We estimated the proportion of migrants from sub-Saharan
Africa who acquired human immunodeficiency virus (HIV) while living in France.
Life-event and clinical information was collected in 2012 and 2013 from a
random sample of HIV-infected outpatients born in sub-Saharan Africa and living
in the Paris region.
We assumed HIV infection in France if at least one of the
following was fulfilled: (i) HIV diagnosis at least 11 years after arrival in
France, (ii) at least one negative HIV test in France, (iii) sexual debut after
arrival in France. Otherwise, time of HIV infection was based on statistical
modelling of first CD4+ T-cell count; infection in
France was assumed if more than 50% (median scenario) or more than 95%
(conservative scenario) of modelled infection times occurred after migration.
We estimated that 49% of 898 HIV-infected adults born in sub-Saharan Africa
(95% confidence interval (CI): 45–53) in the median and 35% (95% CI: 31–39) in
the conservative scenario acquired HIV while living in France.
This proportion
was higher in men than women and increased with length of stay in France. These high
proportions highlight the need for improved HIV policies targeting migrants.
Full article at:
By:
1. CEPED, UMR Institut de Recherche pour le
développement (IRD)-Université Paris Descartes, Sorbonne Paris Cité, Paris,
France
2. Sorbonne Universités, UPMC Univ Paris 06,
Institut National de la Santé et de la Recherche Médicale (INSERM), Institut
Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013,
Paris, France
3. Institut National de la Santé et de la
Recherche Médicale (INSERM), CESP-U 1018, Villejuif, France
4. Institut national de prévention et d'éducation
pour la santé (INPES), Saint-Denis, France
More at: https://twitter.com/hiv_insight
No comments:
Post a Comment