title: 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.
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.
authors.affiliation: APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, 93 000, Bobigny, France.|Laboratoire Santé, Individu et Société (SIS, EA4129), Université Claude Bernard Lyon 1, Lyon, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Kankou
authors.affiliation: APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, 93 000, Bobigny, France.|Université Paris 13, Bobigny, France.
authors.forename: O
authors.initials: O
authors.lastname: Bouchaud
authors.affiliation: APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, 93 000, Bobigny, France.
authors.forename: N
authors.initials: N
authors.lastname: Lele
authors.affiliation: Laboratoire Santé, Individu et Société (SIS, EA4129), Université Claude Bernard Lyon 1, Lyon, France.
authors.forename: D
authors.initials: D
authors.lastname: Bourgeois
authors.affiliation: 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.
authors.forename: B
authors.initials: B
authors.lastname: Spire
authors.affiliation: 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.
authors.forename: M P
authors.initials: MP
authors.lastname: Carrieri
authors.affiliation: APHP, service de maladies infectieuses et tropicales, Hôpital Avicenne, 125 avenue de Stalingrad, 93 000, Bobigny, France. sophie.abgrall@aphp.fr.|Faculté de Médecine Paris Sud, Le Kremlin-Bicêtre, France. sophie.abgrall@aphp.fr.
authors.forename: S
authors.initials: S
authors.lastname: Abgrall
mesh_terms: D000328:Adult; D017954:Africa South of the Sahara / Q000208:ethnology; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D030881:Disclosure / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D005602:France / Q000453:epidemiology; D015658:HIV Infections / Q000188:drug therapy* / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors
chemical_list: D044966:Anti-Retroviral Agents
keywords: Disclosure; HIV infection; Migrant; Relative; Steady sexual partner; Sub-Saharan Africa