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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

机译:在巴黎地区诊断患有艾滋病毒的亚撒哈拉非洲移民艾滋病毒的社会和结构因素和参与

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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.
机译:来自撒哈拉以南非洲(SSA)的移民经常被诊断为艾滋病毒的晚期阶段,其中许多人都有严厉的生活条件。我们的目标是在艾滋病毒诊断后评估进入护理并检查相关的社会决定因素。 ANRS Parcours研究是2012 - 2013年在巴黎地区进行的生命事件调查。通过使用混合效应逻辑回归模型,每年通过使用混合效应逻辑回归模型进行评估SSA移民诊断艾滋病毒阳性的SSA移民诊断的时间。共有792名参与者中,94.2%在艾滋病病毒诊断年内从事艾滋病毒护理,持续4.3%,诊断后的第二年超出2.5%。在经医生倡议下进行艾滋病病毒检验,在多年来,参与者更有可能从事艾滋病毒疗养。经济原因或由于他/她的原籍国的威胁,移民与艾滋病毒护理的延迟参与有关。此外,4.3%的治疗参与者在调查时至少在调查时停止艾滋病毒护理,更常常在晚期艾滋病毒疾病阶段诊断和经济依赖。

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