Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region
Bibliographic Data
Migrants from sub-Saharan Africa (SSA) are often diagnosed at an advanced stage of HIV, and many of them have harsh living conditions. We aimed to evaluate the entry into care after HIV diagnosis and examine the related social determinants. The ANRS PARCOURS study is a life-event survey conducted in 2012-2013 in the Paris region among. Time between HIV diagnosis of SSA migrants living diagnosed HIV positive in France and HIV care and the determinants was assessed yearly by using mixed-effects logistic regression models. Among a total of 792 participants, 94.2% engaged in HIV care within the year of HIV diagnosis, 4.3% in the following year and 2.5% beyond the second year after diagnosis. The participants were more likely to engage in HIV care during years when they were effectively covered by health insurance and if the HIV test was carried out at the initiative of the doctor. Immigration for economic reasons or owing to threats in his/her country of origin was associated with delayed engagement in HIV care. Additionally, 4.3% of treated participants discontinued HIV care at least once at the time of the survey and more often if diagnosed at an advanced HIV disease stage and financially dependent
Antiretroviral therapy · Disease · Environmental health · Family medicine · Geography · Health care · Health facility · Health services · HIV diagnosis · Hiv test · Immigration · Logistic regression · Political science · Population · Sociology · Viral load · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Migration, Identity, and Health · Gerontology · Internal Medicine
Potential barriers to the use of health services among ethnic minorities
Migration and Health
Missed Visits and Mortality among Patients Establishing Initial Outpatient HIV Treatment
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
Time since the last HIV test and migration origin in the Paris metropolitan area, France
Health and access to care for undocumented migrants living in the European Union
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |