1887
  1. Home
  2. Eurosurveillance
  3. Volume 29, Issue 11, 14/Mar/2024
  4. Article
Research Open Access
Like 0
Download

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.

© Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2024.29.11.2300445
2024-03-14
2024-12-03
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2024.29.11.2300445
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/29/11/eurosurv-29-11_4.html?itemId=/content/10.2807/1560-7917.ES.2024.29.11.2300445&mimeType=html&fmt=ahah

References

  1. Office of the High Commissioner for Human Rights. Principles and Guidelines, supported by practical guidance, on the human rights protection of migrants in vulnerable situations. 2018. Available from: https://www.ohchr.org/sites/default/fIles/PrinciplesAndGuidelines.pdf
  2. Burns FM, Arthur G, Johnson AM, Nazroo J, Fenton KA, SONHIA collaboration group. United Kingdom acquisition of HIV infection in African residents in London: more than previously thought. AIDS. 2009;23(2):262-6.  https://doi.org/10.1097/QAD.0b013e32831c546b  PMID: 19098498 
  3. Rice BD, Elford J, Yin Z, Delpech VC. A new method to assign country of HIV infection among heterosexuals born abroad and diagnosed with HIV. AIDS. 2012;26(15):1961-6.  https://doi.org/10.1097/QAD.0b013e3283578b80  PMID: 22781226 
  4. Desgrées-du-Loû A, Pannetier J, Ravalihasy A, Gosselin A, Supervie V, Panjo H, et al. , Parcours Study Group5. Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013. Euro Surveill. 2015;20(46).  https://doi.org/10.2807/1560-7917.ES.2015.20.46.30065  PMID: 26607135 
  5. Fakoya I, Álvarez-del Arco D, Woode-Owusu M, Monge S, Rivero-Montesdeoca Y, Delpech V, et al. A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: implications for effectively managing HIV prevention programmes and policy. BMC Public Health. 2015;15(1):561.  https://doi.org/10.1186/s12889-015-1852-9  PMID: 26085030 
  6. Brännström J, Sönnerborg A, Svedhem V, Neogi U, Marrone G. A high rate of HIV-1 acquisition post immigration among migrants in Sweden determined by a CD4 T-cell decline trajectory model. HIV Med. 2017;18(9):677-84.  https://doi.org/10.1111/hiv.12509  PMID: 28444865 
  7. Alvarez-Del Arco D, Fakoya I, Thomadakis C, Pantazis N, Touloumi G, Gennotte A-F, et al. , Advancing Migrant Access to Health Services in Europe (aMASE) study team. High levels of postmigration HIV acquisition within nine European countries. AIDS. 2017;31(14):1979-88.  https://doi.org/10.1097/QAD.0000000000001571  PMID: 28857779 
  8. Beyrer C, Baral SD, Collins C, Richardson ET, Sullivan PS, Sanchez J, et al. The global response to HIV in men who have sex with men. Lancet. 2016;388(10040):198-206.  https://doi.org/10.1016/S0140-6736(16)30781-4  PMID: 27411880 
  9. Mayer KH, Allan-Blitz L-T. Similar, but different: drivers of the disproportionate HIV and sexually transmitted infection burden of key populations. J Int AIDS Soc. 2019;22(Suppl) Suppl 6;e25344.  https://doi.org/10.1002/jia2.25344  PMID: 31468653 
  10. Mann L, Valera E, Hightow-Weidman LB, Barrington C. Migration and HIV risk: life histories of Mexican-born men living with HIV in North Carolina. Cult Health Sex. 2014;16(7):820-34.  https://doi.org/10.1080/13691058.2014.918282  PMID: 24866206 
  11. Kobrak P, Ponce R, Zielony R. New arrivals to New York City: vulnerability to HIV among urban migrant young gay men. Arch Sex Behav. 2015;44(7):2041-53.  https://doi.org/10.1007/s10508-015-0494-4  PMID: 25896489 
  12. Desgrees-du-Lou A, Pannetier J, Ravalihasy A, Le Guen M, Gosselin A, Panjo H, et al. , PARCOURS Study Group. Is hardship during migration a determinant of HIV infection? Results from the ANRS PARCOURS study of sub-Saharan African migrants in France. AIDS. 2016;30(4):645-56.  https://doi.org/10.1097/QAD.0000000000000957  PMID: 26558722 
  13. Gosselin A, Ravalihasy A, Pannetier J, Lert F, Desgrées du Loû A, PARCOURS Study Group. When and why? Timing of post-migration HIV acquisition among sub-Saharan migrants in France. Sex Transm Infect. 2020;96(3):227-31.  https://doi.org/10.1136/sextrans-2019-054080  PMID: 31350379 
  14. Marty L, Cazein F, Panjo H, Pillonel J, Costagliola D, Supervie V, HERMETIC Study Group. Revealing geographical and population heterogeneity in HIV incidence, undiagnosed HIV prevalence and time to diagnosis to improve prevention and care: estimates for France. J Int AIDS Soc. 2018;21(3):e25100.  https://doi.org/10.1002/jia2.25100  PMID: 29603879 
