Factors Associated with HIV Status Disclosure in HIV-Infected Sub-Saharan Migrants Living in France and Successfully Treated with Antiretroviral Therapy: Results from the ANRS-VIHVO Study.

To estimate rates and identify correlates of HIV disclosure in migrants from sub-Saharan Africa (SSA) successfully treated, a sub-analysis was conducted in HIV-1 native SSA migrants, living in France with undetectable viral load on antiretroviral, included in the VIHVO adherence study. Logistic regression models assessed factors associated with HIV disclosure. Among 246 individuals (40 % male, median age 41), 79 % of those in a steady heterosexual partnership (n = 167) had disclosed their status to their partner, 55 % of the total 246 to a relative, and 33 % to (an)other person(s). Disclosure to one's steady partner was associated with a follow-up duration since HIV diagnosis of more than 5 years, a higher literacy level, a better social context and marital status. Women were more likely to disclose their HIV status to relatives. Interventions targeting this population should be provided to improve disclosure which in turn ensures better social support, testing of the partner and lower rates of undiagnosed HIV.

[Rapid epidemiological mapping of onchocerciasis in Congo Brazzaville]. / Evaluation epidemiologique rapide de l'onchocercose au Congo Brazzaville.

INTRODUCTION: A cross sectional study was carried out from the 6th of June to the 30th of September 2000 in order to determine the areas of transmission of onchocerciasis. MATERIALS AND METHODS: The method of rapid epidemiological mapping of onchocerciasis was used. The villages h ave first been identified on chart of 1/200000, and selected according to a reasoned choice. The sample was composed of 47 villages by geographical area, either 94 villages included in 37 districts of the 10 regions of the country. The survey consisted in a physical exam of 30 to 50 people aged 20 years and more according to a fraction of 1/5, and living since at least 10 years in these villages. RESULTS: No local cases were found in the northern part of the country. Surveys conducted in the south part of the country were negative in Kouilou and Lékoumou areas and positive in Ndzouengue village of Pool (37.1%), in Kinkoula village of Bouenza (24.2%) and in Ngouele village of Niari (9.1%). Results of our survey confirm the high level of endemicity of onchocerciasis already observed in the previous studies. CONCLUSION: This epidemiological study will contribute to involve population in a new strategy of community-directed treatment with ivermectin.