Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing

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 hos...

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Published in:Journal of immigrant and minority health 2017-08, Vol.19 (4), p.991-994
Main Authors: Guiguet, M., Dionou, S., Volant, J., Samba, M. C., Benammar, N., Chauvin, P., Simon, A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Africa South of the Sahara - ethnology
BRIEF COMMUNICATION
Comparative Law
Confidence intervals
Cross-Sectional Studies
Delayed
Health insurance
Health risk assessment
Health Services Accessibility
High risk
HIV
HIV Infections - diagnosis
HIV Infections - ethnology
Hostels
Human health and pathology
Human immunodeficiency virus
Humans
Infectious diseases
Insurance
Insurance Coverage
Insurance, Health
International & Foreign Law
Life Sciences
Logistic Models
Male
Medical screening
Medical tests
Medicine
Medicine & Public Health
Men
Mens health
Middle Aged
Migrant workers
Migrants
Paris - epidemiology
Private International Law
Public Health
Risk Factors
Sociology
Tests
Time Factors
Young Adult
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Chauvin, P.
Simon, A.
description 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.
doi_str_mv 10.1007/s10903-016-0385-3
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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.</abstract><cop>New York</cop><pub>Springer Science + Business Media</pub><pmid>26979169</pmid><doi>10.1007/s10903-016-0385-3</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-4641-6186</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Africa South of the Sahara - ethnology
BRIEF COMMUNICATION
Comparative Law
Confidence intervals
Cross-Sectional Studies
Delayed
Health insurance
Health risk assessment
Health Services Accessibility
High risk
HIV
HIV Infections - diagnosis
HIV Infections - ethnology
Hostels
Human health and pathology
Human immunodeficiency virus
Humans
Infectious diseases
Insurance
Insurance Coverage
Insurance, Health
International & Foreign Law
Life Sciences
Logistic Models
Male
Medical screening
Medical tests
Medicine
Medicine & Public Health
Men
Mens health
Middle Aged
Migrant workers
Migrants
Paris - epidemiology
Private International Law
Public Health
Risk Factors
Sociology
Tests
Time Factors
Young Adult
title Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing
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