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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