Association between HIV risk perception, knowledge of biomedical prevention and sexual behaviour among sub-Saharan African immigrants living in a precarious situation in France.

IF 3.6 3区 医学 Q2 INFECTIOUS DISEASES
Karna Coulibaly, Anne Gosselin, Nicolas Derche, Romain Mbiribindi, Annabel Desgrées du Loû
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Abstract

Objectives: Sub-Saharan African immigrants are particularly affected by HIV in France, with many acquiring the infection after migration due to precarious circumstances that increase their vulnerability. This study aimed to explore the association between HIV risk perception, knowledge of biomedical HIV prevention methods and sexual behaviours among sub-Saharan African immigrants living in precarious conditions in the greater Paris area.

Methods: This cross-sectional study analysed data from 614 participants in the MAKASI project, conducted in the greater Paris area (2019-2020). Sociodemographic characteristics, living conditions, knowledge of biomedical HIV prevention methods (postexposure prophylaxis, treatment as prevention and pre-exposure prophylaxis (PrEP)) and sexual behaviours were described by sex using Pearson's χ2 tests. HIV risk perception, defined as self-reported exposure to HIV comparable to or greater than the general population, was analysed by participant characteristics. A multivariable logistic regression model identified factors associated with HIV risk perception using variables with a significance threshold of 20%.

Results: Most participants (76.5%) were men, with a median age of 34 years (IQR: 29-41) and living in precarious conditions. Forty-one per cent of respondents reported perceiving their HIV exposure risk as comparable to or greater than the general population. Participants aware of PrEP (adjusted OR (aOR) =2.60 (1.17-5.80); p<0.020) and those who had sex with occasional partners without a condom within in the 3 months preceding the survey (aOR=1.89 (1.12-3.18); p<0.017) were more likely to report the same or greater risk of HIV exposure.

Conclusions: Our findings reveal that PrEP knowledge and sex with occasional partners, particularly participants who did not use condoms, are associated with increased HIV risk perception among sub-Saharan African immigrants. Further research should explore the relationship between PrEP uptake and HIV risk perception in this population.

Trial registration number: NCT04468724.

生活在法国不稳定环境中的撒哈拉以南非洲移民的艾滋病毒风险认知、生物医学预防知识与性行为之间的关系。
目标:撒哈拉以南非洲移民在法国尤其受到艾滋病毒的影响,许多人在移民后由于不稳定的环境而感染艾滋病毒,这增加了他们的脆弱性。本研究旨在探讨生活在大巴黎地区不稳定条件下的撒哈拉以南非洲移民的艾滋病毒风险认知、艾滋病毒生物医学预防方法知识与性行为之间的关系。方法:本横断面研究分析了2019-2020年在大巴黎地区进行的MAKASI项目614名参与者的数据。社会人口统计学特征、生活条件、艾滋病毒生物医学预防方法(暴露后预防、作为预防的治疗和暴露前预防(PrEP))的知识和性行为按性别划分,使用Pearson χ2检验。艾滋病毒风险感知,定义为自我报告的艾滋病毒暴露与一般人群相当或大于一般人群,通过参与者特征进行分析。多变量逻辑回归模型使用显著性阈值为20%的变量确定与艾滋病毒风险感知相关的因素。结果:大多数参与者(76.5%)为男性,中位年龄34岁(IQR: 29-41),生活条件不稳定。41%的答复者报告认为他们的艾滋病毒暴露风险与一般人群相当或大于一般人群。知晓PrEP的参与者(调整后的OR (aOR) =2.60 (1.17-5.80);结论:我们的研究结果表明,PrEP知识和偶尔与伴侣发生性行为,特别是不使用避孕套的参与者,与撒哈拉以南非洲移民中艾滋病毒风险认知的增加有关。进一步的研究应探讨PrEP的使用与这一人群的艾滋病毒风险认知之间的关系。试验注册号:NCT04468724。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sexually Transmitted Infections
Sexually Transmitted Infections 医学-传染病学
CiteScore
5.70
自引率
8.30%
发文量
96
审稿时长
4-8 weeks
期刊介绍: Sexually Transmitted Infections is the world’s longest running international journal on sexual health. It aims to keep practitioners, trainees and researchers up to date in the prevention, diagnosis and treatment of all STIs and HIV. The journal publishes original research, descriptive epidemiology, evidence-based reviews and comment on the clinical, public health, sociological and laboratory aspects of sexual health from around the world. We also publish educational articles, letters and other material of interest to readers, along with podcasts and other online material. STI provides a high quality editorial service from submission to publication.
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