Journal of Immigrant and Minority Health
Volume 19, Issue 4, 2017, Pages 991-994

Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing (Article)

Guiguet M.* , Dionou S. , Volant J. , Samba M.C. , Benammar N. , Chauvin P. , Simon A.
  • a Sorbonne Universités, UPMC Univ Paris 06, INSERM, Pierre Louis Institute of Epidemiology and Public Health, (IPLESP UMRS 1136), Paris, 75013, France
  • b CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France, COREVIH Ile-de-France Centre, Paris, 75013, France
  • c Fédération SOS Hépatite, Paris, 75020, France
  • d CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France
  • e CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France
  • f Sorbonne Universités, UPMC Univ Paris 06, INSERM, Pierre Louis Institute of Epidemiology and Public Health, (IPLESP UMRS 1136), Paris, 75013, France
  • g CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France

Abstract

Delayed presentation to care among HIV-infected individuals continued to be frequent in France. Migrants are at high risk for late presentation. This cross-sectional study investigated barriers to HIV testing in the specific population of men from sub-Saharan Africa living in four migrant worker hostels in Paris, France. Factors associated with never having been tested for HIV were examined using logistic regression. In all, 550 men participated, coming mainly from Mali and Senegal, with 31 % having lived in France for less than 5 years, and 25 % without any health insurance. Only 37 % have ever been tested for HIV. Not having health insurance was the main risk factor for never-testing [adjusted odds ratio (aOR) 2.4; 95 % confidence interval (CI) 1.4–4.0]. Despite free and anonymous HIV testing available at dedicated public screening centers, 63 % of men living in migrant worker hostels had never been tested for HIV. © 2016, Springer Science+Business Media New York.

Author Keywords

Men Never testing HIV African migrant France

Index Keywords

HIV Infections Africa south of the Sahara Human immunodeficiency virus infection insurance France health insurance human epidemiology Insurance Coverage middle aged time factor Time Factors Logistic Models ethnology Insurance, Health Cross-Sectional Studies Young Adult cross-sectional study Humans Adolescent male risk factor Risk Factors adult Paris statistical model Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961122066&doi=10.1007%2fs10903-016-0385-3&partnerID=40&md5=be2b55ffe98cfd7159a549aeb7408948
DOI: 10.1007/s10903-016-0385-3
ISSN: 15571912
Cited by: 2
Original Language: English