Le recours tardif aux soins des personnes séropositives pour le VIH. Modalités d'accès et contextes socioculturels.

Abstract : The efficiency of the new antiretroviral therapies has focused attention on the delay to medical care among HIV–infected people (i.e the delay in seeking medical care). An ANRS funded research explains this delay to medical care from the patient's point of view by linking it to the patient's social lifestyle and to his/her social network.
The survey ‘RETARD' was conducted among 267 people infected by HIV who started their regular medical care in a hospital between October,1 1997 and October,1 2003 with a CD4 cells count under 350. The population studied is composed of a majority of men but also counts a high number of people born abroad, mainly in sub-Saharan Africa. According to the study, the delay in seeking medical care is due to the delay in HIV testing. Despite the wide range of results found in the study regarding the delay to medical care, two patterns are emerging: the first one relates to men contaminated by sexual relations with men, born in France and integrated in social and professional networks and the second relates to women born in Africa and living in a precarious, economical and social context. These two profiles do not constitute the whole population studied, but they illustrate the extreme social types. The analysis focuses on social and relational profiles on which recommendations for public intervention are made.
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Contributor : Marcel Calvez <>
Submitted on : Thursday, January 19, 2006 - 6:31:24 PM
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  • HAL Id : halshs-00007973, version 1


Marcel Calvez, François Fierro, Anne Laporte, Caroline Semaille. Le recours tardif aux soins des personnes séropositives pour le VIH. Modalités d'accès et contextes socioculturels.. 2006. 〈halshs-00007973〉



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