title: Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing.
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.
authors.affiliation: Sorbonne Universités, UPMC Univ Paris 06, INSERM, Pierre Louis Institute of Epidemiology and Public Health, (IPLESP UMRS 1136), 75013, Paris, France. marguerite.guiguet@inserm.fr.
authors.forename: M
authors.initials: M
authors.lastname: Guiguet
authors.affiliation: CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, 75013, Paris, France.|COREVIH Ile-de-France Centre, 75013, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Dionou
authors.affiliation: Fédération SOS Hépatite, 75020, Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Volant
authors.affiliation: CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, 75013, Paris, France.
authors.forename: M C
authors.initials: MC
authors.lastname: Samba
authors.affiliation: CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, 75013, Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Benammar
authors.affiliation: Sorbonne Universités, UPMC Univ Paris 06, INSERM, Pierre Louis Institute of Epidemiology and Public Health, (IPLESP UMRS 1136), 75013, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Chauvin
authors.affiliation: CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, 75013, Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Simon
mesh_terms: D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara / Q000208:ethnology; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis* / Q000208:ethnology*; D006297:Health Services Accessibility; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010297:Paris / Q000453:epidemiology; D012307:Risk Factors; D013997:Time Factors; D055815:Young Adult
keywords: African migrant; France; HIV; Men; Never testing