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SDG 3: HIV/AIDS

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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This work is licensed under a Creative Commons Attribution 4.0 International License.
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2024-03-14
2024-04-27
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2024.29.11.2300445
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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
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Romain+Palich&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Palich Romain</a>, <a href="/search?value1=Andr%C3%A9s+Arias-Rodr%C3%ADguez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Arias-Rodríguez Andrés</a>, <a href="/search?value1=Martin+Duracinsky&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Duracinsky Martin</a>, <a href="/search?value1=Jean-Yves+Le+Talec&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Le Talec Jean-Yves</a>, <a href="/search?value1=Olivia+Rousset+Torrente&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rousset Torrente Olivia</a>, <a href="/search?value1=Caroline+Lascoux-Combe&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lascoux-Combe Caroline</a>, <a href="/search?value1=Karine+Lacombe&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lacombe Karine</a>, <a href="/search?value1=Jade+Ghosn&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ghosn Jade</a>, <a href="/search?value1=Jean-Paul+Viard&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Viard Jean-Paul</a>, <a href="/search?value1=Gilles+Pialoux&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pialoux Gilles</a>, <a href="/search?value1=Michel+Ohayon&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ohayon Michel</a>, <a href="/search?value1=Claudine+Duvivier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Duvivier Claudine</a>, <a href="/search?value1=Annie+Velter&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Velter Annie</a>, <a href="/search?value1=Mohamed+Ben+Mechlia&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ben Mechlia Mohamed</a>, <a href="/search?value1=Lydie+Beniguel&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Beniguel Lydie</a>, <a href="/search?value1=Sophie+Grabar&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Grabar Sophie</a>, <a href="/search?value1=Maria+Melchior&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Melchior Maria</a>, <a href="/search?value1=Lambert+Assoumou&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Assoumou Lambert</a>, <a href="/search?value1=Virginie+Supervie&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Supervie Virginie</a>, <a href="/search?value1=GANYMEDE+study+group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">GANYMEDE study group</a></span>. 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. <a href="/content/ecdc">Euro Surveill.</a> 2024;29(11):pii=2300445. <a href="https://doi.org/10.2807/1560-7917.ES.2024.29.11.2300445" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2024.29.11.2300445</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 20 Aug 2023;&nbsp;&nbsp; <span class="generated">Accepted</span>: 03 Jan 2024 </span> </p>
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