Abstract
To estimate rates and identify correlates of HIV disclosure in migrants from sub-Saharan Africa (SSA) successfully treated, a sub-analysis was conducted in HIV-1 native SSA migrants, living in France with undetectable viral load on antiretroviral, included in the VIHVO adherence study. Logistic regression models assessed factors associated with HIV disclosure. Among 246 individuals (40 % male, median age 41), 79 % of those in a steady heterosexual partnership (n = 167) had disclosed their status to their partner, 55 % of the total 246 to a relative, and 33 % to (an)other person(s). Disclosure to one’s steady partner was associated with a follow-up duration since HIV diagnosis of more than 5 years, a higher literacy level, a better social context and marital status. Women were more likely to disclose their HIV status to relatives. Interventions targeting this population should be provided to improve disclosure which in turn ensures better social support, testing of the partner and lower rates of undiagnosed HIV.
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Acknowledgments
We gratefully acknowledge the contributions of all clinical investigators of the VIHVO study: Michele Bentata (CHU Avicenne, Bobigny, France); Bruno Fantin (CHU Beaujon, Clichy, France); Cécile Goujard (CHU Bicêtre, Le Kremlin-Bicêtre, France); Sophie Matheron (CHU Bichat, Paris, France); Odile Launay (CHU Cochin, Paris, France); Vincent Le Moing (CHU de Montpellier, Montpellier, France); Olivier Lortholary (CHU Necker, Paris, France); Paul- Henri Consigny (CHU Pasteur, Paris, France); Matthieu Saada (Hôpital de Perpignan, Perpignan, France); Christine Katlama, Anne Simon (CHU Pitié-Salpétrière, Paris, France); Cédric Arvieux (CHU de Rennes, Rennes, France); Pauline Campa, Pierre-Marie Girard (CHU Saint-Antoine, Paris, France); Marie-Aude Khuong (Hôpital De Lafontaine, Saint- Denis, France); Jean-Michel Molina, Caroline Lascoux-Combe (CHU Saint-Louis, Paris, France); David Rey, Murielle Rondeau (Hôpital Civil, Strasbourg, France); Gilles Pialoux (CHU Tenon, Paris, France); Carine Couzigou, Daniel Vittecoq (CHU Paul Brousse, Villejuif, France); Olivier Patey (Hôpital de Villeneuve Saint Georges, Villeneuve saint Georges, France); Denis Malvy, Thierry Pistone, Philippe Morlat (CHU Bordeaux, Bordeaux, France); Michel Duong, Pascal Chavanet (CHU Dijon, Dijon, France). The authors thank Jude Sweeney for the revising and editing of the English version of this manuscript.
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ANRS (France Recherche Nord&Sud Sida-hiv Hépatites) and the Sidaction
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This study was approved by the institutional ethics committees, Direction Générale de la Santé and Comité de Protection des Personnes de la Pitié-Salpétrière, at the session of 26/04/2006. All individuals received written information, provided signed consent to participate in the cohort study and were informed of their right to prevent their personal data from being used.
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Clinical investigators of the study are listed in the Acknowledgments section.
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Kankou, J.M., Bouchaud, O., Lele, N. et al. Factors Associated with HIV Status Disclosure in HIV-Infected Sub-Saharan Migrants Living in France and Successfully Treated with Antiretroviral Therapy: Results from the ANRS-VIHVO Study. J Immigrant Minority Health 19, 843–850 (2017). https://doi.org/10.1007/s10903-016-0423-1
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DOI: https://doi.org/10.1007/s10903-016-0423-1