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-Reference-Cited by-同舟云学术

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

Published:2024-03-14 Issue:11 Volume:29 Page:
ISSN:1560-7917
Container-title:Eurosurveillance
language:en
Short-container-title:

Author:

Palich Romain¹²^ORCID,Arias-Rodríguez Andrés¹,Duracinsky Martin³,Le Talec Jean-Yves⁴,Rousset Torrente Olivia³,Lascoux-Combe Caroline⁵,Lacombe Karine⁶,Ghosn Jade⁷,Viard Jean-Paul⁸,Pialoux Gilles⁹,Ohayon Michel¹⁰,Duvivier Claudine¹¹,Velter Annie¹²,Ben Mechlia Mohamed¹³,Beniguel Lydie¹,Grabar Sophie¹,Melchior Maria¹,Assoumou Lambert¹,Supervie Virginie¹,

Affiliation:

1. Sorbonne Université, Pierre Louis Epidemiology and Public Health institute (iPLESP), INSERM 1136, Paris, France

2. Sorbonne University, Pitié-Salpêtrière hospital, AP-HP, Paris, France

3. Paris Cité University, Patient-Reported Outcomes Unit (PROQOL), INSERM 1123, Paris, France

4. Toulouse Jean Jaurès University, CERTOP, CNRS UMR 5044, Toulouse, France

5. Paris Cité University, Saint Louis hospital, AP-HP, Paris, France

6. Sorbonne University, Saint Antoine hospital, AP-HP, Paris, France

7. Paris Cité University, Bichat hospital, AP-HP, Paris, France

8. Paris Cité University, Hôtel-Dieu hospital, AP-HP, Paris, France

9. Sorbonne University, Tenon hospital, AP-HP, Paris, France

10. Le 190 Sexual Health Centre, Paris, France

11. Paris Cité University, Necker hospital, AP-HP; INSERM U1016, CNRS UMR8104, Institut Cochin; IHU Imagine; Institut Pasteur Medical Center, Paris, France

12. Public Health France (SPF), Paris, France

13. French National Agency for Research on AIDS, Viral Hepatitis and Emerging Infectious Diseases (ANRS-MIE), Paris, France

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.

Publisher

European Centre for Disease Control and Prevention (ECDC)

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