2021
article
No barrier to care, yet disparities in the HIV care continuum in France: a nationwide population study
Lise Cuzin, Clotilde Allavena, Laurent Cotte, Cyrille Delpierre, Thomas Huleux, Romain Palich, Pierre Delobel, F. Raffi, André Cabie, C. Drobacheff-Thiébaut, Adeline Foltzer, Kévin Bouiller, Laurence Mathieu, C Chirouze, Quentin Lepiller, F Bozon, O Babre, Ludovic Brunel, Patrice Muret, H. Laurichesse, O. Lesens, M. Vidal, Natacha Mrozek, C. Auméran, Olivier Baud, V. Corbin, P. Letertre-Gibert, S. Casanova, J. Prouteau, Christine Jacomet, I. Lamaury, Isabelle Fabre, Elodie Curlier, Rachida Ouissa, Cécile Herrmann‐Storck, B. Tressières, T. Bonijoly, M. C. Receveur, F Boulard, C Daniel, C Clavel, Dominique Merrien, P Perré, Thomas Guimard, O Bollangier, S Léautez, Marine Morrier, L Laine, Florence Ader, Agathe Becker, F. Biron, A. Boibieux, L Cotte, Tristan Ferry, P Miailhes, T. Perpoint, S Roux, Claire Triffault-Fillit, S Degroodt, C Brochier, Florent Valour, Christian Chidiac, A. Ménard, A Y Belkhir, Philippe Colson, C Dhiver, A Madrid, M Martin-Degiovani, Line Meddeb, Malika Mokhtarı, Anne Motte, A Raoux, I Ravaux, C. Tamalet, C Toméi, H Tissot Dupont, Sylvie Brégigeon, O Zaegel-Faucher, Veronique Obry‐Roguet, H Laroche, M Orticoni, M J Soavi, P Geneau de Lamarlière, E Ressiot, M J Ducassou, I Jaquet, S Galie, A Galinier, P. Martinet, M. P. J. Landon, A. S. Ritleng, A Ivanova, C Debreux, C Lions, Isabelle Poizot‐Martin, B Bigeard, O Cabras, K Guitteaud, Marina Illiaquer, A Marquise, S. Pierre-François, Jérémie Pasquier, K Rome, J. M. Turmel, C. Varache, N. Atoui, M Bistoquet, Éric Delaporte, V Le Moing, A Makinson, N Meftah, Corinne Merle De Boever, B Montes, Ana Ferrer, E Tuaillon, J Reynes, Marie André, L Boyer, M P Bouillon, M Delestan, Christian Rabaud, T. May, Bruno Hoen, C Allavena, Corine Bernaud, Éric Billaud, Charlotte Biron, B. Bonnet, Sabelline Bouchez, D Boutoille, C Brunet-Cartier, C Deschanvres, B Gaborti, Nancy Hall, T Jovelin, P Morineau, V Reliquet, S Sécher, M Cavellec, A Soria, V Ferré, E André-Garnier, A Rodallec, M. Lefèbvre, O Grossi, Olivier Aubry, P Pugliese, S Bréaud, C Ceppi, D Chirio, Éric Cua, P. Dellamonica, Élisa Demonchy, Anne De Monte, J Durant, C Etienne, Stephen J. Ferrando, R Garraffo, C Michelangeli, V. Mondain, Atta Abbas Naqvi, Nazan Tuna Oran, I. Perbost, Stéphane Pillet, C Pradier, B Prouvost-Keller, Karine Risso, V Rio, P.-M. Roger, Éric Rosenthal, S Sausse, I Touitou, S Wehrlen-Pugliese, G Zouzou, Laurent Hocqueloux, Thiérry Prazuck, C. Gubavu, Aymeric Sève, A Maka, C. Boulard, G Thomas, Élisabeth Botelho-Nevers, Amandine Gagneux‐Brunon, A. Frésard, V Ronat, F Lucht, P Fischer, M Partisani, Geneviève Chêne, M Priester, M. L. Batard, C Bernard-Henry, E de Mautort, Samira Fafi‐Kremer, Diego Rey, M Álvarez, N Biezunski, A Debard, P Lansalot, L Lelièvre, Guillaume Martin‐Blondel, M Piffaut, Lorena Porte, Karine Sauné, F. Ajana, E Aïssi, I. Alcaraz, V Baclet, Laurence Bocket, Anne Boucher, P. Choisy, T. Huleux, B. Lafon-Desmurs, Agnès Meybeck, M Pradier, O Robineau, N. Viget, M Valette, Yazdan Yazdanpanah, Roland Landman, C Duvivier, M. A. Valantin, Rachid Agher, Christine Katlama, P Flandre, Olivier Lortholary, Véronique Avettand-Fènoël, C Rouzioux, Paul‐Henri Consigny, G Cessot, F Touam, Rafael Usubillaga, K Benhadj
3Citations signalées — pas une note de qualité
21Institutions déclarées
2Pays d’affiliation déclarés
Résumé fourni par la source
OBJECTIVES: Even in an 'optimal' health system, patients' characteristics may have an impact on their care. We investigated whether age, gender and place of birth have an impact in the HIV care continuum in France, a country with a universal free healthcare system. METHODS: We estimated differences in the 5 year restricted mean percentage of person-time spent (i) in care, (ii) receiving ART and (iii) on ART and virally suppressed among 2432 (30.2%) women, 3925 MSM (48.7%) and 1709 men who have sex with women (MSW; 21.2%) entering care in the Dat'AIDS French prospective cohort between 1 January 2013 and 31 December 2017. Trial registration: Clinicaltrials.gov reference NCT02898987. RESULTS: Men and women spent 85.6% and 82.8% of person-time on ART and 69.9% and 65% suppressed, respectively. MSM, MSW and women spent 86.9%, 82.6% and 82.8% of person-time on ART and 72.5%, 63.7% and 65% suppressed, respectively. Patients born in France (47%) and patients born abroad spent 87.9% and 81.9% of person-time on ART and 74.6% and 62.9% suppressed, respectively. Young men born abroad were found to spend the smallest person-time with non-detectable viral load (53% for MSW and 58.1% for MSM). CONCLUSIONS: Despite free access to care and universal ART in France, disparities remain in the HIV continuum care across age, country of birth and way of HIV acquisition. Clinical and public health interventions targeting specific patients' conditions are needed.
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Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- No barrier to care, yet disparities in the HIV care continuum in France: a nationwide population study
- Date Crossref
- 10/03/2021
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHIV/AIDS Impact and Responses