title: Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013.
abstract: We estimated the proportion of migrants from sub-Saharan Africa who acquired human immunodeficiency virus (HIV) while living in France. Life-event and clinical information was collected in 2012 and 2013 from a random sample of HIV-infected outpatients born in sub-Saharan Africa and living in the Paris region. We assumed HIV infection in France if at least one of the following was fulfilled: (i) HIV diagnosis at least 11 years after arrival in France, (ii) at least one negative HIV test in France, (iii) sexual debut after arrival in France. Otherwise, time of HIV infection was based on statistical modelling of first CD4(+) T-cell count; infection in France was assumed if more than 50% (median scenario) or more than 95% (conservative scenario) of modelled infection times occurred after migration. We estimated that 49% of 898 HIV-infected adults born in sub-Saharan Africa (95% confidence interval (CI): 45-53) in the median and 35% (95% CI: 31-39) in the conservative scenario acquired HIV while living in France. This proportion was higher in men than women (44% (95% CI: 37-51) vs 30% (95% CI: 25-35); conservative scenario) and increased with length of stay in France. These high proportions highlight the need for improved HIV policies targeting migrants.
authors.affiliation: CEPED, UMR Institut de Recherche pour le développement (IRD)-Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
authors.forename: Annabel
authors.initials: A
authors.lastname: Desgrées-du-Loû
authors.forename: Julie
authors.initials: J
authors.lastname: Pannetier
authors.forename: Andrainolo
authors.initials: A
authors.lastname: Ravalihasy
authors.forename: Anne
authors.initials: A
authors.lastname: Gosselin
authors.forename: Virginie
authors.initials: V
authors.lastname: Supervie
authors.forename: Henri
authors.initials: H
authors.lastname: Panjo
authors.forename: Nathalie
authors.initials: N
authors.lastname: Bajos
authors.forename: France
authors.initials: F
authors.lastname: Lert
authors.forename: Nathalie
authors.initials: N
authors.lastname: Lydié
authors.forename: Rosemary
authors.initials: R
authors.lastname: Dray-Spira
mesh_terms: D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara / Q000208:ethnology; D044383:Black People / Q000208:ethnology / Q000706:statistics & numerical data*; D018791:CD4 Lymphocyte Count; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants; D005260:Female; D005602:France / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis* / Q000208:ethnology* / Q000635:transmission; D015497:HIV-1; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014505:Urban Population
keywords: France; HIV acquisition; HIV prevention; public health policies; sub-Saharan African migrants