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Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region.

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Title: Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region.
Authors: Vignier, Nicolas, Desgrees Du Lou, Annabel, Pannetier, Julie, Ravalihasy, Andrainolo, Gosselin, Anne, Lert, France, Lydie, Nathalie, Bouchaud, Olivier, Dray Spira, Rosemary, Chauvin, Pierre
Source: AIDS Care. Jul 2019, Vol. 31 Issue 7, p897-907. 11p. 4 Charts.
Subjects: Continuum of care, Health services accessibility, Psychology of HIV-positive persons, Insurance, Evaluation of medical care, Surveys, Patient participation, Logistic regression analysis, Psychosocial factors, Socioeconomic factors, Health & social status
Geographic Terms: Sub-Saharan Africa, France
Abstract: Migrants from sub-Saharan Africa (SSA) are often diagnosed at an advanced stage of HIV, and many of them have harsh living conditions. We aimed to evaluate the entry into care after HIV diagnosis and examine the related social determinants. The ANRS PARCOURS study is a life-event survey conducted in 2012–2013 in the Paris region among. Time between HIV diagnosis of SSA migrants living diagnosed HIV positive in France and HIV care and the determinants was assessed yearly by using mixed-effects logistic regression models. Among a total of 792 participants, 94.2% engaged in HIV care within the year of HIV diagnosis, 4.3% in the following year and 2.5% beyond the second year after diagnosis. The participants were more likely to engage in HIV care during years when they were effectively covered by health insurance and if the HIV test was carried out at the initiative of the doctor. Immigration for economic reasons or owing to threats in his/her country of origin was associated with delayed engagement in HIV care. Additionally, 4.3% of treated participants discontinued HIV care at least once at the time of the survey and more often if diagnosed at an advanced HIV disease stage and financially dependent. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region.
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jul 2019, Vol. 31 Issue 7, p897-907. 11p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Sub-Saharan+Africa%22">Sub-Saharan Africa</searchLink><br /><searchLink fieldCode="DE" term="%22France%22">France</searchLink>
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  Data: Migrants from sub-Saharan Africa (SSA) are often diagnosed at an advanced stage of HIV, and many of them have harsh living conditions. We aimed to evaluate the entry into care after HIV diagnosis and examine the related social determinants. The ANRS PARCOURS study is a life-event survey conducted in 2012–2013 in the Paris region among. Time between HIV diagnosis of SSA migrants living diagnosed HIV positive in France and HIV care and the determinants was assessed yearly by using mixed-effects logistic regression models. Among a total of 792 participants, 94.2% engaged in HIV care within the year of HIV diagnosis, 4.3% in the following year and 2.5% beyond the second year after diagnosis. The participants were more likely to engage in HIV care during years when they were effectively covered by health insurance and if the HIV test was carried out at the initiative of the doctor. Immigration for economic reasons or owing to threats in his/her country of origin was associated with delayed engagement in HIV care. Additionally, 4.3% of treated participants discontinued HIV care at least once at the time of the survey and more often if diagnosed at an advanced HIV disease stage and financially dependent. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2019.1576842
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 11
        StartPage: 897
    Subjects:
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Insurance
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Patient participation
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Health & social status
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      – SubjectFull: Sub-Saharan Africa
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      – SubjectFull: France
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      – TitleFull: Social and structural factors and engagement in HIV care of sub-Saharan African migrants diagnosed with HIV in the Paris region.
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              Text: Jul 2019
              Type: published
              Y: 2019
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