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; François Raffi; André Cabié; C Drobacheff-Thiébaut; A Foltzer; K Bouiller; L Hustache- Mathieu; C Chirouze; Q Lepiller; F Bozon; O Babre; L Brunel; P Muret (besançon); H Laurichesse; O Lesens; M Vidal; N Mrozek; C Aumeran; O Baud; V Corbin; P Letertre-Gibert; S Casanova; J Prouteau; C Jacomet (clermont Ferrand); I Lamaury; I Fabre; E Curlier; R Ouissa; C Herrmann-Storck; B Tressieres; T Bonijoly; M. Receveur; F Boulard; C Daniel; C Clavel (guadeloupe); D Merrien; P Perré; T Guimard; O Bollangier; S Leautez; M Morrier; L Laine (la Roche Sur Yon); F Ader; A Becker; F Biron; A Boibieux; T Ferry; P Miailhes; T Perpoint; Stéphane Roux; C Triffault-Fillit; S Degroodt; C Brochier; F Valour; C Chidiac (lyon); A Ménard; A. Belkhir; P Colson; C Dhiver; A Madrid; M Martin-Degiovani; L Meddeb; M Mokhtari; A Motte; A Raoux; I Ravaux; C Tamalet; C Toméi; H Tissot Dupont; S Brégigeon; O Zaegel-Faucher; V Obry-Roguet; H Laroche; M Orticoni; M. Soavi; P Geneau de Lamarlière; E Ressiot; M. Ducassou; I Jaquet; S Galie; A Galinier; P Martinet; M Landon; A. Ritleng; A Ivanova; C Debreux; C Lions; I Poizot-Martin (marseille Ste Marguerite); B Bigeard; O Cabras; K Guitteaud; M Illiaquer; A Marquise; S Pierre-François; J Pasquier; K Rome; J. Turmel; C Varache; A Cabié (martinique); N Atoui; M Bistoquet; E Delaporte; V Le Moing; Alain Makinson; N Meftah; C Merle de Boever; B Montes; A Montoya Ferrer; Edouard Tuaillon; J Reynes (montpellier); M André; L Boyer; M. Bouillon; M Delestan; C Rabaud; T May; B Hoen (nancy); C Bernaud; E Billaud; C Biron; B Bonnet; S Bouchez; D Boutoille; C Brunet-Cartier; C Deschanvres; B Gaborti; N Hall; T Jovelin; P Morineau; V Reliquet; S Sécher; M Cavellec; A Soria; V Ferré; E André-Garnier; A Rodallec; M Lefebvre; O Grossi; O Aubry; F Raffi (nantes); P Pugliese; S Breaud; C Ceppi; D Chirio; E Cua; P Dellamonica; E Demonchy; A de Monte; J Durant; C Etienne; S Ferrando; R Garraffo; C Michelangeli; V Mondain; A Naqvi; N Oran; I Perbost; S Pillet; C Pradier; B Prouvost-Keller; K Risso; V Rio; P. Roger; E Rosenthal; S Sausse; I Touitou; S Wehrlen-Pugliese; G Zouzou (nice); L Hocqueloux; T Prazuck; C Gubavu; A Sève; A Maka; C Boulard; G Thomas; E Botelho-Nevers; A Gagneux-Brunon; A Frésard; V Ronat; F Lucht; P Fischer; M Partisani; C Cheneau; M Priester; M. Batard; C Bernard-Henry; E de Mautort; S Fafi-Kremer; D Rey; M Alvarez; N Biezunski; A Debard; P Lansalot; L Lelièvre; G Martin-Blondel; M Piffaut; L Porte; K Saune; F Ajana; E Aïssi; I Alcaraz; V Baclet; L Bocket; A Boucher; P Choisy; B Lafon-Desmurs; A Meybeck; M Pradier; O Robineau; N Viget; M Valette; Y Yazdanpanah; R Landman; C Duvivier; M. Valantin; R Agher; C Katlama; P Flandre; O Lortholary; V Avettand-Fenoel; C Rouzioux; P. Consigny; G Cessot; F Touam; R