Union break-up after HIV diagnosis among sub-Saharan African migrants in France: disclosing HIV status is linked with staying in union

ABSTRACTSub-Saharan African migrants living in France are particularly affected by HIV. Due to the fear of sexual transmission of the virus, those in a relationship could experience a union break-upafter an HIV diagnosis. Based on data from the time-event ANRS-Parcours survey that was conducted among a representative sample of sub-Saharan migrants living with HIV (France, 2012–2013), we studied union break-upsafter HIV diagnosisamong people who were in a relationship at the time of their diagnosis. Women experienced a more rapid union break-upafter HIV diagnosisthan did men. The living conditions of men were not correlated to their risk of union break-upwhile among women, having a personal dwelling reduced the risk of union break-up. For both sexes, less established relationships were more likely to break upafter HIV diagnosis. Having disclosed the HIV status to a partner was associated with a reduced risk of separation between partners, after adjustment on socio-economic conditions and migration c...