Facteurs liés à l’absence de proposition de dépistage du VIH-sida et des hépatites B et C aux immigrés en situation de précarité

Rigal, Laurent; Rouessé, C.; Collignon, Anne; Domingo, Ana Jiménez de; Deniaud, François

doi:10.1016/j.respe.2011.01.007

Cited by 11 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was confirmed by other authors who reported that age was associated with less knowledge of the HIV status, presenting as a U-shaped curve [9,10].…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Knowledge of HIV and hepatitis B and C status among people living in extreme poverty in France, in 2012

Chappuis¹,

Pauti²,

Tomasino³

et al. 2015

Médecine et Maladies Infectieuses

View full text Add to dashboard Cite

“…This was confirmed by other authors who reported that age was associated with less knowledge of the HIV status, presenting as a U-shaped curve [9,10].…”

Section: Discussionsupporting

confidence: 84%

“…These results may be explained by cultural habits and economic characteristics specific to the native country [12,25]. Rigal et al also pointed out that the geographical origin of patients could be a factor related to a lack of screening proposed by health professionals [9].…”

Section: Disparities Between Countries Of Originmentioning

confidence: 99%

Knowledge of HIV and hepatitis B and C status among people living in extreme poverty in France, in 2012

Chappuis¹,

Pauti²,

Tomasino³

et al. 2015

Médecine et Maladies Infectieuses

View full text Add to dashboard Cite

“…In a more general way, physicians are more likely to suggest HIV testing forunderprivileged patients, for example to patients without health coverage or those who benefit fromspecific state-provided medical assistance for migrants (called AME in France)than for those with health coverage [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…HIV infection in sub-Saharan migrants is often viewed as acquired before migration while we have estimated in a previous study that 44% and 30%, respectively, of HIV-positive men and women born in SSA, became infected in France [ 19 ]. Testing is often offered during the early period in France but physicians are less likely to propose testing and to repeat the proposal over time since the risk of infection in France is underestimated [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Dynamic of HIV-testing after arrival in France for migrants from sub-Saharan Africa: The role of both health and social care systems

et al. 2017

View full text Add to dashboard Cite

ObjectiveHIV testing is an important tool in the management of the HIV epidemic among key populations. We aimed to explore the dynamic of first-time HIV testing in France for sub-Saharan migrants after their arrival.MethodsANRS-Parcours is a retrospective life-event survey conducted from 2012 to 2013 in healthcare facilities in the Paris region, among 926 sub-Saharan HIV-infected migrants and 763 non-infected migrants. After describing the time to first HIV test in France and associated circumstances, we performed a discrete-time logistic regression to analyze the influence of socioeconomic position, contact with the healthcare system and sexual behaviors, on first-time HIV testing in France in migrants who arrived after 2000.ResultsMedian first-time HIV testing occurred during the second year spent in France for non-infected men and women in both groups, and during the first year for men of the HIV group. The probability of testing increased with hospitalization and pregnancy for women of both groups. For non-infected men unemployment and absence of a residence permit were associated with an increased probability of HIV testing [respectively, OR = 2.2 (1.2–4.1) and OR = 2.0 (1.1–3.5)]. Unemployment was also associated with an increased probability of first-time HIV-testing for women of the HIV group [OR: 1.7 (1.0–2.7)]. Occasional and multiple sexual relationships were associated with an increased probability of first-time testing only for HIV-infected women [OR: 2.2 (1.2–4.0) and OR = 2.4 (1.3–4.6)].ConclusionAccess to first HIV testing in France is promoted by contact with the health care system and is facilitated for unemployed and undocumented migrants after arrival.However, testing should be offered more systematically and repeated in order to reduce time between HIV infection and diagnosis, especially for deprived people which are particularly vulnerable regarding HIV infection.

show abstract

“…No lifetime HIV testing could also be a consequence of differentiated practices by health professionals according to their patients’ social or demographic characteristics. For instance, in 2003, a French study found that the factors associated with the lack of proposing HIV/AIDS and hepatitis B and C screening in general practice to underprivileged immigrants were gender (women were screened less for HBV and HCV infection) and being from a non-sub-Saharan African country (especially from North Africa) for all three viruses [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Which adults in the Paris metropolitan area have never been tested for HIV? A 2010 multilevel, cross-sectional, population-based study

et al. 2015

View full text Add to dashboard Cite

BackgroundDespite the widespread offer of free HIV testing in France, the proportion of people who have never been tested remains high. The objective of this study was to identify, in men and women separately, the various factors independently associated with no lifetime HIV testing.MethodsWe used multilevel logistic regression models on data from the SIRS cohort, which included 3006 French-speaking adults as a representative sample of the adult population in the Paris metropolitan area in 2010. The lifetime absence of any HIV testing was studied in relation to individual demographic and socioeconomic factors, psychosocial characteristics, sexual biographies, HIV prevention behaviors, attitudes towards people living with HIV/AIDS (PLWHA), and certain neighborhood characteristics.ResultsIn 2010, in the Paris area, men were less likely to have been tested for HIV at least once during their lifetime than women. In multivariate analysis, in both sexes, never having been tested was significantly associated with an age younger or older than the middle-age group (30–44 years), a low education level, a low self-perception of HIV risk, not knowing any PLWHA, a low lifetime number of couple relationships, and the absence of any history of STIs. In women, other associated factors were not having a child <20 years of age, not having additional health insurance, having had no or only one sexual partner in the previous 5 years, living in a cohabiting couple or having no relationship at the time of the survey, and a feeling of belonging to a community. Men with specific health insurance for low-income individuals were less likely to have never been tested, and those with a high stigma score towards PLWHA were more likely to be never-testers.Our study also found neighborhood differences in the likelihood of men never having been tested, which was, at least partially, explained by the neighborhood proportion of immigrants. In contrast, in women, no contextual variable was significantly associated with never-testing for HIV after adjustment for individual characteristics.ConclusionsStudies such as this one can help target people who have never been tested in the context of recommendations for universal HIV screening in primary care.

show abstract

Facteurs liés à l’absence de proposition de dépistage du VIH-sida et des hépatites B et C aux immigrés en situation de précarité

Cited by 11 publications

References 24 publications

Knowledge of HIV and hepatitis B and C status among people living in extreme poverty in France, in 2012

Knowledge of HIV and hepatitis B and C status among people living in extreme poverty in France, in 2012

Dynamic of HIV-testing after arrival in France for migrants from sub-Saharan Africa: The role of both health and social care systems

Which adults in the Paris metropolitan area have never been tested for HIV? A 2010 multilevel, cross-sectional, population-based study

Contact Info

Product

Resources

About