Usubillaga; K Benhadj; Drobacheff-Thiébaut C; Foltzer A; Bouiller K; Hustache-Mathieu L; Chirouze C; Lepiller Q; Bozon F; Babre O; Brunel L; Besançon P Muret; Laurichesse H; Lesens O; Vidal M; Mrozek N; Aumeran C; Baud O; Corbin V; Letertre-Gibert P; Casanova S; Prouteau J; Ferrand C Jacomet Clermont; Lamaury I; Fabre I; Curlier E; Ouissa R; Herrmann-Storck C; Tressieres B; Bonijoly T; Receveur M C; Boulard F; Daniel C; Guadeloupe C Clavel; Merrien D; Perré P; Guimard T; Bollangier O; Leautez S; Morrier M; Yon L Laine La Roche Sur; Ader F; Becker A; Biron F; Boibieux A; Cotte L; Ferry T; Miailhes P; Perpoint T; Roux S; Triffault-Fillit C; Degroodt S; Brochier C; Valour F; Lyon C Chidiac; Ménard A; Belkhir a Y; Colson P; Dhiver C; Madrid A; Martin-Degiovani M; Meddeb L; Mokhtari M; Motte A; Raoux A; Ravaux I; Tamalet C; Toméi C; Dupont H Tissot; Brégigeon S; Zaegel-Faucher O; Obry-Roguet V; Laroche H; Orticoni M; Soavi M J; Lamarlière P Geneau De; Ressiot E; Ducassou M J; Jaquet I; Galie S; Galinier A; Martinet P; Landon M; Ritleng a S; Ivanova A; Debreux C; Lions C; Marguerite I Poizot-Martin Marseille Ste; Bigeard B; Cabras O; Cuzin L; Guitteaud K; Illiaquer M; Marquise A; Pierre-François S; Pasquier J; Rome K; Turmel J M; Varache C; Martinique a Cabié; Atoui N; Bistoquet M; Delaporte E; Moing V Le; Makinson A; Meftah N; Boever C Merle De; Montes B; Ferrer a Montoya; Tuaillon E; Montpellier J Reynes; André M; Boyer L; Bouillon M P; Delestan M; Rabaud C; May T; Nancy B Hoen; Allavena C; Bernaud C; Billaud E; Biron C; Bonnet B; Bouchez S; Boutoille D; Brunet-Cartier C; Deschanvres C; Gaborti B; Hall N; Jovelin T; Morineau P; Reliquet V; Sécher S; Cavellec M; Soria A; Ferré V; André-Garnier E; Rodallec A; Lefebvre M; Grossi O; Aubry O; Nantes F Raffi; Pugliese P; Breaud S; Ceppi C; Chirio D; Cua E; Dellamonica P; Demonchy E; Monte a De; Durant J; Etienne C; Ferrando S; Garraffo R; Michelangeli C; Mondain V; Naqvi A; Oran N; Perbost I; Pillet S; Pradier C; Prouvost-Keller B; Risso K; Rio V; Roger P M; Rosenthal E; Sausse S; Touitou I; Wehrlen-Pugliese S; Nice G Zouzou; Hocqueloux L; Prazuck T; Gubavu C; Sève A; Maka A; Boulard C; Thomas G; Botelho-Nevers E; Gagneux-Brunon A; Frésard A; Ronat V; Lucht F; Fischer P; Partisani M; Cheneau C; Priester M; Batard M L; Bernard-Henry C; Mautort E De; Fafi-Kremer S; Rey D; Alvarez M; Biezunski N; Debard A; Delpierre C; Lansalot P; Lelièvre L; Martin-Blondel G; Piffaut M; Porte L; Saune K; Delobel P; Ajana F; Aïssi E; Alcaraz I; Baclet V; Bocket L; Boucher A; Choisy P; Huleux T; Lafon-Desmurs B; Meybeck A; Pradier M; Robineau O; Viget N; Valette M; Yazdanpanah Y; Landman R; Duvivier C; Valantin M A; Agher R; Katlama C; Flandre P; Lortholary O; Avettand-Fenoel V; Rouzioux C; Consigny P H; Cessot G; Touam F; Usubillaga R; Benhadj K

