title: Knowledge of HIV and hepatitis B and C status among people living in extreme poverty in France, in 2012.
abstract: OBJECTIVE
  "Médecins du Monde" healthcare centers receive individuals living in extremely precarious conditions for primary health care; 94% of these are foreigners. These medical consultations are an opportunity to discuss their serological status and to offer them screening tests.
  
  
  METHODS
  Two standardized questionnaires were implemented in all healthcare centers in 2000. The medical record covers knowledge of HIV and hepatitis B and C status.
  
  
  RESULTS
  41,033 consultations were given in 2012 in the 20 healthcare centers, for 23,181 patients. Only 29% of the patients knew their hepatitis status and 35% their HIV status. 42% of French patients were unaware of their HIV status compared to 67% of foreign patients. The lack of knowledge of foreign patients' HIV status was more frequent among men and in age classes<20 and>60 years of age. Patients from non-EU Europe, the Middle East, and Asia were significantly more likely to be unaware of their HIV status compared to people from Sub-Saharan Africa and Oceania/America. The rate of foreigners not having undergone screening remained stable, regardless of the duration of residence in France.
  
  
  CONCLUSIONS
  These results highlight the need to develop specific prevention projects among immigrant populations in precarious situations.
authors: Médecins du Monde, 62, rue Marcadet, 75018 Paris, France. Electronic address: marielle.chappuis@medecinsdumonde.net.
authors: M
authors: M
authors: Chappuis
authors: Médecins du Monde, 62, rue Marcadet, 75018 Paris, France.
authors: M-D
authors: MD
authors: Pauti
authors: Médecins du Monde, 62, rue Marcadet, 75018 Paris, France.
authors: A
authors: A
authors: Tomasino
authors: Observatoire régional de la santé de Midi Pyrénées, 37, allées Jules-Guesde, 31073 Toulouse cedex, France.
authors: G
authors: G
authors: Fahet
authors: Observatoire régional de la santé de Midi Pyrénées, 37, allées Jules-Guesde, 31073 Toulouse cedex, France.
authors: F
authors: F
authors: Cayla
authors: Médecins du Monde, 62, rue Marcadet, 75018 Paris, France.
authors: J-F
authors: JF
authors: Corty
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa / Q000208:ethnology; D000368:Aged; D000914:Antibodies, Viral / Q000097:blood; D001208:Asia / Q000208:ethnology; D002648:Child; D002675:Child, Preschool; D054242:Emigrants and Immigrants / Q000523:psychology; D005060:Europe / Q000208:ethnology; D005260:Female; D005602:France / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006297:Health Services Accessibility; D006304:Health Status; D006509:Hepatitis B / Q000453:epidemiology / Q000523:psychology*; D006526:Hepatitis C / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D044349:Oceania / Q000208:ethnology; D011203:Poverty; D012698:Serologic Tests / Q000523:psychology; D062487:Social Marginalization; D013020:South America / Q000208:ethnology; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000914:Antibodies, Viral
keywords: France; HIV; Hepatitis; Hépatite; Immigrant; Migrant; Precariousness; Précarité; VIH