High proportion of post-migration HIV acquisition in migrant men who have sex with men receiving HIV care in the Paris region, and associations with social disadvantage and sexual behaviours: results of the ANRS-MIE GANYMEDE study, France, 2021 to 2022 - Sorbonne Université Access content directly
Journal Articles Eurosurveillance Year : 2024

High proportion of post-migration HIV acquisition in migrant men who have sex with men receiving HIV care in the Paris region, and associations with social disadvantage and sexual behaviours: results of the ANRS-MIE GANYMEDE study, France, 2021 to 2022

Romain Palich
Andrés Arias-Rodríguez
  • Function : Author
Martin Duracinsky
  • Function : Author
Jean-Yves Le Talec
  • Function : Author
Olivia Rousset Torrente
  • Function : Author
Caroline Lascoux-Combe
  • Function : Author
Karine Lacombe
  • Function : Author
Jade Ghosn
  • Function : Author
Jean-Paul Viard
  • Function : Author
Gilles Pialoux
  • Function : Author
Michel Ohayon
  • Function : Author
Claudine Duvivier
  • Function : Author
Annie Velter
  • Function : Author
Mohamed Ben Mechlia
  • Function : Author
Lydie Beniguel
  • Function : Author
Sophie Grabar
  • Function : Author
Maria Melchior
  • Function : Author
Lambert Assoumou
  • Function : Author
Virginie Supervie
  • Function : Author

Abstract

Background Some migrant men who have sex with men (MSM) acquire HIV in France. Aims We investigated, in migrant MSM receiving HIV care in France, the (i) rate of post-migration-HIV acquisition in France, (ii) delay between arrival and HIV acquisition and (iii) factors affecting HIV acquisition within 1 year after migration. Methods This cross-sectional study focused on ≥ 18-year-old MSM born outside France, receiving HIV care in the Paris region. Information on migration history, socioeconomic condition, sexual activity, and health was collected in May 2021–June 2022 through self-administered questionnaires and medical records. Post-migration-HIV-acquisition rate and delay between arrival in France and HIV acquisition were estimated from biographical data and CD4 + T-cell counts. Predictors of HIV acquisition within 1 year after migration were determined using logistic regression. Results Overall post-migration HIV-acquisition rate was 61.7% (715/1,159; 95%CI: 61.2–62.2), ranging from 40.5% (95%CI: 39.6–41.6) to 85.4% (95%CI: 83.9–86.0) in participants from Latin America and North Africa. Among post-migration-HIV acquisitions, those within 1 year after migration represented 13.1% overall (95%CI: 11.6–14.6), being highest in participants from sub-Saharan Africa (25%; 95%CI: 21.5–28.3). Participants ≥ 15-years old at migration, with post-migration-acquired HIV, had a 7.5-year median interval from arrival in France to HIV acquisition (interquartile range (IQR): 3.50–14.75). Older age at arrival, region of origin (sub-Saharan Africa and Asia), degree of social disadvantage and numbers of sexual partners were independently associated with acquiring HIV within 1 year in France. Conclusion Our findings may guide HIV prevention policies for most vulnerable migrants to Europe.
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hal-04507051 , version 1 (15-03-2024)

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Romain Palich, Andrés Arias-Rodríguez, Martin Duracinsky, Jean-Yves Le Talec, Olivia Rousset Torrente, et al.. High proportion of post-migration HIV acquisition in migrant men who have sex with men receiving HIV care in the Paris region, and associations with social disadvantage and sexual behaviours: results of the ANRS-MIE GANYMEDE study, France, 2021 to 2022. Eurosurveillance, 2024, 29 (11), ⟨10.2807/1560-7917.ES.2024.29.11.2300445⟩. ⟨hal-04507051⟩
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