doi:10.1093/jac/dkab061

Article de revue

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, François Raffi, André Cabié, C Drobacheff-Thiébaut, …

Journal of Antimicrobial Chemotherapy, Vol.76(6), pp.1573-1579

01/06/2021

DOI: https://doi.org/10.1093/jac/dkab061

PMID: 33704444

Résumé

Continuity of Patient Care

Female

France

HIV Infections

Homosexuality, Male

Humans

Male

Prospective Studies

Sexual and Gender Minorities

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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Titre: No barrier to care, yet disparities in the HIV care continuum in France: a nationwide population study
Créateurs - sans rôle: Lise Cuzin - Centre Hospitalier Universitaire de Martinique
Clotilde Allavena - Nantes Université
Laurent Cotte - Hospices Civils de Lyon
Cyrille Delpierre - Université Fédérale de Toulouse Midi-Pyrénées
Thomas Huleux - Centre Hospitalier de Tourcoing
Romain Palich - Pitié-Salpêtrière Hospital
Pierre Delobel - Université Fédérale de Toulouse Midi-Pyrénées
François Raffi - Inserm
André Cabié - Inserm
C Drobacheff-Thiébaut - Centre Hospitalier Universitaire de Martinique
A Foltzer
K Bouiller - Laboratoire Chrono-Environnement
L Hustache- Mathieu
C Chirouze - Laboratoire Chrono-Environnement
Q Lepiller - Centre Hospitalier Universitaire de Besançon
F Bozon - Inserm
O Babre
L Brunel - Inserm
P Muret (besançon)
H Laurichesse - Sorbonne Université
O Lesens - Laboratoire Microorganismes : Génome et Environnement
M Vidal - Sorbonne Université
N Mrozek - Centre Hospitalier Universitaire de Martinique
C Aumeran - Inserm
O Baud - CCLIN Sud-Est – Centre de Coordination de la Lutte contre les Infections Nosocomiales Sud-Est
V Corbin - Nantes Université
P Letertre-Gibert - Service de Maladies Infectieuses et Tropicales
S Casanova - Institute of Nuclear Physics, Polish Academy of Sciences
J Prouteau - Service des maladies infectieuses et tropicales
C Jacomet (clermont Ferrand)
I Lamaury - Dermatologie et Maladies infectieuses [Pointe-à-Pitre]
I Fabre - Station de Recherche Agronomique de Saint Louis
E Curlier - Centre Hospitalier Universitaire de Martinique
R Ouissa
C Herrmann-Storck - Centre Hospitalier Universitaire de Martinique
B Tressieres - Inserm
T Bonijoly
M. Receveur
F Boulard - Nantes Université
C Daniel - Centre Hospitalier Universitaire de Martinique
C Clavel (guadeloupe)
D Merrien
P Perré
T Guimard
O Bollangier
S Leautez
M Morrier - Inserm
L Laine (la Roche Sur Yon)
F Ader - Inserm
A Becker
F Biron - Inserm
A Boibieux
T Ferry - Hospices Civils de Lyon
P Miailhes
T Perpoint
Stéphane Roux
C Triffault-Fillit - Inserm
S Degroodt
C Brochier - Inserm
F Valour - Inserm
C Chidiac (lyon)
A Ménard
A. Belkhir
P Colson
