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Abstract n° WEPDD0202

Abstract n° WEPDD0202. The role of social vulnerability after migration in France on “ at-risk” sex: the case of Subsaharan immigrants living in Paris area.

nichole-lucas
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Abstract n° WEPDD0202

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  1. Abstract n° WEPDD0202 The role of social vulnerability after migration in France on “at-risk” sex: the case of Subsaharan immigrants living in Paris area. A. Desgréesdu 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

  2. Background In 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 occuredin 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 Subsaharanmen and women immigrants living in France.

  3. 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 uninfectedoutpatients N=763 • Recruitment in health care centers • Retrospective life-event questionnaire

  4. Results • 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 hadat least one yearwithout stable housing • 92% occurred during the first five years following arrival

  5. Correlates of sexual situations (women)

  6. Conclusion Casualrelationships Transactional relationships Forcedsex Experiences in France of : are more common among HIV infected Subsaharan migrants • 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 strenghtenedin the first years following arrival in France. Among women, residential insecurity was frequent, especially in the first years following migration, and favoured casual and transactional sexuality and sexual abuse in France.

  7. 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. • ThePARCOURS 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

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