Abstract #2138 - Migration and HIV
22.3: Migration and HIV (Parallel) on Wednesday @ 16.30-18.00 in C002 Chaired by Christiana Noestlinger,
Presenting Author: Ms Marjorie Gerbier-Aublanc - Paris Descartes University , France
| Additional Authors:
Subsaharan migrants are particularly affected by HIV in France and they account for 31% of the new diagnoses in 2013 (Cazein et al 2015). Being positive for HIV can entail heavy consequences on a person’s occupational trajectory. However the interaction between being diagnosed with HIV and activity in a migration context has been poorly documented. For migrant women in particular, HIV-illness can interact with social relations of sex, race and class and hinder their occupational trajectory.
The objective of this study is to assess the interaction between HIV-illness and Subsaharan migrants’ occupational trajectories in France by (i) describing timing and determinants of their first access to an activity that provides financial independence (“autonomy-generating activity”), (ii) understanding the factors that can support HIV+ women migrants’ ion in the labour market.
|Method / Issue:
This presentation uses a mixed-method approach: first we use quantitative data from the ANRS Parcours study, a life-event survey led in 2012-2013 in 70 health centers and which collected trajectories of Subsaharan women migrants in Paris area. To estimate the time migrant women take to find an autonomy-generating activity, we used Kaplan Meier estimates. A time-discreet regression model was performed to identify factors associated to this outcome (adjusting on circumstances of arrival: period, age, education, migration motive).
Second, we use qualitative data from socio-ethnographic observations and interviews led in 8 HIV+ African women organisations and among 39 women-members from 2011 to 2013. We analysed the different ways these organisations support them in seeking employment and facilitate their occupational ion. We reconstituted these women' biographical trajectories to point at the resources they resort to negotiate their occupational trajectories.
|Results / Comments:
925 trajectories of Subsaharan women were collected (497 HIV+, 162 with Hepatitis B and 266 who have neither of these infections). Women found an autonomy-generating activity during their 3d, 4th and 6th year in France in median in the HIV group, the Primary care group, and the Hepatitis B group respectively. After adjustment, HIV+ women found an activity quicker than others (ORa HIV vs Primary care = 1,4 [1,11,8]). Access to an autonomy-generating activity was slower for women arriving in recent years (ORa 0,4 [0,30,6]), quicker for educated women (ORa 1,7 and 1,8 respectively for secondary and superior levels).
Our qualitative results show that this quicker access to activity might be explained by HIV+ migrant organisations’ involvement in their members’ occupational ion. Most women work in low-skilled jobs such as caring activities. HIV+ migrant organisations tend to direct HIV+ women to such occupations, viewed as providing an easier entry into the labour market. Being employed by these organisations as health mediator is a way of negotiating both HIV physical consequences and occupational downgrading.
HIV+ women migrant access earlier to activity. The mobilisation around HIV epidemics in France gave birth to associations representing a major resource for HIV+ migrant women to find a job, a resource HIV- women do not have. Despite this quicker access to activity, African women fear the disclosure of their HIV status and discrimination at work.