C Dhiver - Centre Hospitalier Universitaire de Martinique
A Madrid
M Martin-Degiovani - Institut Pierre Louis d‘Épidémiologie et de Santé Publique
L Meddeb - Université de Toulouse
M Mokhtari
A Motte
A Raoux
I Ravaux
C Tamalet - Centre Hospitalier Universitaire de Martinique
C Toméi - Centre Hospitalier Universitaire de Martinique
H Tissot Dupont
S Brégigeon
O Zaegel-Faucher
V Obry-Roguet - Inserm
H Laroche - Assistance Publique – Hôpitaux de Paris
M Orticoni - Assistance Publique – Hôpitaux de Paris
M. Soavi
P Geneau de Lamarlière
E Ressiot - Centre Hospitalier Universitaire de Martinique
M. Ducassou
I Jaquet
S Galie
A Galinier
P Martinet
M Landon
A. Ritleng
A Ivanova
C Debreux - Inserm
C Lions - Centre Hospitalier Universitaire de Martinique
I Poizot-Martin (marseille Ste Marguerite)
B Bigeard - Inserm
O Cabras
K Guitteaud - Centre Hospitalier Universitaire de Martinique
M Illiaquer - Sorbonne Université
A Marquise
S Pierre-François
J Pasquier
K Rome
J. Turmel
C Varache
A Cabié (martinique)
N Atoui
M Bistoquet
E Delaporte
V Le Moing
Alain Makinson - Recherches Translationnelles sur le VIH et les Maladies Infectieuses
N Meftah
C Merle de Boever
B Montes
A Montoya Ferrer
Edouard Tuaillon - Pathogenesis and Control of Chronic and Emerging Infections
J Reynes (montpellier)
M André
L Boyer
M. Bouillon
M Delestan
C Rabaud
T May
B Hoen (nancy)
C Bernaud
E Billaud
C Biron
B Bonnet
S Bouchez
D Boutoille
C Brunet-Cartier
C Deschanvres
B Gaborti
N Hall
T Jovelin
P Morineau
V Reliquet
S Sécher
M Cavellec
A Soria
V Ferré
E André-Garnier
A Rodallec
M Lefebvre
O Grossi
O Aubry
F Raffi (nantes)
P Pugliese
S Breaud
C Ceppi
D Chirio
E Cua
P Dellamonica
E Demonchy
A de Monte
J Durant
C Etienne
S Ferrando
R Garraffo
C Michelangeli
V Mondain
A Naqvi
N Oran
I Perbost
S Pillet
C Pradier
B Prouvost-Keller
K Risso
V Rio
P. Roger
E Rosenthal
S Sausse
I Touitou
S Wehrlen-Pugliese
G Zouzou (nice)
L Hocqueloux
T Prazuck
C Gubavu
A Sève
A Maka
C Boulard
G Thomas
E Botelho-Nevers
A Gagneux-Brunon
A Frésard
V Ronat
F Lucht
P Fischer
M Partisani
C Cheneau
M Priester
M. Batard
C Bernard-Henry
E de Mautort
S Fafi-Kremer
D Rey
M Alvarez
N Biezunski
A Debard
P Lansalot
L Lelièvre
G Martin-Blondel
M Piffaut
L Porte
K Saune
F Ajana
E Aïssi
I Alcaraz
V Baclet
L Bocket
A Boucher
P Choisy
B Lafon-Desmurs
A Meybeck
M Pradier
O Robineau
N Viget
M Valette
Y Yazdanpanah
R Landman
C Duvivier
M. Valantin
R Agher
C Katlama
P Flandre
O Lortholary
V Avettand-Fenoel
C Rouzioux
P. Consigny
G Cessot
F Touam
R Usubillaga
K Benhadj
Drobacheff-Thiébaut C
Foltzer A
Bouiller K
Hustache-Mathieu L
Chirouze C
Lepiller Q
Bozon F
Babre O
Brunel L
Besançon P Muret
Laurichesse H
Lesens O
Vidal M
Mrozek N
Aumeran C
Baud O
Corbin V
Letertre-Gibert P
