Une \u00e9quipe de l\u2019Inserm, de Sorbonne Universit\u00e9 et de plusieurs h\u00f4pitaux fran\u00e7ais a publi\u00e9 en octobre 2026, dans The Lancet Regional Health \u2013 Europe, une analyse du continuum de soins du VIH chez les femmes transgenres suivies en France sur pr\u00e8s de 30 ans. L\u2019\u00e9tude s\u2019appuie sur des donn\u00e9es longitudinales de la cohorte hospitali\u00e8re ANRS CO4-FHDH et porte sur 801 femmes transgenres vivant avec le VIH prises en charge entre 1997 et 2023.<\/p>\n
Cette population est identifi\u00e9e comme une population cl\u00e9 dans l\u2019\u00e9pid\u00e9mie mondiale de VIH, avec une pr\u00e9valence estim\u00e9e \u00e0 20 % dans le monde et 7 % en Europe. Les autrices et auteurs soulignent que, jusqu\u2019\u00e0 pr\u00e9sent, la plupart des travaux disponibles \u00e9taient des \u00e9tudes transversales, majoritairement nord-am\u00e9ricaines, et qu\u2019en Europe seule une \u00e9tude longitudinale avait \u00e9t\u00e9 conduite, sans analyse d\u00e9taill\u00e9e des d\u00e9lais et des d\u00e9terminants associ\u00e9s \u00e0 l\u2019initiation des traitements antir\u00e9troviraux.<\/p>\n
L\u2019apport principal de ce travail est l\u2019examen des d\u00e9lais entre les diff\u00e9rentes \u00e9tapes du parcours de soins : diagnostic, entr\u00e9e dans le soin, mise sous traitement antir\u00e9troviral et obtention d\u2019une charge virale ind\u00e9tectable (suppression virale). Les donn\u00e9es montrent une am\u00e9lioration de la prise en charge au fil du temps, en particulier une r\u00e9duction importante du d\u00e9lai d\u2019initiation du traitement antir\u00e9troviral, pass\u00e9 d\u2019environ 4 mois en 1997\u20112004 \u00e0 environ 15 jours en 2013\u20112023. Les chercheuses et chercheurs l\u2019associent vraisemblablement \u00e0 la mise en place, \u00e0 partir de 2013, de la politique de \u00ab traitement universel \u00bb du VIH.<\/p>\n
Malgr\u00e9 ces progr\u00e8s, l\u2019\u00e9tude met en \u00e9vidence des disparit\u00e9s dans le parcours de soins en fonction de l\u2019origine g\u00e9ographique des femmes transgenres, sans que le d\u00e9tail de ces \u00e9carts ne soit pr\u00e9cis\u00e9 dans la source. Ces r\u00e9sultats, financ\u00e9s par l\u2019ANRS MIE et l\u2019Inserm, constituent la premi\u00e8re analyse exhaustive en Europe des d\u00e9lais entre les \u00e9tapes cl\u00e9s du parcours de soins du VIH chez les femmes transgenres et soulignent l\u2019existence d\u2019in\u00e9galit\u00e9s li\u00e9es \u00e0 l\u2019origine au sein de cette population \u00e0 forte pr\u00e9valence de VIH. Ces \u00e9l\u00e9ments sont susceptibles d\u2019\u00e9clairer le suivi des politiques publiques fran\u00e7aises en mati\u00e8re de pr\u00e9vention, d\u2019acc\u00e8s au soin et de r\u00e9duction des in\u00e9galit\u00e9s dans la prise en charge du VIH pour les populations transgenres.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Une \u00e9quipe de l\u2019Inserm, de Sorbonne Universit\u00e9 et de plusieurs h\u00f4pitaux fran\u00e7ais a publi\u00e9 en octobre 2026, dans The Lancet Regional Health \u2013 Europe, une analyse du continuum de soins 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