{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:58:03Z","timestamp":1790927883247,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001677","name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001677","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019125","name":"Sorbonne Universit\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Migration status is consistently associated with a higher risk of loss to follow\u2010up (LTFU). We investigated how sex, sexual orientation and social vulnerabilities affect the association between migration status and LTFU for hospital care in people living with HIV, using data from the ANRS CO9\u2010COPANA cohort linked to the nationwide French hospital database on HIV (ANRS CO4\u2010FHDH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The COPANA prospective cohort enrolled antiretroviral drug\u2010na\u00efve adults newly diagnosed with HIV\u20101 between 2004 and 2008 in France. LTFU in the hospital setting was defined as no clinical follow\u2010up for \u226524\u2009months before the study end. Fine and Gray models accounting for death as a competing event were used to assess factors associated with LTFU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 616 participants included 333 born in France, 209 born in sub\u2010Saharan Africa and 74 born in other regions. There were 432 male participants, including 281 men who have sex with men (MSM). The cumulative incidence of LTFU was 17% (95% CI: 14\u201320) at 10\u2009years. Migrant MSM and migrant women had a higher crude risk of LTFU than French\u2010born MSM. After adjustment for several social factors, the risk of LTFU remained higher in migrant MSM. Lack of psychological support and non\u2010disclosure of HIV status to friends were associated with a higher risk of LTFU and had the greatest impact on the difference between crude and adjusted sub\u2010distribution hazard ratios for LTFU in both male and female migrants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The higher risk of LTFU from hospital\u2010based care in migrant MSM and women was attenuated after adjustment for social vulnerabilities, suggesting that these factors contribute to the observed association.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70293","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T17:40:23Z","timestamp":1786642823000},"page":"1682-1697","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial vulnerabilities and loss to follow\u2010up in people living with\n                    <scp>HIV<\/scp>\n                    in France"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2219-3325","authenticated-orcid":false,"given":"Charl\u00e8ne","family":"Mafuta","sequence":"first","affiliation":[{"name":"CESP\u2014INSERM U1018 Universit\u00e9 Paris\u2010Saclay  Le Kremlin\u2010Bic\u00eatre France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4816-4261","authenticated-orcid":false,"given":"Sophie","family":"Grabar","sequence":"additional","affiliation":[{"name":"INSERM, IPLESP Universit\u00e9 Sorbonne  Paris France"},{"name":"APHP, H\u00f4pital Saint\u2010Antoine  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Lievre","sequence":"additional","affiliation":[{"name":"INSERM, IPLESP Universit\u00e9 Sorbonne  Paris 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