Abstract
BackgroundThe impact of migration and country or region of origin on sexual behaviours and prevention of the sexual transmission of HIV has been scarcely studied in France. The objective of this study was to evaluate if and how individual attitudes of prevention towards HIV infection are different according to country or region of origins in Paris area, France.Methods3006 individuals were interviewed in the Paris metropolitan area in 2010. Outcome variables were (i) the intention of the individual to protect oneself against HIV, and (ii) the adoption of a condom-based approach for protection against HIV. To explore factors associated with these outcomes, we constructed multivariate logistic regression models, first taking into account only demographic variables –including country of origin-, then successively adding socioeconomic variables and variables related to sexual behaviour and HIV perception and prevention behaviour.ResultsFrench and foreign people who have origins in Sub-Saharan Africa declared more intentions to protect themselves than French people with French parents (in foreign men, aOR = 3.43 [1.66–7.13]; in foreign women, aOR = 2.94 [1.65–5.23]), but did not declare more recourse to a condom-based approach for protection against HIV (in foreign men, aOR = 1.38 [0.38–4.93]; in foreign women, aOR = 0.93 [0.40–2.18]). Conversely, foreign women and French women from foreign origin, especially from Maghreb (Northern Africa), reported less intention of protection than French women with French parents.ConclusionsThese results underline the importance of taking culture and origins of target populations into consideration when designing information, education and communication about HIV and sexually transmitted diseases. These results also draw attention to fractions of the general population that could escape from prevention messages.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-2051-4) contains supplementary material, which is available to authorized users.
Highlights
The impact of migration and country or region of origin on sexual behaviours and prevention of the sexual transmission of HIV has been scarcely studied in France
In France in 2010, 57.2 % of new HIV diagnoses were due to heterosexual transmission and 47.7 % occurred in people born abroad [12]
The proportion of people born abroad among new HIV diagnoses decreased during the last decade in France, migrants are still disproportionately affected by the epidemic, in particular people from Sub-Saharan Africa (SSA) who accounted for 31.7 % of new HIV diagnoses in France in 2010 [12]
Summary
The impact of migration and country or region of origin on sexual behaviours and prevention of the sexual transmission of HIV has been scarcely studied in France. Prevention practices against the HIV infection are, at least partially, driven by intended or unconscious attitudes that take into account individuals’ health knowledge as well as their social values [18,19,20] and both of them are different according to country of origin [20]. In France, the relationship between country of origin and HIV protection attitudes and behaviours has been scarcely statistically studied [22], partly because of the existing legal restrictions in collecting and processing data regarding ethnicity or migration status [1, 23,24,25,26,27]
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