Casanova S
Prouteau J
Ferrand C Jacomet Clermont
Lamaury I
Fabre I
Curlier E
Ouissa R
Herrmann-Storck C
Tressieres B
Bonijoly T
Receveur M C
Boulard F
Daniel C
Guadeloupe C Clavel
Merrien D
Perré P
Guimard T
Bollangier O
Leautez S
Morrier M
Yon L Laine La Roche Sur
Ader F
Becker A
Biron F
Boibieux A
Cotte L
Ferry T
Miailhes P
Perpoint T
Roux S
Triffault-Fillit C
Degroodt S
Brochier C
Valour F
Lyon C Chidiac
Ménard A
Belkhir a Y
Colson P
Dhiver C
Madrid A
Martin-Degiovani M
Meddeb L
Mokhtari M
Motte A
Raoux A
Ravaux I
Tamalet C
Toméi C
Dupont H Tissot
Brégigeon S
Zaegel-Faucher O
Obry-Roguet V
Laroche H
Orticoni M
Soavi M J
Lamarlière P Geneau De
Ressiot E
Ducassou M J
Jaquet I
Galie S
Galinier A
Martinet P
Landon M
Ritleng a S
Ivanova A
Debreux C
Lions C
Marguerite I Poizot-Martin Marseille Ste
Bigeard B
Cabras O
Cuzin L
Guitteaud K
Illiaquer M
Marquise A
Pierre-François S
Pasquier J
Rome K
Turmel J M
Varache C
Martinique a Cabié
Atoui N
Bistoquet M
Delaporte E
Moing V Le
Makinson A
Meftah N
Boever C Merle De
Montes B
Ferrer a Montoya
Tuaillon E
Montpellier J Reynes
André M
Boyer L
Bouillon M P
Delestan M
Rabaud C
May T
Nancy B Hoen
Allavena C
Bernaud C
Billaud E
Biron C
Bonnet B
Bouchez S
Boutoille D
Brunet-Cartier C
Deschanvres C
Gaborti B
Hall N
Jovelin T
Morineau P
Reliquet V
Sécher S
Cavellec M
Soria A
Ferré V
André-Garnier E
Rodallec A
Lefebvre M
Grossi O
Aubry O
Nantes F Raffi
Pugliese P
Breaud S
Ceppi C
Chirio D
Cua E
Dellamonica P
Demonchy E
Monte a De
Durant J
Etienne C
Ferrando S
Garraffo R
Michelangeli C
Mondain V
Naqvi A
Oran N
Perbost I
Pillet S
Pradier C
Prouvost-Keller B
Risso K
Rio V
Roger P M
Rosenthal E
Sausse S
Touitou I
Wehrlen-Pugliese S
Nice G Zouzou
Hocqueloux L
Prazuck T
Gubavu C
Sève A
Maka A
Boulard C
Thomas G
Botelho-Nevers E
Gagneux-Brunon A
Frésard A
Ronat V
Lucht F
Fischer P
Partisani M
Cheneau C
Priester M
Batard M L
Bernard-Henry C
Mautort E De
Fafi-Kremer S
Rey D
Alvarez M
Biezunski N
Debard A
Delpierre C
Lansalot P
Lelièvre L
Martin-Blondel G
Piffaut M
Porte L
Saune K
Delobel P
Ajana F
Aïssi E
Alcaraz I
Baclet V
Bocket L
Boucher A
Choisy P
Huleux T
Lafon-Desmurs B
Meybeck A
Pradier M
Robineau O
Viget N
Valette M
Yazdanpanah Y
Landman R
Duvivier C
Valantin M A
Agher R
Katlama C
Flandre P
Lortholary O
Avettand-Fenoel V
Rouzioux C
Consigny P H
Cessot G
Touam F
Usubillaga R
Benhadj K
Détails de publication: Journal of Antimicrobial Chemotherapy, Vol.76(6), pp.1573-1579
Identifiants: 99161906409311
Unité académique: Pathogenesis and Control of Chronic and Emerging Infections - PCCEI; Recherches translationnelles sur le VIH et les Maladies Infect. Endém. émerg. - TransVIHMI
Langue: English
Type de ressource: Journal article
Champs locaux: hal-03365008