Journal of Immigrant and Minority Health
Volume 19, Issue 4, 2017, Pages 843-850

Factors Associated with HIV Status Disclosure in HIV-Infected Sub-Saharan Migrants Living in France and Successfully Treated with Antiretroviral Therapy: Results from the ANRS-VIHVO Study (Article)

Kankou J.M. , Bouchaud O. , Lele N. , Bourgeois D. , Spire B. , Carrieri M.P. , Abgrall S.* , The ANRS-VIHVO Study Group
  • a APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, Bobigny, 93 000, France, Laboratoire Santé, Individu et Société (SIS, EA4129), Université Claude Bernard Lyon 1, Lyon, France
  • b APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, Bobigny, 93 000, France, Université Paris 13, Bobigny, France
  • c APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, Bobigny, 93 000, France
  • d Laboratoire Santé, Individu et Société (SIS, EA4129), Université Claude Bernard Lyon 1, Lyon, France
  • e INSERM U912 (SE4S), Marseille, France, IRD, Université Aix Marseille, Marseille, France, ORS PACA, Observatoire Régional de la Santé Provences Alpes Côte d’Azur, Marseille, France
  • f INSERM U912 (SE4S), Marseille, France, IRD, Université Aix Marseille, Marseille, France, ORS PACA, Observatoire Régional de la Santé Provences Alpes Côte d’Azur, Marseille, France
  • g APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, Bobigny, 93 000, France, Faculté de Médecine Paris Sud, Le Kremlin-Bicêtre, France
  • h [Affiliation not available]

Abstract

To estimate rates and identify correlates of HIV disclosure in migrants from sub-Saharan Africa (SSA) successfully treated, a sub-analysis was conducted in HIV-1 native SSA migrants, living in France with undetectable viral load on antiretroviral, included in the VIHVO adherence study. Logistic regression models assessed factors associated with HIV disclosure. Among 246 individuals (40 % male, median age 41), 79 % of those in a steady heterosexual partnership (n = 167) had disclosed their status to their partner, 55 % of the total 246 to a relative, and 33 % to (an)other person(s). Disclosure to one’s steady partner was associated with a follow-up duration since HIV diagnosis of more than 5 years, a higher literacy level, a better social context and marital status. Women were more likely to disclose their HIV status to relatives. Interventions targeting this population should be provided to improve disclosure which in turn ensures better social support, testing of the partner and lower rates of undiagnosed HIV. © 2016, Springer Science+Business Media New York.

Author Keywords

Sub-Saharan Africa HIV infection disclosure Relative Steady sexual partner migrant

Index Keywords

Disclosure HIV Infections Africa south of the Sahara Human immunodeficiency virus infection France interpersonal communication human epidemiology middle aged statistics and numerical data Anti-Retroviral Agents antiretrovirus agent ethnology Humans migrant male Emigrants and Immigrants female Socioeconomic Factors socioeconomics adult
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84964434470&doi=10.1007%2fs10903-016-0423-1&partnerID=40&md5=d8d2a97c856a2d681ecafc38e1d13d25
DOI: 10.1007/s10903-016-0423-1
ISSN: 15571912
Cited by: 5
Original Language: English