Download - Abstract n° WEPDD0202
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The role of social vulnerability after migration in France on “at-risk” sex:
the case of Subsaharan immigrants living in Paris area.
A. Desgrées du Loû , J. Pannetier, N. Bajos, A. Gosselin, A. Ravalihasy, F. Lert,
N. Lydié, R. Dray-Spira, and the PARCOURS Study group.
(1) CEPED, IRD, Paris ; (2) CESP, INSERM, Paris ; (3) INPES, Paris ; (4) IPLESP, INSERM, Paris
Abstract n° WEPDD0202
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BackgroundIn France, 31% of new HIV diagnoses in 2012 were among
immigrants from Subsaharan Africa (Cazein et al., 2014)
Virological data suggest that among them, at least a fourth of HIV infection cases might have occured in France (Lucas et al., 2012).
It is then necessary to identify conditions that expose Subsaharan immigrants to the risk of HIV infection in France .
We aimed to evaluate the role of social vulnerability after
migration on occasional, transactional and forced sex among
Subsaharan men and women immigrants living in France.
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Methods The PARCOURS survey 2012-2013 : a cross-sectional
study in the Paris area among migrants from Subsaharan Africa (aged 18-59)
Two random samples: HIV-infected outpatients N=926 HIV
uninfected outpatients N=763 Recruitment in health care centers Retrospective life-event questionnaireStudy indicators
Casual sex
After arrival in FranceTransactional sexForced sex
By Group (HIV/ non HIV)Sociodemographic characteristics Administrative, housing and financial situations in FranceSexual experiences before migration
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Results
No stable house
Hosted by family
Hosted by associations
Own house0
10
20
30
40
50
60
70
80
90
Rates of transactional sex according to housing situation in France
Y per 1000 PYR
No stab
le house
Hosted by f
amily
Hosted by a
ssocia
tions
Own house0
4
8
12
16
20
Rates of forced sex according to housing situation in France
WomenMen
Y per 1000 PYR
After arrival in France, experiences of social vulnerabilities were frequent: 1 in 2 people had at least one year without resident permit 1 in 3 people had at least one year without stable housing
92% occurred during the first five years following arrival
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Correlates of sexual situations (women)
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Conclusion
Among women, residential insecurity was frequent, especially in the first years following migration, and favoured casual and transactional sexuality and sexual abuse in France.
are more common among HIV infected Subsaharan migrants
Experiences in France of :
Casual relationshipsTransactional relationshipsForced sex
Recommendations :
- Residential and financial insecurity of immigrants after arrival in France should be addressed in order to reduce their risk to engage in at-risk sex, specially for women.
- Both for men and women, prevention of sexual risks should be strenghtened in the first years following arrival in France.
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Aknowledgements
• The PARCOURS survey was funded by the French National Agency for Research on Aids and Viral Hepatitis (ANRS). We thank all patients who agreed to participate in the PARCOURS survey, all medical staff members in the participating hospitals, as well as the community-based organisations RAAC-Sida, COMEDE and SOS hepatites who supported the survey.
• The PARCOURS Study Group:
A. Desgrées du Loû, F.Lert, R Dray-Spira, N. Bajos, N.Lydié (scientific coordinators), J. Pannetier, A. Ravalihasy, A. Gosselin, D. Pourette, with the support of A. Guillaume.
Methodological and ground support: Y. Le Strat, J. Gelly, N. Razafindratsima, P. Revault, J. Situ, P. Sogni, G. Vivier
• Data collection: The ClinSearch firm and the social research institute Ipsos.
www.parcours-sante-migration.com