Table 3. Factors associated with the acquisition of HIV in the first 12 months after arrival, as assessed using binary logistic regressions, Île-de-France, France, May 2021–June 2022 (n = 403 participants with post-migration HIV acquisition and no missing data).
Characteristic | Univariate | Multivariate | |||
---|---|---|---|---|---|
OR | 95%CI | aORa | 95%CI | ||
Age at arrival in France | Per 1 year | 1.10 | 1.05–1.15 | 1.12 | 1.06–1.18 |
Place of birth | Europe | Reference | |||
Latin America | 1.05 | 0.34–3.18 | 1.24 | 0.36–4.38 | |
North Africa | 1.42 | 0.49–5.62 | 2.16 | 0.63–7.70 | |
Sub-Saharan Africa | 4.49 | 1.76–12.53 | 9.90 | 3.07–35.90 | |
Asia, Oceania | 2.79 | 1.06–7.92 | 4.92 | 1.59–16.66 | |
North America | 0.90 | 0.05–5.62 | 0.83 | 0.04–5.78 | |
Having felt forced to leave the country of birth | No | Reference | |||
Yes | 1.80 | 0.99–3.35 | NA | NA | |
Leaving the birth-country due to the sexual orientation | No | Reference | |||
Yes | 2.47 | 1.35–4.52 | NA | NA | |
Leaving the birth-country due to health reasons | No | Reference | |||
Yes | 3.58 | 0.16–30.06 | NA | NA | |
Social disadvantage indicatorb | < 9 | Reference | |||
≥ 9 | 3.38 | 1.82–6.26 | 2.44 | 1.17–5.05 | |
To be alone at the arrival in France | No | Reference | |||
Yes | 0.72 | 0.38–1.44 | NA | NA | |
To speak French at the arrival in France | Yes | Reference | |||
No | 1.29 | 0.71–2.34 | NA | NA | |
Number of sexual partnersc | ≤ 10 | Reference | |||
> 10 | 4.80 | 2.46–9.24 | 7.63 | 3.44–17.31 | |
Use of condoms based on sexual partnerc | Yes, with all sexual partners | Reference | |||
Only with occasional partners | 0.39 | 0.06–1.64 | NA | NA | |
Only with regular partners | 0.39 | 0.02–2.30 | NA | NA | |
With no one | 1.89 | 0.85–4.65 | NA | NA | |
Not concernedd | 0.69 | 0.26–1.90 | NA | NA | |
Meeting sexual partners in saunas, sex-clubs or outside hook-up locationsc | No | Reference | |||
Yes | 0.56 | 0.26–1.17 | NA | NA | |
Not concernede | 0.30 | 0.14–0.60 | NA | NA | |
Meeting sexual partners through Internet and dating appsc | No | Reference | |||
Yes | 0.50 | 0.24–1.07 | NA | NA | |
Not concernede | 0.24 | 0.11–0.53 | NA | NA |
aOR: adjusted odds ratio; CI: confidence interval; NA: not applicable; OR: odds ratio.
a Multivariate model included the age at arrival in France, the place of birth, the fact of leaving the birth-country due to the sexual orientation as a reason for migration, the social disadvantage indicator (participants' administrative/legal status, health coverage, employment situation, and financial well-being), and the number of sexual partners.
b The social disadvantage indicator included the administrative/legal status, the working situation, the social insurance, and the subjective feeling on financial situation in the 12 months after arrival in France (see the Methods section of the article and the Supplementary material).
c During the first year after arrival in France.
d No sexual partners during the first year after arrival in France.
e Less than two sexual partners during the first year after arrival in France.