  15. Santé Publique France. Surveillance du VIH et des infections sexuellement transmissibles bactériennes (surveillance for HIV and bacterial sexually transmitted infections). Bulletin de Santé Publique. 2022. Available from: https://www.santepubliquefrance.fr/maladies-et-traumatismes/infections-sexuellement-transmissibles/vih-sida/documents/bulletin-national/bulletin-de-sante-publique-vih-ist.-decembre-2022
  16. Le Talec J-Y, Supervie V, Palich R. Acquisition du virus de l’immunodéficience humaine et parcours de vie d’hommes ayant des rapports sexuels avec d’autres hommes et ayant émigré en France: une enquête exploratoire. Sante Publique. 2023;34(HS2):151-62.  https://doi.org/10.3917/spub.hs2.0151  PMID: 37336729 
  17. Mary-Krause M, Grabar S, Lièvre L, Abgrall S, Billaud E, Boué F, et al. Cohort ProfIle: French hospital database on HIV (FHDH-ANRS CO4). Int J Epidemiol. 2014;43(5):1425-36.  https://doi.org/10.1093/ije/dyu002  PMID: 24550249 
  18. Bühlmann P, Wyner A. Variable length Markov chains. Ann Stat. 1999; 27(2):480-513.  https://doi.org/10.1214/aos/1018031204 
  19. Yin Z, Brown AE, Rice BD, Marrone G, Sönnerborg A, Suligoi B, et al. Post-migration acquisition of HIV: Estimates from four European countries, 2007 to 2016. Euro Surveill. 2021;26(33):2000161.  https://doi.org/10.2807/1560-7917.ES.2021.26.33.2000161  PMID: 34414881 
  20. Stirrup O, Tostevin A, Ragonnet-Cronin M, Volz E, Burns F, Delpech V, et al. Diagnosis delays in the UK according to pre or postmigration acquisition of HIV. AIDS. 2022;36(3):415-22.  https://doi.org/10.1097/QAD.0000000000003110  PMID: 35084383 
  21. Winters M, Rechel B, de Jong L, Pavlova M. A systematic review on the use of healthcare services by undocumented migrants in Europe. BMC Health Serv Res. 2018;18(1):30.  https://doi.org/10.1186/s12913-018-2838-y  PMID: 29347933 
  22. Kentikelenis A, Karanikolos M, Williams G, Mladovsky P, King L, Pharris A, et al. How do economic crises affect migrants’ risk of infectious disease? A systematic-narrative review. Eur J Public Health. 2015;25(6):937-44.  https://doi.org/10.1093/eurpub/ckv151  PMID: 26318852 
  23. Driedger M, Mayhew A, Welch V, Agbata E, Gruner D, Greenaway C, et al. Accessibility and Acceptability of Infectious Disease Interventions Among Migrants in the EU/EEA: A CERQual Systematic Review. Int J Environ Res Public Health. 2018;15(11):2329.  https://doi.org/10.3390/ijerph15112329  PMID: 30360472 
  24. Seedat F, Hargreaves S, Nellums LB, Ouyang J, Brown M, Friedland JS. How effective are approaches to migrant screening for infectious diseases in Europe? A systematic review. Lancet Infect Dis. 2018;18(9):e259-71.  https://doi.org/10.1016/S1473-3099(18)30117-8  PMID: 29778396 
  25. Bil JP, Zuure FR, Alvarez-Del Arco D, Prins JM, Brinkman K, Leyten E, et al. Disparities in access to and use of HIV-related health services in the Netherlands by migrant status and sexual orientation: a cross-sectional study among people recently diagnosed with HIV infection. BMC Infect Dis. 2019;19(1):906.  https://doi.org/10.1186/s12879-019-4477-2  PMID: 31664925 
  26. Fakoya I, Álvarez-Del Arco D, Copas AJ, Teixeira B, Block K, Gennotte A-F, et al. Factors Associated With Access to HIV Testing and Primary Care Among Migrants Living in Europe: Cross-Sectional Survey. JMIR Public Health Surveill. 2017;3(4):e84.  https://doi.org/10.2196/publichealth.7741  PMID: 29109072 
  27. Fakoya I, Álvarez-Del Arco D, Monge S, Copas AJ, Gennotte A-F, Volny-Anne A, et al. , aMASE Study Team. HIV testing history and access to treatment among migrants living with HIV in Europe. J Int AIDS Soc. 2018;21(Suppl) Suppl 4;e25123.  https://doi.org/10.1002/jia2.25123  PMID: 30027686 
  28. Nöstlinger C, Cosaert T, Landeghem EV, Vanhamel J, Jones G, Zenner D, et al. HIV among migrants in precarious circumstances in the EU and European Economic Area. Lancet HIV. 2022;9(6):e428-37.  https://doi.org/10.1016/S2352-3018(22)00032-7  PMID: 35460600 
  29. Lewis NM, Wilson K. HIV risk behaviours among immigrant and ethnic minority gay and bisexual men in North America and Europe: A systematic review. Soc Sci Med. 2017;179:115-28.  https://doi.org/10.1016/j.socscimed.2017.02.033  PMID: 28260636 
  30. Nieves-Lugo K, Barnett A, Pinho V, Reisen C, Poppen P, Zea MC. Sexual Migration and HIV Risk in a Sample of Brazilian, Colombian and Dominican Immigrant MSM Living in New York City. J Immigr Minor Health. 2019;21(1):115-22.  https://doi.org/10.1007/s10903-018-0716-7  PMID: 29497902 
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>
/content/10.2807/1560-7917.ES.2024.29.11.2300445
/content/10.2807/1560-7917.ES.2024.29.11.2300445
Loading

Data & Media loading...

Supplementary data

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error