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ETHNIC VARIATIONS IN SEXUAL AND PREVENTIVE PRACTICES IN FRANCE FIRST RESULTS FROM A COMMUNITY-BASED SURVEY AMONG AFRO-CARIBBEAN POPULATIONS Elise MARSICANO (Inserm), Gilbert NDZIESSI (Inserm), Romain MBIRIBINDI (Afrique Avenir), Nathalie LYDIÉ (Inpes) [email protected] AFRO-CARIBBEAN POPULATIONS IN FRANCE : A DISPROPORTIONATE BURDEN OF HIV INFECTION DESCRIBE SEXUAL AND PREVENTIVE PRACTICES OF AFRO-CARIBBEAN POPULATIONS Incidence rate • 59 per 100 000 in the overseas departments • 250 per 100 000 among sub-Saharan African (SSA) migrants living in France Few data on sexual and preventive practices FIRST COMMUNITY-BASED SURVEY AMONG AFRO-CARIBBEAN POPULATIONS A MAJORITY OF SSA MIGRANTS 64% Carried out • • Figure 1 - Region of birth, by sex 47% Men In 2011 in Paris and its surroundings 26% 16% By a community aids association, Afrique Avenir • In community settings (night club, hair salon, community halls) • With a self-administrated questionnaire 16% Women 22% 4% 5% SSA country Metropolitan Overseas France departments Caribbean region BIVARIATE AND MULTIVARIATE ANALYSES PARTICIPATION RATE : 34 % Reference period : past 12 months • Number and sex of partners • Factors associated with condom use 4044 RESPONDENTS A FREQUENT AND GENDER-BASED CONDOM USE CORRELATES WITH SEXUAL CONCURRENCY ACTIVITY 39 % of men and 24 % of women reported Table 1 - Factors associated with condom use during past 12 months, by sex concurrent partnership, without differences according to region of birth 5 % OF MEN AND WOMEN REPORTED SAME-SEX PARTNERS Figure 2 - Proportion of same-sex partners during past 12 months, by sex and region of birth 13% Men 14% Women 9% Men (N=844) % OR IC Region of birth Metropolitan France SSA country Overseas departments Caribbean region Number of partners Monogamy Serial monogamy Concurrent partnership Sex of partners Opposite-sex only Both-sex 70 57 63 84 1 0,7 1,0 2,1 28 1 44 80 10,1 *** [6.7,15.3] 84 86 16,5 *** [11.2,24.4] 86 1 6,3 9,8 78 61 70 80 64 73 1 0,5 0,7 0,9 Women (N=1200) % OR IC 1 1,1 *** [0.3,0.8] [0.4,1.3] [0.3,2.7] [0.5,2.5] 72 87 * [0.5,1.1] [0.7,1.4] [1.0,4.7] * *** *** [4.5,8.9] [6.8,14.1] 1 1,2 [0.6,2.7] controlled for age, education level; *=p<0,1; **p=<0,05; ***=p<0,01 5% 4% SSA country 4% 5% Metropolitan France 4% Overseas departments Caribbean region Condom use during past 12 months • More frequent for concurrent partnership • Less frequent for SSA migrants men • Without differences according to sex of partners AN ETHNICALLY AND SEXUALLY DIVERSIFIED SAMPLE A significant proportion of same-sex partnerships • With striking differences according to region of birth How to reach people who have same-sex partners? Frequent condom use correlates with • Current sexual activity (numbers of partners) • Past socialization (region of birth) Priority populations migrants from SSA