Access to health insurance coverage among sub-Saharan African migrants living in France: Results of the ANRS-PARCOURS study
type: Article
item type: journalArticle
is part of: PLOS ONE
authors: Person
  surname: Vignier
  given name: Nicolas
authors: Person
  surname: Desgrées du Loû
  given name: Annabel
authors: Person
  surname: Pannetier
  given name: Julie
authors: Person
  surname: Ravalihasy
  given name: Andrainolo
authors: Person
  surname: Gosselin
  given name: Anne
authors: Person
  surname: Lert
  given name: France
authors: Person
  surname: Lydié
  given name: Nathalie
authors: Person
  surname: Bouchaud
  given name: Olivier
authors: Person
  surname: Dray Spira
  given name: Rosemary
authors: Person
  surname: the PARCOURS Study Group
editors: Person
  surname: Gusmano
  given name: Michael
subject: AFRIQUE SUBSAHARIENNE
subject: FRANCE
abstract: Background Migrants' access to care depends on their health insurance coverage in the host country. We aimed to evaluate in France the dynamic and the determinants of health insurance coverage acquisition among sub-Saharan migrants. Methods In the PARCOURS life-event retrospective survey conducted in 2012-2013 in health-care facilities in the Paris region, data on health insurance coverage (HIC) each year since arrival in France has been collected among three groups of sub-Saharan migrants recruited in primary care centres (N = 763), centres for HIV care (N = 923) and for chronic hepatitis B care (N = 778). Year to year, the determinants of the acquisition and lapse of HIC were analysed with mixed-effects logistic regression models. Results In the year of arrival, 63.4% of women and 55.3% of men obtained HIC. But three years after arrival, still 14% of women and 19% of men had not obtained HIC. HIC acquisition was accelerated in case of HIV or hepatitis B infection, for migrants arrived after 2000, and for women in case of pregnancy and when they were studying. Conversely, it was slowed down in case of lack of a residency permit and lack of financial resources for men. In addition, women and men without residency permits were more likely to have lost HIC when they had one. Conclusion In France, the health insurance system aiming at protecting all, including undocumented migrants, leads to a prompt access to HIC for migrants from sub-Saharan Africa. Nevertheless, this access may be impaired by administrative and social insecurities.
date: 2018-2-15
pages: e0192916
citation key: vignierAccessHealthInsurance2018
date submitted: 2018-03-28 15:50:50
short title: Access to health insurance coverage among sub-Saharan African migrants living in France
language: en
library catalog: CrossRef

PLOS ONE
type: Journal
volume: 13
number: 2
identifier: DOI 10.1371/journal.pone.0192916
identifier: ISSN 1932-6203