[Fragility and precariousness of people living with HIV]

Fragility and Precariousness of People living with hiv Living with hiv in 2021 means having a Chronic disease that is still not "like the Others". Stigma and discrimination persist. And the prognosis remains uncertain in the Countries of the south where access to care Can be problematic and the emergence of Resistance is a concern. Being treated during the covid-19 pandemic Represented a public health challenge, but Persons living with hiv (plwhiv), who were More precarious and psychologically fragile Than the general population, were more Affected by the difficulties in accessing Care. The population of plwhiv includes two main Groups in particular migrants and msm (men who have sex with men) as indicated By the figures for new infections in 2020. The migrant population affected is heterogeneous, With people who have been living in France for decades but also newcomers Whose migration path is often marked by Traumatic events. In addition to the weight Of the hiv infection itself, frequent aggressions And concerns for loved ones back Home, as well as the weight of exile, result In a high prevalence of psychological disorders. Even today, being homosexual is not always Self-evident, whether the stigma comes from Others or is integrated by the person himself (internalized stigma). Aging is globally depreciated In our society but particularly in The gay community. This community is also Affected by the practice of chemsex and Slam, use of psychoactive substances. All of these elements lead to a high prevalence Of psychological disorders and possible Social insecurity. The care of plwhiv Must be global, it requires taking into account All these aspects, medical, psychological And social, and associating the patients To the care.