Union break-up after HIV diagnosis among sub-Saharan African migrants in France: disclosing HIV status is linked with staying in union

AIDS Care. 2019 Jun;31(6):699-706. doi: 10.1080/09540121.2018.1554240. Epub 2018 Dec 4.

Abstract

Sub-Saharan African migrants living in France are particularly affected by HIV. Due to the fear of sexual transmission of the virus, those in a relationship could experience a union break-up after an HIV diagnosis. Based on data from the time-event ANRS-Parcours survey that was conducted among a representative sample of sub-Saharan migrants living with HIV (France, 2012-2013), we studied union break-ups after HIV diagnosis among people who were in a relationship at the time of their diagnosis. Women experienced a more rapid union break-up after HIV diagnosis than did men. The living conditions of men were not correlated to their risk of union break-up while among women, having a personal dwelling reduced the risk of union break-up. For both sexes, less established relationships were more likely to break up after HIV diagnosis. Having disclosed the HIV status to a partner was associated with a reduced risk of separation between partners, after adjustment on socio-economic conditions and migration characteristics.

Keywords: France; HIV diagnosis; living conditions; sub-Saharan migrants; union break-up.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Africa South of the Sahara / epidemiology
  • Africa South of the Sahara / ethnology
  • Black People / psychology
  • Black People / statistics & numerical data*
  • Female
  • France / epidemiology
  • HIV Infections / diagnosis*
  • HIV Infections / epidemiology
  • HIV Infections / ethnology
  • HIV Infections / psychology
  • Humans
  • Interviews as Topic
  • Male
  • Marital Status
  • Middle Aged
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners / psychology*
  • Surveys and Questionnaires
  • Transients and Migrants / psychology
  • Transients and Migrants / statistics & numerical data*
  • Truth Disclosure*