Accès aux soins des personnes originaires d’Afrique subsaharienne vivant avec une hépatite B chronique (notice n° 1578881)
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| fixed length control field | 04857cam a2200433 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251228045553.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Vignier, Nicolas |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Accès aux soins des personnes originaires d’Afrique subsaharienne vivant avec une hépatite B chronique |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2017.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 47 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectif : L’objectif de cette étude est d’analyser l’accès aux soins des personnes originaires d’Afrique subsaharienne (ASS) vivant avec une hépatite B chronique (HBC) en France. Méthodes : L’enquête ANRS-Parcours est une étude biographique réalisée en 2012-2013 auprès de personnes originaires d’ASS recrutées dans des services de prise en charge de l’HBC en Ile-de-France. Les données ont été recueillies en face-à-face à l’aide d’une grille biographique et d’un questionnaire standardisé. Résultats : Parmi les 619 participants, 96,4 % ont une couverture maladie de base dont 18,6 % la Couverture maladie universelle (CMU) et 23,4 % l’Aide médicale d’état (AME). Un tiers des bénéficiaires de l’Assurance maladie n’ont pas de complémentaire santé et 75,7 % sont couverts au titre d’une Affection longue durée. L’obtention d’une couverture maladie après l’arrivée en France a lieu en médiane la première année. Parmi les participants, 22,0 % rapportent avoir renoncé aux soins pour raisons financières depuis l’arrivée en France et 9,7 % avoir vécu un refus de soins le plus souvent par refus de la CMU ou l’AME. Une fois diagnostiqué, l’entrée en soins a lieu en médiane l’année-même du diagnostic. Le retard à l’entrée en soins est plus fréquent chez les personnes sans couverture maladie l’année du diagnostic. Les ruptures de suivi de plus de 12 mois sont rares. Conclusion : Les personnes originaires d’ASS vivant avec une HBC accèdent rapidement à une couverture maladie et aux soins. Cependant, des obstacles à l’accès aux soins persistent pour certaines du fait notamment de l’absence ou de l’incomplétude d’une couverture maladie et des refus de soins aux bénéficiaires de l’AME ou de la CMU. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Health care access of Sub-Saharan African migrants living with chronic hepatitis B Objective: The objective of this study was to analyse health care access of Sub-Saharan African migrants living with chronic hepatitis B (CHB) in France. Methods: The ANRS-Parcours survey was a life-event survey conducted in 2012-2013 among Sub-Saharan African migrants recruited by health care facilities managing CHB in the Paris region. Data were collected by face-to-face interview using a biographical grid and a standardized questionnaire. Results: 96.4% of the 619 participants basic health insurance coverage with CMU universal health insurance coverage in 18.6% of cases and AME state medical assistance in 23.4% of cases. One-third of basic health insurance beneficiaries did not have any complementary health insurance and 75.7% had long-term disease status. The median time to acquisition of health insurance cover after arrival in France was one year. 22.0% of participants reported delaying health care for financial reasons since their arrival in France and 9.7% reported being refused health care usually due to refusal of CMU or AME. Health care access was effective within one year of the diagnosis. Delayed health care access was more common among people without health insurance coverage in the year of diagnosis. Patients lost to follow-up for more than 12 months were rare. Conclusion: Sub-Saharan African migrants living with chronic hepatitis B rapidly access health insurance coverage and health care. However, barriers to health care access persist for some people, essentially due to absent or incomplete health insurance cover and refusal of care for AME or CMU beneficiaries. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | accès aux soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Afrique subsaharienne |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | couverture maladie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | émigrants et immigrants |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | France |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hépatite B |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | access |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | and evaluation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | France |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health Care Quality |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health insurance coverage |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hepatitis B |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | migrants |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Sub-saharan Africa |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Spira, Rosemary Dray |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lert, France |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pannetier, Julie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ravalihasy, Andrainolo |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gosselin, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lydié, Nathalie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bouchaud, Olivier |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Desgrées du Loû, Annabel |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 29 | 3 | 2017-07-10 | p. 361-370 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2017-3-page-361?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2017-3-page-361?lang=fr&redirect-ssocas=7080</a> |
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