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Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing

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Abstract

Delayed presentation to care among HIV-infected individuals continued to be frequent in France. Migrants are at high risk for late presentation. This cross-sectional study investigated barriers to HIV testing in the specific population of men from sub-Saharan Africa living in four migrant worker hostels in Paris, France. Factors associated with never having been tested for HIV were examined using logistic regression. In all, 550 men participated, coming mainly from Mali and Senegal, with 31 % having lived in France for less than 5 years, and 25 % without any health insurance. Only 37 % have ever been tested for HIV. Not having health insurance was the main risk factor for never-testing [adjusted odds ratio (aOR) 2.4; 95 % confidence interval (CI) 1.4–4.0]. Despite free and anonymous HIV testing available at dedicated public screening centers, 63 % of men living in migrant worker hostels had never been tested for HIV.

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Acknowledgments

We gratefully thank all the hostel residents and healthcare staff who participated in this study. Lastly we thank Mark Wikens for his valuable help in revising this article.

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Authors and Affiliations

  1. Sorbonne Universités, UPMC Univ Paris 06, INSERM, Pierre Louis Institute of Epidemiology and Public Health, (IPLESP UMRS 1136), 75013, Paris, France

    M. Guiguet & P. Chauvin

  2. CDAG-Department of Internal Medicine and Clinical Immunology, AP-HP, Hôpital Pitié Salpêtrière, 75013, Paris, France

    S. Dionou, M. C. Samba, N. Benammar & A. Simon

  3. COREVIH Ile-de-France Centre, 75013, Paris, France

    S. Dionou

  4. Fédération SOS Hépatite, 75020, Paris, France

    J. Volant

Authors
  1. M. Guiguet
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  2. S. Dionou
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  3. J. Volant
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  4. M. C. Samba
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  5. N. Benammar
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  6. P. Chauvin
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  7. A. Simon
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Corresponding author

Correspondence to M. Guiguet.

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Conflicts of Interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study had been reviewed by the Comité de Protection des Personnes Ile-de-France VI.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Guiguet, M., Dionou, S., Volant, J. et al. Men from Sub-Saharan Africa Living in Worker Hostels in France: A Hidden Population with Poor Access to HIV Testing. J Immigrant Minority Health 19, 991–994 (2017). https://doi.org/10.1007/s10903-016-0385-3

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  • DOI: https://doi.org/10.1007/s10903-016-0385-3

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