L’impact du VIH/sida et de l’hépatite B sur les trajectoires de vie des migrants subsahariens en France

Abstract : Migrants from Sub-Saharan Africa are very much affected by HIV/AIDS and hepatitis B in France; in 2013 they represented 31% of seropositivity discoveries for HIV and 40% of the patients taken in charge for a chronic hepatitis B. This thesis aims to understand the impact of illness in lives that are already affected by migration, in a holistic approach, which takes into account the different structuring elements of the trajectory, which may be residential (including migration), family-related, professional, administrative, etc. The Parcours survey is a quantitative biographical survey that collected 2468 life trajectories of Sub-Saharan migrants in Paris greater are, 926 living with HIV, 779 living with a chronic Hepatitis B (and not infected by HIV) and 763 who had neither of these two infections. These persons’ life courses have been collected with a biographical questionnaire which gathers information about different structuring elements of the life trajectory (professional, family-related, marital, residential, etc…). To analyse these life courses, classic survival methods were used, along with sequence analyses such as Optimal Matching. A common feature of all Sub-Saharan migrants’ integration pathways is the insecurity they experienced during their first years in France in terms of housing, legal documents and employment, which for most of them lasted more than six years and which was independent from the fact of being infected by HIV or chronic Hepatitis B. The diagnosis of illness often occured precisely at this moment of arrival in France. Migration itself had a major impact on life courses at the family and occupational level. The diagnosis for chronic Hepatitis B has no impact on life trajectories, whereas HIV diagnosis entailed an important degradation of well-being but did not impact on conjugal or employment trajectories. Finally, persons holding a permit of stay for health reasons are discriminated in their access to resident card or French nationality.
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Anne Gosselin. L’impact du VIH/sida et de l’hépatite B sur les trajectoires de vie des migrants subsahariens en France. Santé publique et épidémiologie. Université Sorbonne Paris Cité, 2016. Français. ⟨NNT : 2016USPCB048⟩. ⟨tel-01731584⟩

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