention programmes among recently arrived migrants are needed. However, long-term migrants are also at risk for HIV through multiple partnerships. P…
pages: sextrans-2019-054080
doi: 10.1136/sextrans-2019-054080
citation key: gosselinWhenWhyTiming2019
PMID: 31350379
short title: When and why?
language: en
extra: WOS:000531402400013
creator: Person
author list: Person
is part of: Issue
  date: 2019-07-26
  issue: 26 juillet
  is part of: Sexually Transmitted Infections
    type: Journal
    short title: Sex Transm Infect
    issn: 1368-4973, 1472-3263

Person
given name: Anne
surname: Gosselin

Person
given name: Andrainolo
surname: Ravalihasy

Person
given name: Julie
surname: Pannetier

Person
given name: France
surname: Lert

Person
given name: Annabel
surname: Desgrées du Loû

Person
surname: Parcours studyy group