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 Accéder directement au contenu
Article Dans Une Revue Eurosurveillance Année : 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
  • Fonction : Auteur
Martin Duracinsky
  • Fonction : Auteur
Jean-Yves Le Talec
  • Fonction : Auteur
Olivia Rousset Torrente
  • Fonction : Auteur
Caroline Lascoux-Combe
  • Fonction : Auteur
Karine Lacombe
  • Fonction : Auteur
Jade Ghosn
  • Fonction : Auteur
Jean-Paul Viard
  • Fonction : Auteur
Gilles Pialoux
  • Fonction : Auteur
Michel Ohayon
  • Fonction : Auteur
Claudine Duvivier
  • Fonction : Auteur
Annie Velter
  • Fonction : Auteur
Mohamed Ben Mechlia
  • Fonction : Auteur
Lydie Beniguel
  • Fonction : Auteur
Sophie Grabar
  • Fonction : Auteur
Maria Melchior
  • Fonction : Auteur
Lambert Assoumou
  • Fonction : Auteur
Virginie Supervie
  • Fonction : Auteur

Résumé

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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