Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.

<h4>Introduction</h4>Homeless migrant women, facing adverse living conditions and barriers to legal status, are at risk of cervical cancer, HIV infection and may encounter barriers to screening services. We investigate factors associated with each screening in a population of migrant wom...

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Autores principales:	Lorraine Poncet, Henri Panjo, Virginie Ringa, Armelle Andro
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/463180c15e7446929744f10ff68eb3aa
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spelling	oai:doaj.org-article:463180c15e7446929744f10ff68eb3aa2021-12-02T20:18:08ZDo vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.1932-620310.1371/journal.pone.0255900https://doaj.org/article/463180c15e7446929744f10ff68eb3aa2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255900https://doaj.org/toc/1932-6203<h4>Introduction</h4>Homeless migrant women, facing adverse living conditions and barriers to legal status, are at risk of cervical cancer, HIV infection and may encounter barriers to screening services. We investigate factors associated with each screening in a population of migrant women in France and aim to determine the mean time since last HIV testing according to duration of residence in France.<h4>Methods</h4>We use data from the DSAFHIR study (Rights and Health of Migrant Women in Emergency Housing) investigating health and migration experience of homeless migrant women housed in emergency housing hotels in the Paris Metropolitan area in 2017. We computed multivariate logistic regression models to investigate no lifetime cervical cancer screening (CCS) and no lifetime HIV test. We used linear regression models to analyze time since last HIV test.<h4>Results</h4>We included 469 women. 46% of respondents had no lifetime CCS, 31% had no lifetime HIV test. Both screenings were associated with educational attainment and French proficiency. Compared with duration of residence < 1 year, duration ≥ 7 years was associated with a lower likelihood of no lifetime CCS (adjusted Odd Ratio = 0.17; 95% CI = 0.07-0.39). Compared to women born in North Africa, women born in West (aOR = 0.15; 95% CI = 0.07-0.33) and East Africa (aOR = 0.06; 95% CI = 0.02-0.20) were less likely to have no lifetime HIV test. Time since last HIV test increased for each additional year spent in France (coef = 0.21; 95% CI = 0.09, 0.33).<h4>Conclusion</h4>While access to CCS remains poor for recent migrants, HIV testing is more likely to occur shortly after migration.Lorraine PoncetHenri PanjoVirginie RingaArmelle AndroPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255900 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lorraine Poncet Henri Panjo Virginie Ringa Armelle Andro Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.
description	<h4>Introduction</h4>Homeless migrant women, facing adverse living conditions and barriers to legal status, are at risk of cervical cancer, HIV infection and may encounter barriers to screening services. We investigate factors associated with each screening in a population of migrant women in France and aim to determine the mean time since last HIV testing according to duration of residence in France.<h4>Methods</h4>We use data from the DSAFHIR study (Rights and Health of Migrant Women in Emergency Housing) investigating health and migration experience of homeless migrant women housed in emergency housing hotels in the Paris Metropolitan area in 2017. We computed multivariate logistic regression models to investigate no lifetime cervical cancer screening (CCS) and no lifetime HIV test. We used linear regression models to analyze time since last HIV test.<h4>Results</h4>We included 469 women. 46% of respondents had no lifetime CCS, 31% had no lifetime HIV test. Both screenings were associated with educational attainment and French proficiency. Compared with duration of residence < 1 year, duration ≥ 7 years was associated with a lower likelihood of no lifetime CCS (adjusted Odd Ratio = 0.17; 95% CI = 0.07-0.39). Compared to women born in North Africa, women born in West (aOR = 0.15; 95% CI = 0.07-0.33) and East Africa (aOR = 0.06; 95% CI = 0.02-0.20) were less likely to have no lifetime HIV test. Time since last HIV test increased for each additional year spent in France (coef = 0.21; 95% CI = 0.09, 0.33).<h4>Conclusion</h4>While access to CCS remains poor for recent migrants, HIV testing is more likely to occur shortly after migration.
format	article
author	Lorraine Poncet Henri Panjo Virginie Ringa Armelle Andro
author_facet	Lorraine Poncet Henri Panjo Virginie Ringa Armelle Andro
author_sort	Lorraine Poncet
title	Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.
title_short	Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.
title_full	Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.
title_fullStr	Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.
title_full_unstemmed	Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.
title_sort	do vulnerable groups access prevention services? cervical cancer screening and hiv testing among homeless migrant women in the paris metropolitan area.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/463180c15e7446929744f10ff68eb3aa
work_keys_str_mv	AT lorraineponcet dovulnerablegroupsaccesspreventionservicescervicalcancerscreeningandhivtestingamonghomelessmigrantwomenintheparismetropolitanarea AT henripanjo dovulnerablegroupsaccesspreventionservicescervicalcancerscreeningandhivtestingamonghomelessmigrantwomenintheparismetropolitanarea AT virginieringa dovulnerablegroupsaccesspreventionservicescervicalcancerscreeningandhivtestingamonghomelessmigrantwomenintheparismetropolitanarea AT armelleandro dovulnerablegroupsaccesspreventionservicescervicalcancerscreeningandhivtestingamonghomelessmigrantwomenintheparismetropolitanarea
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Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area.

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